scholarly journals RESOURCE PROVISION OF THE MEDICAL ORGANIZATION AS A FACTOR OF IMPROVING THE QUALITY OF MEDICAL SERVICES

2019 ◽  
Vol 8 (29) ◽  
Author(s):  
O.V Vlasova ◽  
Keyword(s):  
Medical Services ◽  
Medical Organization

Study of temporary losses of patients when receiving medical services in ambulatorypolyclinic conditions

2021 ◽  
pp. 37-44
Author(s):  
T. V. Pozdeeva ◽  
◽  
N. V. Pchelina ◽  
Keyword(s):  
Medical Care ◽  
Statistical Processing ◽  
Medical Services ◽  
Special Technique ◽  
Medical Organization ◽  
Patient’S Satisfaction ◽  
District Center ◽  
Quality Of Medical Care ◽  
Microsoft Office

The study of the patient’s temporary losses when receiving medical services in an outpatient clinic and their minimization contribute to an increase in patient satisfaction with the quality of medical care. Objective of the stud y: to assess the temporary losses of patients when visiting outpatient clinics of the city municipality. Methods and materials. The temporary losses of patients were studied by analyzing route maps compiled using a special technique. The analysis of the questionnaires made it possible to assess the patient’s satisfaction with the conditions of providing medical services, the information received in the healthcare institution and the attitude of the nursing staff to the visitor. Statistical processing of the results was carried out using the programs Statistica 5.0 and Microsoft Office Excel. Results. As a result of the conducted research, significant time costs of patients were identified when receiving medical care in polyclinics of the district center: when visiting a district doctor, a registry, a treatment room and a laboratory, which directly affected the results of assessing their satisfaction with the temporary criteria for visiting a medical organization. Scope of the results. The data obtained during the study can be used as basic information when developing measures to optimize key processes in outpatient health care institutions.

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.

Improving rural health care through business process management

2020 ◽  
pp. 20-26
Author(s):  
E. A. Bakirova ◽  
◽  
E. N. Mingazova ◽  
◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Population ◽  
Business Processes ◽  
Public Health Problem ◽  
Process Approach ◽  
Medical Services ◽  
Specific Situation ◽  
Medical Organization

Meeting the needs of the rural population in all types of primary health care (pre-medical and general medical care), as well as specialized medical care, improving the quality of medical care for the rural population is an important public health problem that is difficult to solve and is of particular concern to government structures at all levels of government. The article presents an analysis of the literature on the use of business processes in modern healthcare, the main tasks of which are the creation and development of effective models for the provision of medical care that increase not only its accessibility and quality, but also the satisfaction of the population. As part of the activities of the modernization program for the implementation of information technology in healthcare, it is planned to create information resources and services that would allow, using this system tool, to move to a qualitatively new level of organization of industry management. It is noted that at present, at the level of management of the medical organization as a whole, and in the management of individual areas of its activity, the application of the process approach is becoming relevant, in which the medical organization can be considered as a separate business system, which is a related set of business processes, the ultimate goal which, undoubtedly, is the provision of quality medical services. It is shown that the development and modeling of business processes will increase the relevance of management information, will make it possible to focus on rationalizing cross-functional processes to significantly reduce time and / or costs, increase revenue, improve service quality and reduce risks, the information system allows you to simulate processes and carry them out further optimization. The analyzed works examine the experience of process-oriented management in medical organizations and its role in ensuring the improvement of the quality of medical services provided. In addition, the introduction of a process approach will allow the application of certain managerial decisions necessary in each specific situation, including in the field of medical services for the rural population.

A technique of the analysis of subjective and objective characteristics of medical services for design of quality of medical services (Voronezh state medical university of N. N. Burdenko, Voronezh, Russia) Annotation.

