Bulletin of Semashko National Research Institute of Public Health

This literature review examines the relevance of the issues of medical care to patients with chronic non-communicable diseases. Given that in every society a group of people most affected by multiple chronic non-communicable diseases are the older people, account when considering these issues is emphasized in relation to them. We consider foreign experience. The analysis allows to judge, the acceptability of the use of methods of medical care to the older generation of patients with multiple chronic diseases neinfkt sionnymi. Economically more efficient types of long-term care of this category of citizens contribute to reducing health care costs and stimulate the search for new alternative forms of care.

Trends of global Health Care are studied in detail. Positive and negative dynamics are pointed out. It is paralleled with development of Russian Public Health services.

Some aspects of the transition to a model of preventive medicine are considered. The possible schemes of cooperation enabling this transition are discussed.

The governmental task of creating quality and safety control system of medical practice, as well as an effective quality management system in health care requires the development of an effective system of internal control, that is a purpose of the project on territorial system of medical practice quality management creating in the Republic of Buryatia. The relevant provision was developed on the basis of ‘Proposals (practical recommendations) on internal control over quality and safety of medical practice in the medical organization (hospital)’ enacted by FSBI "CMCEE" of the Federal Service for the Supervision of Public Health in 2015 in the Semashko Republican Clinical Hospital in Ulan-Ude. Basic approaches to the development and maintenance in update status of medical practice quality control and safety systems as an effective tool to ensure it are considered.

The article considers foreign experience of rating of medical organizations in the USA, Canada, Australia, Great Britain and other countries. It is demonstrated that rating is accessible and coherent form of medical care quality control. The results of rating form reputation of particular medical organization.

To improve the reliability of mortality statistics and minimize errors in the design of Certificates in many countries have long used automated systems.

This article discusses a systematic approach to monitoring the quality of dental care based on analysis of medical records of dental patients.