Social assessment of the population for the transition to value-based healthcare model

BACKGROUND: The advanced experience of implementing a value-based model in the practice of Moscow healthcare allowed us to identify a number of the most significant practices of its effectiveness, among which support for making an informed decision by the patient, as well as measuring satisfaction and analyzing the needs of patients were noted. In this regard, the transition of the entire national healthcare system to a value-based model requires the development of approaches to assessing the population’s compliance with such a transformation, taking into account socio-economic, demographic and psychological criteria.

AIM: To consider possible predictors of the readiness of a social group of the population older than working age to transition to a value-based model of national health care.

METHODS: A review of fundamental and modern works in the problem field was carried out. The empirical basis of the work was made up of data from the official website of the Federal Statistics Service with geographic coverage of the entire Russian Federation.

RESULTS: Analysis of data from a subjective assessment of the population's health on a national sample demonstrates the internal readiness of the population for a value-based healthcare model, despite the negative trends of aging. In age groups over 55, the majority of respondents rated it as «satisfactory», with the number of «very bad» ratings being minimal. Positive dynamics in the formation of information technology competence in the population over 65, who are experiencing difficulties in integrating into digital healthcare services, are shown. The positive dynamics of the formation of information technology competence of the population over 65 years of age, who are experiencing difficulties in integrating into digital health services, is shown.

CONCLUSION: The transition of national healthcare to a value-oriented model involves active patient involvement and the formation of patient experience in assessing the results of medical care. In this regard, it is necessary to take into account the personal socio-psychological profile of patient compliance, as possible modules of which the work demonstrates the use of subjective health assessment and assessment of the information technology competencies in the social group of people over working age, the growth of whose numbers determines demographic realities.