2020 ◽  
pp. 19-25
Author(s):  
A. V. Danilov ◽  
Keyword(s):  
Control System ◽  
Six Sigma ◽  
Quantitative Methods ◽  
Medical Services ◽  
Quality Of Services ◽  
House Of Quality ◽  
Medical Organization ◽  
Degree Of Satisfaction ◽  
Medical University

In a control system of quality of medical services the important part is assigned to estimates of results of activity of the medical organization, in particular degree of satisfaction of patients with quality of the received services. Now the question of quality of medical services is extremely relevant, a need for development of instruments of improvement of quality of services is had. Methods: The technique of measurement of satisfaction with quality of SERVQUAL provided to medical care based on provisions of GOST “Quality Management …” and a technique of expansion of functions of quality of QFD which elements are defined in GOST “Quantitative methods of improvement of processes “Six sigma are used”. Results: Approach on the basis of integration of techniques of measurement of satisfaction of consumers of medical services of SERVQUAL and expansion of function of quality of QFD which realization allows to build the House of quality is stated and to create data for carrying out design of quality of medical services. Conclusion: The conducted research allowed to create tools for elaboration of the adjusting and warning operating influences directed to demanded change of quality of medical services and, as a result, the recipients of services increasing satisfaction.

scholarly journals Determination of ways to improve the activities of the Central district hospital in Kazakhstan

2020 ◽  
Vol 3 (38) ◽  
pp. 53-59
Author(s):  
Shyndos Myrzaliyev ◽  
Keyword(s):  
Swot Analysis ◽  
District Hospital ◽  
Total Mortality ◽  
District Level ◽  
Medical Services ◽  
Positive Trend ◽  
Medical Organization ◽  
Central District ◽  
Calculation Processing

Abstract The aim of the study: To study the activities of the district-level hospital for further improving the quality of the provided medical services. Methods. A set of research methods was used in the work: 1) information and analytical - analysis of legislative and regulatory legal acts, modern literary sources on the topic of work; 2) statistical calculation, processing and analysis of statistical information; 3) analysis of the main statistical indicators of the structural component and the quality of the result (according to the main indicators of the hospital’s activity). The data were studied for 2015 and 2019 in a comparative aspect to assess the dynamics. Results. The total incidence per 100 thousand population in 2019 is 74 140.6 (in 2015 - 72 911.5, an increase of 3.6%). The primary incidence of the population of the district in 2019 is 43 429.6 (in 2015 - 42 952.8), there is an increase of 1.1% due to an increase in the detection rate at screening examinations. The overall mortality rate in 2019 is 6.30 / 00, in 2015 - 6.90 / 00, comparatively, there is a decrease in total mortality by 8.7%. Based on the results of the data, a SWOT analysis was carried out with the definition of the strengths and weaknesses of the hospital, which make it possible to determine the main directions for the development of a medical organization to improve the quality of medical services provided. Conclusions. In general, during the period under study, morbidity and mortality rates tended to decrease in the Central District Hospital, there is a positive trend in the provision of medical equipment and medical products, an increase of 31.5% compared to 2015. Over the period studied, the situation with the staffing of the Central District Hospital has improved significantly. Key words: SWOT-analysis, hospital management of the district level, medical organizations, Kazakhstan.

ANALYSIS OF THE QUALITY OF MEDICAL CARE PROVIDED BASED ON INSURANCE SUPERVISORY

2020 ◽  
pp. 160-170
Author(s):  
Ольга Игоревна Муратова ◽  
Наталия Андреевна Матвеева
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Insurance ◽  
Insurance Companies ◽  
Medical Services ◽  
Medical Organization ◽  
Medical Institutions ◽  
Quality Of Medical Care ◽  
The Russian Federation

