scholarly journals COMPLEX METHOD FOR DECICION SUPPORT IN MEDICAL MANAGEMEN

2020 ◽  
Vol 2020 (3) ◽  
pp. 36-44
Author(s):  
Maksim Taranik ◽  
Georgy Kopanitsa
Keyword(s):  
Medical Care ◽  
Data Storage ◽  
Complex Method ◽  
Medical Organization ◽  
Managerial Decisions ◽  
International Data ◽  
Quality Of Medical Care ◽  
Main Components ◽  
Positive Effect

The article deals with the problem of forming managerial decisions in the provision of medical care. High-quality management of the processes of a medical organization has a positive effect on the most important goal - the quality of medical care. To obtain an improved clinical result, it is necessary to monitor the process of medical care and formulate management and corrective actions during its implementation. To solve this problem, the article proposes to use an approach using a decision support system. The main components of the system are the international data storage standard ISO 13606, Mamdani fuzzy logic apparatus, case analysis. The implemented approach has shown its effectiveness after being introduced into a medical organization that carries out surgical treatment under the compulsory medical insurance program.

scholarly journals Quality management system of medical care in medical organization

2019 ◽  
Vol 1 (15) ◽  
pp. 53-56
Author(s):  
D. V. Melik-Guseinov ◽  
V. Emanuel ◽  
L. A. Khodyreva ◽  
P. S. Turzin ◽  
A. Emanuel
Keyword(s):  
Quality Management ◽  
Medical Care ◽  
Management System ◽  
Quality Management System ◽  
Medical Organization ◽  
Regulatory Documents ◽  
Quality Of Medical Care

The problem of assessing and improving the quality of medical care in a medical organization is considered. Analyzed the management of medical organization processes. A scheme for managing these processes, a list of regulatory documents, types and methods for monitoring the effectiveness of their implementation are presented. Formed groups of criteria used to assess the quality of the medical organization. It is argued that the introduction of a quality management system for the provision of medical care in a medical organization increases the efficiency of its activities.

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.

scholarly journals Optimization of the Provided Medical Services in а Medical Organization

2021 ◽  
Vol 1 (41) ◽  
pp. 93-98
Author(s):  
Askhat Zhakibaev ◽  
◽  
Arailym Beisbekova ◽  
Keyword(s):  
Medical Care ◽  
Performance Indicators ◽  
Timely Manner ◽  
Medical Organization ◽  
Healthcare Facilities ◽  
Traditional Scheme ◽  
Quality Of Medical Care ◽  
Number Of Visits ◽  
Actual Attendance

The aim: To develop recommendations aimed at optimizing the work of the Shymkent city multidisciplinary hospital by studying the main performance indicators. Methods.The research was carried out according to the traditional scheme and included the classical stages: drawing up a plan and program, collecting material, processing and analyzing it. Results. To improve the quality of medical care, targeted measures are being implemented. Thus, the design capacity of Primary Healthcare: polyclinic – 500 people per shift, actual attendance – 703 people per shift. The hospital has 330 beds. However, the rate of bed coverage per 10 000 people is low at 28.4. The overall incidence has decreased, and in 2019 it was 75 652. It was found that the number of visits to doctors has increased, thus, this figure in 2019 reached 66.5%. It was found that the volume of provision of free medicines increased and reached 47 420. The indicator of provision with medical technical means as a whole also increased and amounted to 82%. Conclusions. A set of measures aimed at improving the hospital's activities using the existing organizational structure will allow us to respond in a timely manner to changes in all areas of the hospital's activities, and the KPI system will help assess the effectiveness of managerial actions in the field of quality management to improve the quality of medical care and improve the weaknesses of healthcare facilities. Keywords: medical organization, medical care, KPI system.

Improving organization of nursing activities in a medical organization providing specialized medical care

2020 ◽  
Author(s):  
A.S. Yashchenko ◽  
Keyword(s):  
Professional Development ◽  
Health Care ◽  
Medical Care ◽  
Treatment Process ◽  
Professional Activity ◽  
Real Potential ◽  
Medical Organization ◽  
Modern Health Care ◽  
Quality Of Medical Care

The most important part of the modern health care system is nursing. Nurses are a huge human resource with real potential opportunities in the context of modernizing the domestic healthcare. This article presents the results of a survey of nurses of the regional narcological dispensary. Analysis of a time-based study of the main types of functional responsibilities of outpatient nurses in the dispensary Department. This study may affect organizational activities of a specialized drug treatment nurse. The purpose of this study is to improve the organization of the nursing activities in a medical organization that provides specialized medical care. Proper organization of the nurses’ work contributes to high involvement in the treatment process, improving the quality of medical care, and motivation for active professional development. Effective professional activity of the nursing staff is aimed to meeting the needs of patients in affordable and acceptable medical care.

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.

Control in the work of the head of nursing service

2021 ◽  
pp. 7-25
Author(s):  
Nina Alekseevna Tyutereva ◽  
Tatyana Vladimirovna Bessonova
Keyword(s):  
Medical Care ◽  
Maternity Hospital ◽  
Nursing Personnel ◽  
Effective Control ◽  
City Hospital ◽  
Medical Organization ◽  
Nursing Services ◽  
Effective System ◽  
Quality Of Medical Care

The aim of the study is to improve the quality of medical care in the maternity hospital SBHI SR «City Hospital No. 2 named after V. V. Banykin» by organizing by the heads of nursing services a more effective system of monitoring the executive discipline of nursing personnel. Results. All heads of nursing services of a medical organization are interested in organizing a more effective control system, which is inextricably linked with a higher level of quality of medical care, which, in turn, leads to a more efficient and successful functioning of a medical organization. Conclusion. The study showed that in order to improve the quality of medical care, it is necessary to organize a more effective system for monitoring the executive discipline of nursing personnel, taking into account the elimination of the identified errors.

scholarly journals The social portrait of patient with arterial hypertension

2016 ◽  
Vol 15 (2) ◽  
pp. 80-86
Author(s):  
A. V Reshetnikov ◽  
V. A Reshetnikov ◽  
V. V Kozlov ◽  
V. V Roiuk
Keyword(s):  
Alcohol Consumption ◽  
Arterial Hypertension ◽  
Medical Care ◽  
Demographic Characteristics ◽  
Social Characteristics ◽  
Medical Organization ◽  
The Social ◽  
Quality Of Medical Care ◽  
Social Demographic

The study was carried out related to social characteristics of 318 patients with arterial hypertension. The obtained data are compared with opinions of patients concerning accessibility and quality of provided medical care. It is established that patient with arterial hypertension is most often a male (54.1%), aged 55-64 years (56.9%), younger than 45 years (38.7%), with such harmful habits as tobacco smoking (63.5%) and alcohol consumption (60.1%), married (83.3%), residing in municipal apartment (more than 70%), has children residing separately (47.5%), works in industrial sphere (41.2%), with income as 20-40 thousands roubles per family member (39.6%) of lower than 20 000 rubles (30.2%) paying attention to activity on dacha parcel (34.4%), communicates mainly with family members and neighbors (51.6%), emphasizes hard stress situations all along last two years (59.6%). As a rule, patient with arterial hypertension has medical organization in place of one's residence (55%) but frequently reaches it by municipal transport (31,4%), rather frequently visits medical organization (53.1%) and expresses satisfaction with quality of medical care (76.7%). The predictors decreasing probability of satisfaction with quality of medical care are older age of patient, alcohol consumption, more frequent visits to medical organizations. The conclusion is made that study of social demographic characteristics is to be used in practice for increasing efficiency of prevention of arterial hypertension in able-bodied population.

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