Evaluation of the third health care facilities and services restructuring

Abstract

The article reveals the qualitative study results which reflect a restructuring of the third phase of the evaluation of health care access, quality changes. Analyzed inpatient services, health care financing and health care institutions network optimization changes. In this paper, evidence is considered best practice for ensuring the success of the changes. To analyze the obtained results of the reform, use of 10 semi-structured interviews with a third restructuring program organizers, implementers and practitioners. The analysis of the research results showed that the main advantage of the third stage of restructuring is the expansion of ambulatory services. These interview participants who work in regional hospitals identified the most negative consequences of the restructuring: worsening of accessibility to health services, lack of financial support, fear of the future reconstructions. However, the process of closing stationery and obstetrics units is evaluated constructively even in the regional hospitals as increasing safety of the services is emphasized. These results demonstrate the potential for future transformational trends and issues that are still unresolved.