EVALUATING QUALITY OF MEDICAL CARE FOR CARDIOVASCULAR DISEASES IN THE FAR EASTERN FEDERAL DISTRICT

In order to assess the mortality and lethality rates of newborns in obstetric organizations of the North-Western Federal District in 2013–2019, a comparative analysis of official statistics data was carried out. It was found that in the North-Western Federal District in the period from 2013 to 2019, there was an almost annual decrease in newborn mortality rates. The overall decrease in mortality in maternity care organizations of the Federal District (from 2,5% to 1,9%) was mainly due to a decrease in mortality in obstetric hospitals of the first and second levels (respectively from 3,2% to 1,2% and from 1,7% to 0,7%), while most children died in perinatal centers, where the mortality rate has not changed in recent years (2013 – 4,1%; 2019 – 4,0%). The study showed a decrease in mortality rates in the subjects of the Russian Federation that are part of the federal district, except for the city of St. Petersburg. The average hospital lethality rate of newborns in maternity care organizations of the North-Western Federal District during 2013–2019 was in the range of 1,9%–2,0%, did not change significantly and corresponded to the national average. However, the level of hospital lethality significantly differed in individual subjects of the district – in more than half of them, the level of hospital lethality exceeded the average, while in others it was significantly lower. Thus, the decrease in the mortality and lethality rates of newborns in maternity care organizations indicates an increase in the quality of medical care for children in the North-Western Federal District. dicates an increase in the quality of medical care for children in the North-Western Federal District.

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Quality of medical care for children with cancer in Ural Federal District

Malignant tumours ◽

10.18027/2224-5057-2019-9-1-47-52 ◽

2019 ◽

Vol 9 (1) ◽

pp. 47-52

Author(s):

M. Yu. Rykov

Keyword(s):

Medical Care ◽

Federal District ◽

Paediatric Oncology ◽

Case Finding ◽

Active Case Finding ◽

Children With Cancer ◽

Hospital Beds ◽

Quality Of Medical Care ◽

Nenets Autonomous

Objective. Analysis of main indicators of the quality of medical care for children with cancer in Ural Federal District.Materials and methods. The study analyzed operational reports for 2017 obtained from the public health care executive authorities of the 6 Russian Federation Subjects constituting Ural Federal District: Kurgan Oblast, Tyumen Oblast, Sverdlovsk Oblast, Chelyabinsk Oblast, Khanty‑Mansi Autonomous Okrug, and Yamal‑Nenets Autonomous Okrug.Results. There were 3 paediatric oncology departments. No paediatric oncology departments were available in 3 Subjects (50 %), one Subject (20 %) had no paediatric oncology hospital beds. There were 192 paediatric oncology hospital beds in total (0.7 per 10,000 children aged 0‑17 years). No paediatric oncology hospital beds were available in one Subject (20 %) (Yamal‑Nenets Autonomous Okrug). The average hospital bed occupancy was 343 days a year. The number of physicians providing medical care for children with cancer was 59, and 35 of them (59.3 %, 0.1 per 10,000 children aged 0‑17 years) had a paediatric oncologist certificate. No paediatric oncologists or paediatric oncology hospital beds were available in one Subject (20 %) (Yamal‑Nenets Autonomous Okrug). The 2017 incidence rate in Ural Federal District was 14, the prevalence rate was 147.2 (per 100,000 patients aged 0‑17 years). The mortality rate was 2.5 per 100,000 patients aged 0‑17 years, the one‑year mortality rate was 5 %. There were 46 patients diagnosed through active case finding (12.1 %). A total of 94 patients (24.8 %) were referred to medical centres of Federal subordination. Four primary patients (1 %) left the Russian Federation for treatment.Conclusion. Apparent registration flaws (low incidence) and the lack of reliable follow‑up data (mortality assessment is difficult) can be overcome by the introduction of electronic registries. Audit of medical records is necessary for reliable assessment of how the general demand in paediatric oncology hospital beds is met and of the percentage of patients referred for treatment to medical centres of Federal subordination. The long‑standing problems of lack of paediatric oncologists and low percentage of patients diagnosed through active case finding should be tackled through reform of the medical education system.

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Сравнительный маркетинговый анализ фармацевтического рынка лекарственных препаратов для лечения гриппа и острой респираторной вирусной инфекцией дальневосточного федерального округа российской федерации

Dalʹnevostočnyj medicinskij žurnal ◽

10.35177/1994-5191-2019-4-20-23 ◽

2019 ◽

pp. 20-23

Keyword(s):

Respiratory Infection ◽

Russian Federation ◽

Acute Respiratory Infection ◽

Federal District ◽

Pharmaceutical Market ◽

Quality Of Medical Care ◽

The Russian Federation ◽

Acute Respiratory Viral Infection ◽

Far Eastern

The article presents an overview of the pharmaceutical market of medications used for the treatment of influenza and acute respiratory infection (ARI) in the Far Eastern Federal district of the Russian Federation for the period 2013–2018. The goal of our study was to analyze the pharmaceutical market of medications for the treatment of influenza and acute respiratory infection in the Far Eastern Federal district of the Russian Federation. The main sources and routes of the sale of medications for the treatment of influenza and acute respiratory infection in the region were identified. The market of hospital sales of medications for the treatment of influenza and acute respiratory infection was studied. The obtained data allow us to draw conclusions about the quality of medical care in the region for influenza and acute respiratory viral infection in accordance with the normative standards of the Russian Federation.

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Analysis of Some Indicators Characterizing the Quality of Medical Care for Children with Cancer in the South Federal District of the Russian Federation: An Ecological Study

Oncopediatrics ◽

10.15690/onco.v5i4.1967 ◽

2018 ◽

Vol 5 (4) ◽

pp. 238-247

Author(s):

M. Yu. Rykov

Keyword(s):

Medical Care ◽

Russian Federation ◽

Malignant Tumors ◽

Federal District ◽

The South ◽

Children With Cancer ◽

Number Of Children ◽

Quality Of Medical Care ◽

The Russian Federation

Background. Improving the quality of medical care is based on a coordinated policy at the federal, regional and municipal levels in the field of health. The implementation of this goal is based on a regular assessment of the current state of the healthcare system in the Russian Federation.Objective. Our aim was to analyse of the main indicators characterizing medical care for children with cancer in the South Federal District.Methods. The operative reports for 2017 of the executive authorities in the sphere of health protection of 8 subjects of the Russian Federation that are part of the South Federal District of the Russian Federation have been analyzed.Results. The number of children were 3 216 797 people (aged 0–17 years), the number of children’s oncological beds is 272 (0.8 per 10 thousand children aged 0–17 years), the average number of days of berth employment in the year is 289.9 bed days. In 4 (50%) subjects of the department of pediatric oncology are absent, in 1 (12.5%) — there are no children’s oncological beds. The number of doctors providing medical care to children with cancer is 50, of them 42 (84%, 0.1 per 10 thousand children aged 0–17 years) have a certificate of a pediatric oncologist. In 2 (25%) subjects, there are no pediatric oncologists. Incidence of malignant tumors was 13.9 (per 100,000 children aged 0–17 years), prevalence was 86.5 (per 100,000 children aged 0–17 years), mortality was 2.5 (per 100,000 children aged 0–17 years), a one-year mortality rate of 4.7%. 8% of patients were actively detected. 104 (23.2%) of primary patients were sent to medical organizations of federal subordination, 4 (0.9%) of primary patients left the territory of the Russian Federation.Conclusion. The analysis revealed a number of defects: incorrect information contained in the reports, low incidence (detectability) of patients, including during planned preventive examinations, staff shortages and non-rational use of bed facilities.

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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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