IMPROVING THE QUALITY OF MEDICAL CARE. GROUP MEDICAL PRACTICE

The article analyzes 249 expert opinions on the quality of medical care from the standpoint of the responsibility of medical workers for their professional activities. The principles of moral responsibility for medical workers are outlined.

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Quality of medical care in Russia

Clinical Medicine (Russian Journal) ◽

10.30629/0023-2149-2021-99-5-6-383-387 ◽

2021 ◽

Vol 99 (5-6) ◽

pp. 383-387

Author(s):

G. В. Nazarenko

Keyword(s):

Medical Care ◽

Medical Practice ◽

Economic Activity ◽

Personal Responsibility ◽

Medical Community ◽

Free Access ◽

Provision Of Services ◽

Quality Of Medical Care ◽

Intended Effect

The system of providing medical care belongs to the sphere of economic activity referred to as «range of services» in Russia.The main criterion in the provision of services is the receipt of the final intended effect, which fully satisfies the customer of this service. If the final intended effect is not achieved, then this service cannot be considered as completed.In medical care, there is no final guaranteed result. The purpose of providing medical care is the very process of its provision.The intended result of treatment cannot be guaranteed, but the provider of medical care is obliged to apply all their experience and knowledge to achieve the most useful effect for the patient.Russian legislation provides for the evaluation of the quality of medical care based on the final effect. This approach to solving the issue of medical care improvement quality does not allow the healthcare in Russia to adequately develop since the main emphasis is placed on the administrative command system of control and motivation of doctors to their work. The openness of the medical community to the society leads to an inadequate evaluation of the inevitable medical failures, complications and problems in the field of medical treatment. The absence of medical practice institution in Russia and the prevalence of hired labor of doctors deprive the medical community of one of the main criteria for the development of medicine — the discretion, provided personal responsibility before a patient. In fact, it is impossible to receive high quality medical care under circumstances where a physician is only a hired "addition" to the material and technical base of a medical institution.The solution to the above problems can be found on condition of separating healthcare in Russia into a special sphere of economic activity with its own legal determination, structure, management, legislation. It is necessary to isolate medical community from society as much as possible, to limit free access to special information for public inspection and non-expert accusations. We should rely on the development of medical practice in the country as it fullestly reflects doctor's competence independent on the will of the employer.

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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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