Clinical Guidelines as a Tool for Improving the Quality of Medical Care Delivery

2017 ◽  
Vol 4 (4) ◽  
pp. 246-259 ◽  
Author(s):  
V. V. Omeljanovskij ◽  
M. V. Avksent’eva ◽  
I. A. Zhelezniakova ◽  
O. A. Sukhorukih ◽  
G. R. Hachatrian ◽  
...  
Keyword(s):  
Medical Care ◽  
Clinical Guidelines ◽  
Care Delivery ◽  
Quality Of Medical Care

scholarly journals SUPPORTIVE SUPERVISION AS A TECHNOLOGY OF IMPROVING THE QUALITY OF HOSPITAL CARE DELIVERY

2017 ◽  
Vol 14 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Svetlana A. Mukhortova ◽  
Tatiana V. Kulichenko ◽  
Leyla S. Namazova-Baranova ◽  
Svetlana G. Piskunova ◽  
Elena A. Besedina ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Hospital Care ◽  
Care Delivery ◽  
Health Care Facilities ◽  
Cochrane Library ◽  
Supportive Supervision ◽  
Technology Application ◽  
Quality Of Medical Care

Improving the quality of medical care is a priority in countries with developed and developing health care system. There are various approaches to improve the quality and safety of patient’s care, as well as various strategies to encourage hospitals to achieve this goal. The purpose of the presented literature review was to analyze existing experience of the implementation of technology of supportive supervision in health care facilities to improve the quality of hospital care delivery. The data sources for publication were obtained from the following medical databases: PubMed, Cochrane Library, Medscape, e-library, and books on the topic of the review written by experts. The article discusses the results of the research studies demonstrating the successes and failures of supportive supervision technology application. Implementation of supportive supervision in medical facilities based on generalized experience of different countries is a promising direction in improving the quality of medical care delivery. This technology opens up opportunities to improve skills and work quality of the staff at pediatric hospitals in the Russian Federation.

scholarly journals Risk Factors of Maternal Mortality in Calabar

2020 ◽  
Vol 1 (2) ◽  
pp. 83-92
Author(s):  
Uduakobong P. Akpabio ◽  
Pius U. Angioha ◽  
Chiamaka V. Egwuonwu ◽  
Esther B. Awusa ◽  
Magareth N. Ndiyo
Keyword(s):  
Maternal Mortality ◽  
Medical Care ◽  
Cultural Practices ◽  
Care Delivery ◽  
Quality Data ◽  
Design Data ◽  
Health Centres ◽  
Quality Of Medical Care ◽  
The Government

Maternal mortality remains unacceptably high despite both local and international programs carried at reducing the incidence. Nigeria suffers from 800 maternal death per 100,000 births. This study examines the extent to which cultural practices and quality of medical care determines maternal mortality in Calabar, Cross River State. Using the survey research design, data were collected from 400 women aged between 15 and 49 from Calabar using a self-developed structured questionnaire. The participants were selected using cluster and purposive sampling technique. Data collected from the field was analyzed using descriptive statistics and regression analyses at 0.05 confidence level. Result from the analysis revealed that uncivilized cultural practices lead to high maternal mortality. 75.64 per cent of the participant reported cases of complications during birth in the hands of traditional birth attendants. cultural practices account for 49 per cent of the variation in maternal mortality. Also, result revealed that poor care delivery or quality of medical care leads to high maternal mortality. 54.14 per cent of the participants reported that the cost of medical care for a pregnant woman in the hospital is too expensive. 69.43 per cent reported there have been deaths as a result of lack of care in hospitals. Based on these findings There is need for the government and its health ministry to increase the number of primary health centres in the nation as well as strengthen this health centres to collect high-quality data to respond to the needs and priority of women and girls amongst others.

scholarly journals Clinical guidelines determine the quality of medical care in dermatovenerology

2020 ◽  
Vol 4 (10) ◽  
pp. 637-641
Author(s):  
M.M. Tlish ◽  
◽  
T.G. Kuznetsova ◽  
Zh.Yu. Naatyzh ◽  
A.V. Oblomiy ◽  
...  
Keyword(s):  
Medical Care ◽  
Case Studies ◽  
Clinical Guidelines ◽  
Fungal Infections ◽  
Clinical Manifestations ◽  
Diagnostic Errors ◽  
Thinking Skills ◽  
Russian Society ◽  
Quality Of Medical Care

