<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Semashko National Research Institute of Public Health</journal-id><journal-title-group><journal-title>Bulletin of Semashko National Research Institute of Public Health</journal-title></journal-title-group><issn publication-format="print">2415-8410</issn><issn publication-format="electronic">2415-8429</issn><publisher><publisher-name>FSSBI «N.A. Semashko National Research Institute of Public Health»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1497</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>SYSTEM OF CRITERIA AND INDICATORS FOR QUALITY EVALUATION OF PALLIATIVE MEDICAL CARE: ORGANIZATIONAL AND METHODOLOGICAL APPROACHES</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Khabriev</surname><given-names>R. U</given-names></name><bio></bio><email>institute@nriph.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Lindenbraten</surname><given-names>A. L</given-names></name><bio></bio><email>otdel-77@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kolomiychenko</surname><given-names>M. E</given-names></name><bio></bio><email>niiskni@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">N.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation</aff><aff id="aff-2">National Research Center for Hematology, Moscow, Russian Federation</aff><pub-date date-type="epub" iso-8601-date="2020-12-18" publication-format="electronic"><day>18</day><month>12</month><year>2020</year></pub-date><issue>4</issue><fpage>14</fpage><lpage>23</lpage><history><pub-date date-type="received" iso-8601-date="2022-04-08"><day>08</day><month>04</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2020,</copyright-statement><copyright-year>2020</copyright-year></permissions><abstract>Palliative medical care is a separated kind of healthcare that includes provision of medical services and non-medical interventions (psychological assistance, care). The development of palliative care has been identified as the one of the main health policies. However, no system of criteria and indicators for quality evaluation of palliative medical care is in a position at this time that is used in the literature or legislative framework. The organizational and methodological approaches in establishing of that system are presented in this publication. The developed system takes into account the hierarchical nature of governance and specific features of palliative assistance, includes criteria and indicators allowing to access an information and to make rational management decisions. These decisions concern the resourcing and efficiency of its applying (a sufficient amount of medical employees and beds for occurring palliative medical assistance; an availability of medicines (in particular, analgesics), medical items and rehabilitation equipment). These management decisions also integrate a public awareness of the palliative medical care and recognition of medical care quality and quality of providing psychosocial and emotional aid and care.</abstract><kwd-group xml:lang="en"><kwd>quality of medical practice</kwd><kwd>quality of medical care organization</kwd><kwd>quality of medical care</kwd><kwd>palliative medical care</kwd><kwd>criteria</kwd><kwd>indicators</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>качество медицинской деятельности</kwd><kwd>качество организации медицинской помощи</kwd><kwd>качество медицинской помощи</kwd><kwd>паллиативная медицинская помощь</kwd><kwd>критерии</kwd><kwd>показатели</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Delivering quality health services: a global imperative for universal health coverage. - Geneva: World Health Organization, Organisation for Economic Co-operation and Development, and The World Bank; 2018. Licence: CC BY-NC-SA 3.0 IGO. - 100 p.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>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. Licence: CC BY-NC-SA 3.0 IGO. - 74 p.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>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.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Global Atlas of Palliative Care at the End of Life. - London: World Palliative Care Alliance, 2014. - 103 p.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Palliative Care. The Solid Facts. - Copenhagen: World Health Organization Regional Office for Europe, 2004. - 32 p.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Better Palliative Care for Older People. - Copenhagen: World Health Organization Regional Office for Europe, 2004. - 40 p.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>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.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Линденбратен А.Л. Методические подходы к оценке качества организации медицинской помощи / А.Л. Линденбратен // Здравоохранение. - 2015. - № 1. - С. 74-78.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>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.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Линденбратен А.Л. Некоторые рассуждения о качестве медицинской помощи / А.Л. Линденбратен // Проблемы стандартизации в здравоохранении. - 2007. - № 10. - С. 3-5.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Линденбратен А.Л. Качество организации медицинской помощи и критерии для его оценки / А.Л. Линденбратен // Бюллетень Национального НИИ общественного здоровья РАМН. - 2013. -№ 2. - С. 20-23.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Delivering quality health services: a global imperative for universal health coverage. Geneva, World Health Organization, Organisation for Economic Co-operation and Development, and The World Bank, 2018. Licence, CC BY-NC-SA 3.0 IGO. 100 p.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>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. Licence, CC BY-NC-SA 3.0 IGO. 74 p.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Shchepin O.P., Starodubov V.I., Lindenbraten A.L., Galanova G.I. Metodologicheskie osnovy i mekhanizmy obespecheniya kachestva medicinskoj pomoshchi [Methodological foundations and mechanisms for ensuring the quality of medical care]. Moscow, Medicine, 2002. 176 p. (in Russian).</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Global Atlas of Palliative Care at the End of Life. London, World Palliative Care Alliance, 2014. 103 p.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Palliative Care. The Solid Facts. Copenhagen, World Health Organization Regional Office for Europe, 2004. 32 p.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Better Palliative Care for Older People. Copenhagen, World Health Organization Regional Office for Europe, 2004. 40 p.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Shchepin O.P., Lindenbraten A.L., Sharovar T.M., Vasyukova V.S. Ocenka kachestva i effektivnosti medicinskoj pomoshchi [Evaluation of the quality and effectiveness of medical care]. Moscow, Russian Academy of Medical Sciences, N.A. Semashko Research Institute of Social Hygiene, Economics and Health Management, 1992. 91 p. (in Russian).</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Lindenbraten A.L. Methodological approaches to assessing the quality of medical care. Zdravoohranenie [Health care], 2015, no. 1, pp. 74-78 (in Russian).</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Lindenbraten A.L. Federal law &amp;quot;On the basics of public health protection in the Russian Federation&amp;quot; and problems of quality management of medical care. Problemy social&amp;apos;noj gigieny, zdravoohraneniya i istorii mediciny [Problems of Social Hygiene, Health Care and History of Medicine], 2012, no. 4. pp. 3-5 (in Russian).</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Lindenbraten A.L. Some arguments about the quality of medical care. Problemy standartizacii v zdravoohranenii [Problems of standardization in healthcare], 2007, no. 10, pp. 3-5 (in Russian).</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Lindenbraten A.L. Quality of medical care organization and criteria for its evaluation. Byulleten&amp;apos; Nacional&amp;apos;nogo NII obshchestvennogo zdorov&amp;apos;ya RAMN [Bulletin of the National Research Institute of Public Health of the Russian Academy of Medical Sciences], 2013, no. 2, pp. 20-23 (in Russian).</mixed-citation></ref></ref-list></back></article>
