scholarly journals CLINICAL AND ANATOMICAL COMPARISONS IN ASSESSING THE QUALITY OF MEDICAL CARE

2019 ◽  
Vol 5 (2) ◽  
pp. 4-10 ◽  
Author(s):  
L. V. Kakturskiy ◽  
O. V. Zayratyants
Keyword(s):  
Medical Care ◽  
Criminal Liability ◽  
Medical Community ◽  
Insurance Fund ◽  
Quality Of Medical Care ◽  
The Subject ◽  
Diagnostic Work ◽  
Available Information

Purpose of research: To study methodological, organizational and normative problems of comparison of final clinical and pathological-anatomical diagnoses in the Russian Federation on the basis of a review of domestic and foreign publications.Abstract: Clinical and anatomical comparisons remain the most important function of quality control of medical and diagnostic work. Cases of divergence of diagnoses should be the subject of professional discussion in the medical community with the adoption of appropriate administrative measures to address deficiencies in the provision of medical care. Currently, there is no adequate regulatory regulation of the issue of comparison of clinical and pathological-anatomical diagnoses. This gives rise to many problems, including the subjectivism of the pathologist in the interpretation of the actions of the clinician, the permanent threat of criminal liability of medical workers for misdiagnosis. Penalties for discrepancies in diagnoses imposed by the Сompulsory Health Insurance Fund lead to an artificial underestimation of the divergence of diagnoses in medical organizations and to incorrect statistical accounting. The underestimation of the role of comorbid diseases and the lack of clear norms of their use in the diagnosis create difficulties in the correct assessment of the disease tanatogenesis, limits the analysis of morbidity and mortality for multiple reasons and entails the loss of some of the available information. 

scholarly journals Some aspects of the theory of errors of doctors

2021 ◽  
Vol 65 (2) ◽  
pp. 159-165
Author(s):  
Murat M. Makhambetchin ◽  
Kayrat T. Shakeyev
Keyword(s):  
Medical Care ◽  
Medical Errors ◽  
Negative Attitude ◽  
Quality Of Medical Care ◽  
Clinical Thinking ◽  
Based Medicine ◽  
Relationship Of ◽  
The Relationship

The development of clinical thinking and the improvement of medical care largely depend on doctors and society’s attitude to medical errors. A balanced, rational perspective to medical errors is critical with an understanding of the main aspects of medication errors. The paper presents two important aspects of the problem of medical errors - their probability and, in a sense, their routine, as well as the role of collective relationships in shaping an objective attitude of doctors to errors. The article argues that the correct action of a doctor does not mean that they are unmistakable. The factors that determine the complexity of medicine are listed. The actual and ambiguous effectiveness of the medicine is considered. It is argued that the development of evidence-based medicine is evidence of the relativity of knowledge in medicine. The basic variants of the relationship of doctors in the collective are given. The role of collegiality in improving the professional experience and quality of medical care is specified. It has been shown that the absence of objective criteria of guilt or innocence of a doctor in error exacerbates the problem of errors. It emphasizes the flaw of equating all errors with misconduct and the unilateralism of such an approach in preventing mistakes. A vicious circle is presented, where the traditionally negative attitude towards doctors who made a mistake ultimately leads to concealment of errors, a decrease in the number and quality of error analysis, stagnation in the development of clinical thinking, an increase in the number of errors and, accordingly, the legal tightening of demand for medical errors.

scholarly journals Quality of medical care in Russia

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.

scholarly journals MODERN APPROACHES TO THE IMPROVEMENT OF THE INSTITUTE OF PAID MEDICAL SERVICES IN RUSSIA

2019 ◽  
Vol 6 (1) ◽  
pp. 119-131
Author(s):  
A. V. Panov ◽  
T. Yu. Bykovskaya
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Services ◽  
Economic Regulation ◽  
Medical Organization ◽  
Gradual Development ◽  
Quality Of Medical Care ◽  
Almost All

