scholarly journals ORGANIZATION OF THE SYSTEM OF ENSURING AND EVALUATING THE QUALITY OF MEDICAL CARE UNDER THE INTERNAL CONTROL OF THE QUALITY AND SAFETY OF MEDICAL ACTIVITIES IN FEDERAL STATE HEALTHCARE INSTITUTION «MEDICAL SANITARY UNIT OF MINISTRY OF INTERNAL AFFAIRS OF THE REPUBLIC OF BASHKORTOSTAN»

Author(s):  
OLEG R. NAUSHIRVANOV ◽  
◽  
RUSTEM KH. NIGMATULLIN ◽  
MARAT M. FAZLYEV ◽  
ZEMFIR Z. KUTUEV ◽  
...  
Author(s):  
G. . Yeremin ◽  
Е. . Тregubova ◽  
Е. . Mokhova

The article presents an analysis of the regulating system, an experience of the expert evaluation and control of the quality and safety of the medical care in the Russian Federation and in its constituent units. The paper considers aims, targets, ways and criteria of the expert evaluation and control of the quality and safety of the medical care with regard to the osteopathic medical care. Authors also give recommendations concerning the organization of the internal control system of safety and quality of the medical care provided by the osteopaths.


2019 ◽  
Vol 21 (3) ◽  
pp. 415-419
Author(s):  
Amonullo Gaibovich Gaibov ◽  
◽  
Nazrullo Talbakzod Mirzoali ◽  
Kholmakhmad Karim Karimzoda ◽  
Rustam Abdusamadovich Tursunov ◽  
...  

Author(s):  
Lyazat K. Ibrayeva ◽  
Dina Kh. Rybalkina ◽  
Nina M. Zhanbasinova ◽  
Elena A. Drobchenko

The analysis of the loss of years by YLL (Years of Life Lost) from the mortality of the population in the age and sex aspect of nosology class of diseases of the circulatory system in industrial regions of East Kazakhstan and Karaganda regions of the Republic of Kazakhstan (RK). In the dynamics for 2011–2014, a decrease in mortality was established, which is associated with an increase in the quality of medical care.


Author(s):  
Irina Eduardovna Kravchenko ◽  
A. M. Galieva ◽  
M. R. Gataullin ◽  
A. Y. Vafin

Purpose. To develop ways to improve the regional model of providing medical care to infectious patients in the Republic of Tatarstan on the basis of the rational use of available resources and the introduction of modern medical technologies. Results and discussion. Over the analyzed observation period of 13 years (2005-2017), there was a significant reduction in the resource provision of the infectious diseases service of the Republic of Tatarstan, including the material and technical base, human resources (infectious disease doctors) and the cost of medical care infectious patients. During the same period, the primary infectious morbidity (FM) of the population tended to decrease (the rate of decline was 17.0%). The significant impact of the resource provision of the infectious service (CID, beds, infectious disease physicians) on the indicators of the IZ population (p <0.05) has been established. Effective ways to improve the ways of improving of specialized medical care for infectious patients are presented - the creation of the Republican Advisory Center for Infectious Pathology and reception and diagnostic departments based on infectious hospitals. Conclusions. The introduction of new structural and functional models in the work of the infectious service will improve the availability and quality of medical care for infectious patients throughout the territory of the Republic of Tatarstan in the context of existing resource support.


Author(s):  
I.V. Kisel ◽  
◽  
T.M. Sharshakova ◽  

Abstract. Introduction. Improving the efficiency of the use of public resources and the quality of medical care provided in modern conditions is becoming one of the priority tasks of science and healthcare management. In industry and the service sector, different management methods are successfully applied. Lean production is considered one such example in healthcare. Lean production is a management concept based on an unswerving commitment to eliminating all types of waste, continuous improvement of processes, improvement of organization and working conditions. One of the central provisions of Lean production is the concept of value for a patient and a medical worker in the performance of a medical service [1]. In the Republic of Belarus in 2019 the implementation of the pilot project of the Ministry of Health of the Republic of Belarus "Caring Polyclinic" was started, which was based on the principles and tools of lean production. The goal of the pilot project is to increase the satisfaction of consumers of medical services with the quality and availability of medical care by optimizing business processes and eliminating losses. Research methods: the study presents a process of providing health care to the population, which can be improved based on the principles of lean production. Possible directions of using the accumulated material on the application of the principles of lean production in the healthcare system in the context of COVID-19 are considered [2]. Studied and analyzed the original publications containing information on the features of the organization of medical care in a lean production [3]. Results. The concept of lean production is able to solve the main problems of organizing the work of primary health care and demonstrates the effectiveness of this approach for optimizing the business processes of providing medical care. The use of leanproduction technologies in a polyclinic allows not only to increase the throughput of the institution, increase labor productivity, but also to ensure the quality of medical care, to increase the satisfaction of patients and employees. Conclusion. The use of the principles and tools of lean production in healthcare provides an increase in the productivity and efficiency of medical workers, optimization of work processes, which leads to a reduction in the waiting time for patient services and a reduction in the duration of patient treatment, respectively, to improve the quality of medical care, reduce costs, and increase patient and employee satisfaction.


2017 ◽  
Vol 10 (4) ◽  
pp. 47-52
Author(s):  
OLEG R. NAUSHIRVANOV ◽  
◽  
MARAT M. FAZLYEV ◽  
RUSTEM KH. NIGMATULLIN ◽  
ZEMFIR Z. KUTUEV ◽  
...  

2018 ◽  
Vol 20 (3) ◽  
pp. 196-198
Author(s):  
I G Samoylova

The results of the implementation of a three-tier system of internal quality control of medical care for children in need of rehabilitation after neuroinfections are presented. In 2015, a three-tier internal control system was developed at the clinic of the Children’s Research and Clinical Center for Infectious Diseases. The importance of introducing a new approach was determined by the severity of the patients at this clinic. The severity of the condition of children is due to the effects of neuroinfections. In addition, the quality of medical care is an essential element of improving the health care system in modern conditions. After the introduction of this system, the number of examinations carried out at the first level (heads of clinical departments) increased, at the second level (deputy chief physician for medical work and quality of medical care) decreased. The number of detected defects increased, but the quality factor of medical care turned out to be quite high and fell into the group of «insignificant deviations». The main defects are defects in filling in medical documentation and redundancy in laboratory and instrumental research. The leading position in the structure of defects is occupied by defects in filling in medical documentation with a specific weight of 32,4%. With the introduction of a new quality control system, the average length of stay of a patient in the rehabilitation department came close to the one prescribed in medical and economic standards. Revealed quite a large percentage of diagnostic studies that are not included in the medical and economic standards, that is, additional. This fact indicates the need to revise the medical and economic standards in the direction of expansion, taking into account the need. The third level of the internal control system is designed to assess the corrective actions taken as a result of audits at the first two levels of the internal control system. In general, the three-tier system has certainly improved the quality of care.


2017 ◽  
Vol 2 (3) ◽  
pp. 63-69
Author(s):  
Гайдар Гайдаров ◽  
Gaidar Gaidarov ◽  
Наталья Алексеева ◽  
Natalya Alekseeva ◽  
Наталья Сафонова ◽  
...  

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