Статья посвящена анализу качества медицинской помощи, оказываемой населению в рамках системы обязательного медицинского страхования (ОМС), на основе мероприятий страхового надзора над медицинскими организациями. Полис ОМС гарантирует пациентам доступность, качество и своевременность предоставления медицинских услуг. Проверка качества медицинской помощи производится путем осуществления экспертиз и контроля уполномоченными органами РФ по направлениям: законности работы медицинской организации, системности оказания медицинской помощи, результативности и своевременности проводимых мероприятий в рамках оказания медицинской помощи. Таким образом, страховой надзор за медицинскими организациями осуществляется путем соблюдения объема, сроков и условий оказания медицинской помощи, контроля качества медицинской помощи фондами обязательного медицинского страхования и страховыми медицинскими организациями в соответствии с законодательством Российской Федерации. Страховой надзор над медучреждениями осуществляется в рамках ОМС и включает следующие виды страхового надзора: медико-экономический контроль, медико-экономическая экспертиза и экспертиза качества медицинской помощи. Отличительной особенностью современного состояния системы страхового надзора за качеством оказываемой медицинской помощи в системе ОМС является его совершенствование на основе анализа удовлетворенности потребителей медицинских услуг, что позволяет выявить нарушения, которые допущены при оказании медицинской помощи. Причем эти мероприятия способствуют как повышению качества обслуживания застрахованных лиц, так и улучшению репутации медицинских организаций, что серьезно влияет на решения участников программы обязательного медицинского страхования. Повышение ответственности страховых компаний становится важным элементом модернизации системы ОМС. В этой связи актуальным является обеспечение эффективной работы страховых медицинских компаний и медицинских учреждений на принципах конкурентоспособности и повышения качества медицинской помощи, реализуемое с помощью механизмов ориентации на требования потребителей медицинских услуг The article is devoted to the analysis of the quality of medical care provided to the population within the framework of the system Compulsory health insurance (CHI), based on the measures of insurance supervisory over medical organizations. The CHI guarantees patients the availability, quality and timeliness of medical services. Quality control of medical care is performed by carrying out examinations and control by the authorized bodies of the Russian Federation in the following areas: the legality of the work of a medical organization, the consistency of medical care, the effectiveness and timeliness of measures taken within the framework of medical care. Thus, insurance supervisory of medical organizations is carried out by observing the scope, terms and conditions of medical care, and monitoring the quality of medical care by mandatory medical insurance funds and insurance medical organizations in accordance with the legislation of the Russian Federation. Insurance supervisory of medical institutions is carried out within the framework of the CHI and includes the following types of insurance supervisory: medical and economic control, medical and economic expertise and examination of the quality of medical care. A distinctive feature of the current state of the system of insurance supervisory over the quality of medical care in the CHI system is its improvement based on the analysis of satisfaction of consumers of medical services, which allows you to identify violations that have been committed in the provision of medical care. Moreover, these measures contribute both to improving the quality of care for insured persons and to improving the reputation of medical organizations, which seriously affects the decisions of participants in the compulsory medical insurance program. Increasing the liability of insurance companies is becoming an important element of the modernization of the CHI system. In this regard, it is important to ensure the effective operation of medical insurance companies and medical institutions based on the principles of competitiveness and improving the quality of medical care, implemented through mechanisms of orientation to the requirements of consumers of medical services

scholarly journals Updating Economic Methods of Healthcare Development Management (On the Example of Belgorod Region)

2021 ◽  
pp. 39-49
Author(s):  
Tatiana Pinkus ◽  
◽  
Mihail Stepchuk ◽  
Lyudmila Krylova ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Positive Impact ◽  
Evaluation Criteria ◽  
Developed Countries ◽  
Medical Services ◽  
Complex Method ◽  
Economic Management ◽  
Medical Organization ◽  
New Methods

The article is devoted to the use of updated methods of economic management of healthcare development in Belgorod region with the use of promising forms of financing of medical organizations, payment and economic motivation of medical workers in achievement of medical service quality and the effectiveness of medical organizations. The relevance of research is explained by the need to replace existing management system with new methods of economic management in healthcare, analysis and rational use of all means of healthcare, impact assessment of increase of the motivation of medical workers on the effectiveness of medical organizations and the quality of medical services, for the choice of the most optimal financing options and achievement of the best results in protection of public health. The authors used the main evaluation criteria: a) mortality reduction, including infant mortality and prolongation of the active life of a person; b) efficiency of the bed network and medical workers, quality and volume of inpatient medical care; c) availability and quality of medical care for the population living in the area of service of medical organization, effectiveness of outpatient medical care, a substitute hospital, and preventive measures. At the same time the use of effective methods of examination, treatment and prevention were taken into account. The study used a complex method: economic, statistical, quantitative and qualitative analysis, comparative assessment. The analysis showed that when choosing the forms of financing and motivation, the accumulated experience of economic management in the developed countries of the world and Russia was used, what made it possible to determine the best option. In the conclusion, an increase in wages and motivation of medical workers was found what had a positive impact on the efficiency of the medical organization, the quality of medical services and the health of the population. Recommendations are given for the improvement of economic management methods in healthcare, and a drawback is showed, i.e. limited funding and, accordingly, per capita tariffs, which does not allow using fully new methods of treatment.