The Federal Clinical Guidelines of the Russian Society of Dermatovenerologists and Cosmetologists and the standards of the medical care for individual clinical entities are used to ensure health care accuracy and to assess its correctness. By following the algorithms, we can improve the quality of life and prevent diagnostic errors and treatment complications. Diagnostic errors result from the low index of suspicion, perfunctory medical examination, incorrect and superficial medical history taking, the incomplete algorithm of microscopic and cultural methods, and the non-adherence to the Federal Clinical Guidelines in terms of making the diagnosis. This paper addresses case studies of fungal infections and their treatment. In these case studies, several diagnostic and strategic errors was made in the outpatient settings despite a high prevalence of these skin disorders and typical clinical manifestations. The authors conclude that strict compliance with the clinical guidelines and the standards of medical care allows to improve clinical thinking skills, the level of professional competency, and the quality of the medical care for dermatovenerological patients. KEYWORDS: dermatovenerology, mycosis, Clinical Guidelines, diagnostic errors, diagnostic algorithm. FOR CITATION: Tlish M.M., Kuznetsova T.G., Naatyzh Zh.Yu. et al. Clinical guidelines determine the quality of medical care in dermatovenerology. Russian Medical Inquiry. 2020;4(10):637–641. DOI: 10.32364/2587-6821-2020-4-10-637-641.

scholarly journals Problems of regulating the quality of medical care in recurrent depression

2020 ◽  
Vol 15 (1) ◽  
pp. 79-84
Author(s):  
Svetlana Balokhina ◽  
◽  
Olga Mironenko ◽  
Keyword(s):  
Economic Development ◽  
Medical Care ◽  
Clinical Guidelines ◽  
Economic Condition ◽  
Care Quality ◽  
Recurrent Depression ◽  
Prevalence Of Depression ◽  
Regulation Of Activity ◽  
Quality Of Medical Care

Due to the increasing prevalence of depression, it is necessary to improve medical care to manage the disease. The problems of regulation of medical care quality are analyzed in the article. It is established that the problems are connected both with the general economic condition of Russia, and with the problems in regulation of activity. The second group of problems includes the absence of approved clinical recommendations, mixing of different nosologies in the Standards and Criteria of quality, incomplete set of examinations necessary for patients with depression. Further economic development and approval of the Clinical Guidelines should improve the quality and availability of care for depressed patients.

Medical records management in electronic format

2019 ◽  
Vol 2019 (4) ◽  
pp. 77-80
Author(s):  
Ирина Серегина ◽  
Irina Seregina ◽  
Антон Колоколов ◽  
Anton Kolokolov
Keyword(s):  
Medical Care ◽  
Medical Records ◽  
Treatment Process ◽  
Care Delivery ◽  
Records Management ◽  
Electronic Document ◽  
Electronic Format ◽  
Quality Of Medical Care ◽  
Document Flow

The article deals with the legal significance of medical records management in the form of electronic document flow. Proper medical records management, which is necessary for the registration of the diagnostic and treatment process at all stages and for control of the quality of medical care delivery, is basis for evaluating of the organization of medical care and quality of its delivery.

scholarly journals Developing clinical guidelines and assessing the quality of medical care using the RAND/UCLA method

2020 ◽  
Vol 12 (4) ◽  
pp. 327-332
Author(s):  
O. O. Buzuverova ◽  
V. K. Fedyaeva ◽  
O. A. Sukhorukikh
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Clinical Guidelines ◽  
International Experience ◽  
Scientific Data ◽  
Rand Corporation ◽  
National Medical ◽  
Quality Of Medical Care ◽  
The Russian Federation

Introduction. The RAND/UCLA system is commonly used in healthcare economics as it allows one to consider both the relevant scientific data and the opinion of leading experts for deciding on the specifics of medical care.Objective. To analyze the recommendations and practical aspects of the RAND/UCLA and the international experience in using this method; to analyze the feasibility of its application in the Russian Federation, including the basic documents regulating the national medical care.Materials and methods. We analyzed the information available in the RAND corporation website and the PubMed bibliographic database.Results. An analysis of the original information provided by the developers of the RAND/UCLA method showed that using this method involves several stages: selecting a subject to be further studied, reviewing the scientific literature on this subject, choosing the expert commission, and preparing documents for its work; the voting stage is followed by a voting results analysis. The international experience on the applications of the RAND/UCLA method in healthcare demonstrates the successful use of this method in different countries. The use of the RAND/UCLA method in the healthcare system of the Russian Federation can contribute to improving the quality of medical care and the rational use of healthcare resources.Discussion. Currently, the RAND/UCLA method is internationally used to develop clinical guidelines, criteria for assessing the quality of medical care, and feasibility of medical interventions.Concusion. In the Russian Federation, the application of the RAND/UCLA method can prove useful for developing clinical guidelines and related documentation.

Responsibility for a quality of medical care provided via telemedicine

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

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

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.

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

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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