The Impact of Medicare Prospective Payment on the Quality of Medical Care

Standardization of medical and diagnostic care is one of the most urgent problems of modern clinical medicine. However, whether the course of Parkinson’s disease (PD) depends on compliance or deviation from the established regulations remains unclear. The purpose. To evaluate the effectiveness of medical care provided to patients with PD in accordance with the standard and clinical recommendations, in comparison with patients who were treated with violations; to study the impact on the course and progression of the disease of non-compliance with certain provisions of the standard and clinical recommendations. Material and methods. The analysis of 7264 examinations of the quality of medical care of 1754 patients with PD during 60 months was carried out. Results. Defects in the provision of medical care that affected the progression of the disease, as well as the formation of social and household maladaptation (disability) were identified. There were deviations from the standards in the management of patients which did not have a significant impact on PD. Conclusions. Medical care provided according to the standards of management of PD patients approved in the Russian Federation does not affect the course of the disease, but helps to postpone the period of disability. With a high confidence level, the disease progression and reduction of the degree of social and professional adaptation are influenced by the defects in complaints and anamnesis collection, as well as not timely administration of medicaments containing levodopa, against the background of, most likely, non-compliance with all clinical recommendations and standards for PD patients.

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LEGAL ASPECTS OF THE IMPACT OF INFORMATION TECHNOLOGIES ON THE QUALITY OF MEDICAL CARE

Russian science: actual researches and developments,Part 1 ◽

10.46554/russian.science-2020.03-2-463/466 ◽

2020 ◽

Keyword(s):

Medical Care ◽

Information Technologies ◽

Legal Aspects ◽

Quality Of Medical Care ◽

The Impact

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MedPAC Efficiency Study to Assess Quality of Medical Care

Internal Medicine News ◽

10.1016/s1097-8690(05)72313-1 ◽

2005 ◽

Vol 38 (21) ◽

pp. 84

Author(s):

JENNIFER LUBELL

Keyword(s):

Medical Care ◽

Quality Of Medical Care ◽

Assess Quality

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Responsibility for a quality of medical care provided via telemedicine

Journal of Telemedicine and E-Health ◽

10.29188/2542-2413-2018-4-1-2-9-15 ◽

2018 ◽

Vol 2018 (1-2) ◽

pp. 9-15

Author(s):

Morozov S.P. ◽

◽

Vladzymyrskyy A.V. ◽

Varyushin M.S. ◽

Aronov A.V. ◽

...

Keyword(s):

Medical Care ◽

Quality Of Medical Care

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METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA ◽

10.36871/ek.up.p.r.2020.07.03.007 ◽

2020 ◽

Vol 3 (7) ◽

pp. 62-69

Author(s):

S. S. BUDARIN ◽

Keyword(s):

Medical Care ◽

Resource Use ◽

Methodological Approach ◽

Use Of Resources ◽

Quality Of Medical Care ◽

Methodological Approaches ◽

Performance Audit ◽

Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

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Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

10.2196/preprints.24720 ◽

2020 ◽

Author(s):

Agustin Lara-Esqueda ◽

Sergio A Zaizar-Fregoso ◽

Violeta M Madrigal-Perez ◽

Mario Ramirez-Flores ◽

Daniel A Montes-Galindo ◽

...

Keyword(s):

Diabetes Mellitus ◽

Medical Care ◽

Serum Lipids ◽

Quality Care ◽

Premature Death ◽

Current Standard ◽

Anonymized Data ◽

Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

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