scholarly journals Quality of medical services: problems, evaluation and regulation

2015 ◽  
Vol 16 (3) ◽  
pp. 243-251
Author(s):  
Farida Yerdavletova ◽  
Temirkhan Mukhambetov
Keyword(s):  
Quality Management ◽  
Customer Service ◽  
Process Model ◽  
Process Approach ◽  
Medical Services ◽  
Medical Organization ◽  
Factors Affecting ◽  
Development Approach ◽  
Definition Of

One of the most acute problems in the healthcare industry – the problem of the quality of medical services. In this area, there is no established definition of medical services or approaches to quality management. The aim of the article is to analyze the existing definitions of “quality of medical services,” as well as development approach to managing medical organization. At the same time the management of the medical organization should be focused on ensuring the quality as the most important criterion for the organization. Methodology of the study is based on analysis and grouping of existing definitions of medical services, the factorial approach to evaluating the quality and organization of the process approach to management of the medical organization. Noting the versatility and diversity concepts of quality of care the authors suggest grouping of direct and indirect factors affecting the quality of medical services. However, it is important, according to the authors, to move from functional management to management based on the process approach, which provides better control over the processes of customer service. Is given process model of quality management of health services and highlights the main groups of processes in the medical organization.

Analysis of Current Practices of Organizing the Export of Medical Services in the United Kingdom, Italy, South Korea and China

2020 ◽  
pp. 30-42
Author(s):  
Arkady Nikolaevich Daykhes ◽  
Vladimir Anatolievich Reshetnikov ◽  
Olga Aleksandrovna Manerova ◽  
Ilya Aleksandrovich Mikhailov
Keyword(s):  
United Kingdom ◽  
South Korea ◽  
Medical Care ◽  
Medical Tourism ◽  
Value Added ◽  
External Factors ◽  
Medical Services ◽  
High Tech ◽  
Medical Organization ◽  
The United Kingdom

Aim of the study. Analysis of medical tourism’s organizational features based on the example of the large medical organizations in the United Kingdom, South Korea, Italy and China. Materials and methods. The data were collected by the authors by interviewing the heads of medical organizations and their deputies in the United Kingdom, South Korea, Italy and China (3–4 respondents per medical organization) using the developed questionnaire to identify the main mechanisms and tools for organizing the export of medical services. SWOT-analysis (Strengths; Weaknesses; Opportunities; Threats) was performed in order to comprehensively evaluate the received information. Results. Along with weaknesses and threats that slow down the development of medical services exports, strengths (internal factors) and opportunities ( external factors) that contribute to the development of medical tourism were also identified: the widespread popularity of the brand of medical organizations abroad which is associated with the provision of premium medical services; versatility and ability to conduct high-tech surgical operations; the presence of a separate premium class building and an international department for working with foreign patients and promoting a medical organization in the world market; well-established business relationships with assistance companies; foreign medical personnel who speak foreign languages and possess necessary skills to treat foreign patients; developed electronic medical care system; developed system of quality control of medical care; the presence of branches in other countries; the presence of a medical visa in the system of legislation; established cooperation with many countries at the embassy level; state licensing and accreditation for the provision of medical services to foreign citzens; the availability of a state website on the provision of medical assistance to foreign citizens; the possibility of the age of value added tax. Conclusion. We identified main patterns in the organization of export of medical services that can be applied to develop this direction in medical organizations of the Russian Federation during the analysis the strengths and weaknesses of four large medical organizations abroad, as well as external factors that affect the work of these medical organizations.

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