Strategija primarne zdravstvene zaštite

■ Vrednovati rezultate primjene novog ugovora imehanizama plaćanja,■ Napraviti eventualne izmjene u testiranim ugovorimai mehanizmima plaćanja,■ Planirati i organizovati širenje novog ugovora imehanizama plaćanja na cijelokupnu teritorijuRepublike Srpske,■ Implementirati novi ugovor i mehanizme plaćanjana cijelokupnu teritoriju Republike Srpske.Novi ugovor i mehanizmi plaćanja testiraće se udva doma zdravlja i dvije opšte bolnice u okviru Projektatehničke pomoći socijalnom osiguranju (SITAP).Testiranje novih ugovora i mehanizama plaćanja davalacausluga u PZZ nadogradilo bi iskustva stečena uokviru Projekta osnovno zdravstvo.Cilj 8. Stvaranje adekvatnog profilazdravstvenih radnikaU cilju stvaranja odgovarajućeg profila zdravstvenihradnika u PZZ potrebno je izraditi sveobuhvatnu strategijuza ljudske resurse u zdravstvenom sistemu RepublikeSrpske, kako bi se model PZZ, fokusiran na porodičnumedicinu, proširio i učinio održivim, te osigurao optimalanbroj i odgovarajuću strukturu zdravstvenih radnika uzdravstvenom sistemu Republike Srpske.Strategija za ljudske resurse mora se izraditi na načinkojim se iskazuje snažna podrška modelu porodične medicineu okviru svih institucionalnih i organizacionih nivoazdravstvenog sistema.Ova strategija mora definisati:■ Nedostatak, odnosno višak doktora, za svaku odmedicinskih specijalnosti, odnosno sestara i ostalihzdravstvenih radnika;Strategija primarne zdravstvene zaštite35and conforming to the reform strategic documents ofthe Republic of Srpska.Although pharmacists and pharmaceutical servicesdo not constitute the family medicine team, it will benecessary to ensure their involvement and cooperationin order to provide safe and efficient optimal therapyto patients. Pharmacists, as experts in medicines, have acrucial role in the provision of information and adviceto the public and prescribers, which strengthens benefitsfrom administration of medicines and renders prescribingmore efficient.Through a dialogue with local pharmacists, familymedicine teams should establish mechanisms aimed atensuring regular availability and cost-effective procurementof medicines that are necessary for treatment ofcommon and priority health problems.In order to attain good evidence-based prescribingand procurement practices, it will be necessary to ensurecontinuing education of pharmacists and primary healthcare doctors.The pharmacy is a health institution where thepublic is provided with and informed about medicines,medical substances and other substances necessary fortreatment of preservation of health.Goal 7. Development, piloting andintroduction of new contracting andprovider payment mechanismsThis is one of the key goals for sustainable developmentof primary health care in the Republic of Srpska.New contracting and provider payment mechanismsshould ensure incentives for improving efficiency, effec­The Primary Health Care Strategy