The article pertains the main problems faced by manufacturers and consumers of paid medical services. The increase in the volume of paid medical care prevails in the fields of dentistry, diagnostics and cosmetology. Of course, the expansion of voluntary medical insurance in almost all areas of medicine, further digitalization and gradual development of commercial outpatient care will be promising areas in the domestic health care. After all, currently every fourth outpatient medical organization is private owned. In this regard, taking into account the foreign and domestic experience of modernization of the medical services market, the paper comprehensively analyzes the trends in the development of commercial medicine within the legal, organizational and socio-economic regulation of the health care industry. Marketing tools to optimize the system of paid services are presented. The key role of mechanisms of public-private interaction in health care management is proved. Integrative approaches to the problems of introduction and development of paid medical services, considered in this study, will allow to systematize and to adjust the extra-budgetary activities of medical organizations while simultaneously increasing the availability and quality of medical care in Russia.

Effects of labor satisfaction of medical personnel for the quality of providing medical care

2021 ◽  
pp. 65-72
Author(s):  
Larisa Arkadyevna Karaseva ◽  
Tatyana Vladimirovna Bessonova
Keyword(s):  
Job Satisfaction ◽  
Comparative Analysis ◽  
Medical Care ◽  
Medical Personnel ◽  
Medical Services ◽  
Nurse Leader ◽  
Quality Of Medical Care ◽  
Practical Recommendations

The aim of the study the influence of job satisfaction of medical personnel on the quality of medical care. Results: the role of the nurse-leader in increasing the job satisfaction of medical personnel was studied; a comparative analysis of the attitude to work of medical personnel and their satisfaction in commercial and non-commercial medical organizations was carried out; formulated practical recommendations aimed at increasing the job satisfaction of medical personnel and the quality of medical services. Conclusion: formulated practical recommendations aimed at increasing job satisfaction of medical personnel and improving the quality of medical services provided to them.

Quality of medical care: some problems and solutions

2020 ◽  
pp. 43-49
Author(s):  
Valery Karavaev ◽  
Marina Filosofova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Diagnostic Process ◽  
Problems And Solutions ◽  
Quality Of Medical Care

the article observes the issues of improving the quality of medical care provided in medical organizations, the role of experts in this issue and other reserve opportunities for optimizing the Russian health care and improving the treatment and diagnostic process.

scholarly journals Prospects for implementing a new nurse model in capital healthcare: expected effects and possible risks

2020 ◽  
Vol 64 (5) ◽  
pp. 236-242
Author(s):  
Elena I. Aksenova ◽  
Olga A. Aleksandrova ◽  
Aziza V. Yarasheva ◽  
Yulia S. Nenakhova
Keyword(s):  
Medical Community ◽  
Successful Implementation ◽  
Sociological Research ◽  
Expert Interviews ◽  
Study Analysis ◽  
Mass Survey ◽  
Medical Activity ◽  
Quality Of Medical Care

Increasing the role of nurses is one of the key trends supported by WHO and proven to be effective in many countries. Russia is also moving along this path: the relevant documents have been adopted, an experiment is underway in the pilot regions, and in 2020 further scaling of the new model of the nurse has been announced. The purpose of the study. Analysis of readiness to expand the functions of a nurse. Methodology. Content analysis of the information context dedicated to the implementation of the idea of expanding the functions of nurses; studying the experience in pilot regions; sociological research in the form of a mass survey of nurses and doctors, as well as a series of expert interviews. Results. At the level of an abstract idea, the expansion of the functions of nurses is welcomed by the majority of doctors and experts, but the possibility of its successful implementation in the current conditions raises serious doubts; the same applies to the prospects for achieving the declared goals - increasing the role of nurses and improving the quality of medical care. Discussion. There is both the noticeable interest of the medical community in this issue and the problems of an informational, organizational, technical, socio-psychological nature that can reduce the effect of the reform. Informational gaps or ambiguity in understanding the essence of the innovation by different groups of medical workers, as well as a range of concerns that exist in both the nursing and medical communities, were identified. The functions that can be transferred to nurses, as well as the conditions necessary for this, are considered. Conclusion. A serious professional analysis of the opportunities and risks contained in the new reform is required: various areas of medical activity have their specifics, without which the innovation can cause an acute negative response and a noticeable outflow of nursing staff from the capital’s medical organizations.

Sign in / Sign up

Export Citation Format

Share Document