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THE AFFORDABILITY AND QUALITY CRITERIA OF MEDICAL CARE: LEGISLATIVE FRAMEWORK
- Authors: Kolomiychenko M.E1
- Affiliations:
- N.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
- Issue: No 3 (2020)
- Pages: 46-51
- Section: Articles
- URL: http://bulleten-nriph.ru/journal/article/view/1489
- DOI: https://doi.org/10.25742/NRIPH.2020.03.006
- Cite item
Abstract
To elevate an affordability and quality of medical care is the one the main strategic mission of healthcare development in our country. Criteria for quality evaluation and monitoring are enshrined in some legal and regulatory acts on the territory of Russian Federation. In this publication, classification modelling of mentioned standards was presented due to principles that were described in scientific sources. As a result of this research, it was established that, besides directly the medical care criteria, criteria of medical care organization, of medical practice and criteria for evaluating the results of medical assistance were enshrined in legal framework. A number of criteria are indicators, because they are exact values expressed in units of measurement. Some of the criteria weren’t reflected in regulations (un particular, «the succession and continuity», «the safety»).
Full Text
В научной литературе описан ряд подходов к классификации критериев качества медицинской деятельности [1; 2; 3; 4, с. 20–23; 5, с. 74–78; 6, с. 44–47; 7, с. 3–5; 8; 9] (рисунок 1).About the authors
M. E Kolomiychenko
N.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
Email: niiskni@mail.ru
References
- Donabedian A. The Methods and Findings of Quality Assessment and Monitoring / A. Donabedian. - Michigan: Health Administration Press, 1985. - 900 p.
- Delivering quality health services: a global imperative for universal health coverage. - Geneva: World Health Organization, Organisation for Economic Co-operation and Development, The World Bank, 2018. - 100 p.
- Handbook for national quality policy and strategy: a practical approach for developing policy and strategy to improve quality of care. - Geneva: World Health Organization; 2018. - 74 p.
- Линденбратен А.Л. Качество организации медицинской помощи и критерии его оценки / А.Л. Линденбратен // Российская академия медицинских наук. Бюллетень Национального научно-исследовательского института общественного здоровья. - 2013. - № 2. - С. 20-23.
- Линденбратен А.Л. Методические подходы к оценке качества организации медицинской помощи / А.Л. Линденбратен // Здравоохранение. - 2015. - № 1. - С. 74-78.
- Кицул И.С. Оценка результативности медицинской помощи с позиции новых требований по обеспечению качества и безопасности медицинской деятельности / И.С. Кицул, Д.В. Пивень // Заместитель главного врача. - 2013. - № 4. - С. 44-47.
- Линденбратен А.Л. Федеральный закон «Об основах охраны здоровья граждан в Российской Федерации» и проблемы управления качеством медицинской помощи / А.Л. Линденбратен // Проблемы социальной гигиены, здравоохранения и истории медицины. - 2012. - № 4. - С. 3-5.
- Щепин О.П. Методологические основы и механизмы обеспечения качества медицинской помощи / О.П. Щепин, В.И. Стародубов, А.Л. Линденбратен, Г.И. Галанова. - М.: Медицина, 2002. - 176 с.
- Щепин О.П. Оценка качества и эффективности медицинской помощи / О.П. Щепин, А.Л. Линденбратен, Т.М. Шаровар, В.С. Васюкова. - М.: РАМН, НИИ социальной гигиены, экономики и управления здравоохранением имени Н.А. Семашко, 1992. - 91 с.
- Donabedian A. The Methods and Findings of Quality Assessment and Monitoring. Michigan, Health Administration Press, 1985. 900 p.
- Delivering quality health services: a global imperative for universal health coverage. Geneva, World Health Organization, Organisation for Economic Co-operation and Development, The World Bank, 2018. 100 p.
- Handbook for national quality policy and strategy: a practical approach for developing policy and strategy to improve quality of care. Geneva, World Health Organization, 2018. 74 p.
- Lindenbraten A.L. Quality of medical care organization and criteria for its evaluation. Russian Academy of Medical Sciences. Bulletin of the National Research Institute of Public Health. 2013, no. 2, pp. 20-23. (In Russian).
- Lindenbraten A.L. Methodological approaches to assessing the quality of medical care. Health care, 2015, no. 1, pp. 74-78. (In Russian).
- Kicul I.S., Piven' D.V. Evaluation of the effectiveness of medical care from the position of new requirements for ensuring the quality and safety of medical activities. Deputy chief physician, 2013, no. 4, pp. 44-47. (In Russian).
- Lindenbraten A.L. Federal law "On the basics of public health protection in the Russian Federation" and problems of quality management of medical care. Problems of social hygiene, health care and history of medicine, 2012, no. 4. pp. 3-5. (In Russian).
- Shchepin O.P., Starodubov V.I., Lindenbraten A.L., Galanova G.I. Methodological foundations and mechanisms for ensuring the quality of medical care. Moscow, Medicine, 2002. 176 p. (In Russian).
- Shchepin O.P., Lindenbraten A.L., Sharovar T.M., Vasyukova V.S. Evaluation of the quality and effectiveness of medical care. Russian Academy of medical Sciences, Research Institute of social hygiene, economics and health management named after N. A. Semashko, 1992. 91 p. (In Russian).
- Lindenbraten A.L. Some arguments about the quality of medical care. Problems of standardization in healthcare, 2007, no. 10, pp. 3-5. (In Russian).
