Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»1517Научная статьяCRITERIA FOR THE AFFORDABILITY AND QUALITY OF PALLIATIVE MEDICAL CARE IN REGULATORY LEGAL ACTSKolomiychenkoM. Eniiskni@mail.ruNational Research Center for Hematology, Moscow, Russian Federation151220211445108042022Copyright © 2021,2021The functioning of the quality management system of medical activity is impossible without information about the quality of medical care and its affordability. For the purpose of objective evaluation in the scientific literature, it is proposed to define criteria with the subsequent selection of the most significant indicators for each criterion. On the territory of the Russian Federation, the criteria for the affordability and quality of palliative care are regulated by a number of regulations (both at the Federal and regional levels). This publication presents a simulation of the classification of the above criteria in accordance with the principles described in scientific sources. As a result of the study, it was found that the indicators are fixed in the normative field, since they assume an exact value expressed in different units of measurement; evaluation and comparison of a number of indicators causes difficulties due to the fact that they are expressed in absolute values; there are no criteria for directly provided palliative medical care.качество медицинской деятельностикачество организации медицинской помощикачество медицинской помощипаллиативная медицинская помощькритериипоказателинормативное регулирование1.Donabedian A. The Methods and Findings of Quality Assessment and Monitoring / A. Donabedian. - Michigan: Health Administration Press. 1985. - 900 p.2.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.3.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.4.Линденбратен А.Л. Качество организации медицинской помощи и критерии его оценки / А.Л. Линденбратен // Бюллетень Национального научно-исследовательского института общественного здоровья РАМН. - 2013. - № 2. - С. 20-23.5.Линденбратен А.Л. Методические подходы к оценке качества организации медицинской помощи / А.Л. Линденбратен // Здравоохранение. - 2015. - № 1. - С. 74-78.6.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. 44-47.7.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. 3-5.8.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.9.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.10.Линденбратен А.Л. Некоторые рассуждения о качестве медицинской помощи / А.Л. Линденбратен // Проблемы стандартизации в здравоохранении. - 2007. - № 10. - С. 3-5.11.Коломийченко М.Е. Критерии доступности и качества медицинской помощи: нормативное регулирование / М.Е. Коломийченко // Бюллетень Национального научно-исследовательского института общественного здоровья имени Н.А. Семашко. - 2020. - № 3. - С. 46-51.12.Donabedian A. The Methods and Findings of Quality Assessment and Monitoring. Michigan: Health Administration Press. 1985. 900 p.13.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.14.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.15.Lindenbraten A.L. Quality of medical care organization and criteria for its evaluation. Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'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).16.Lindenbraten A.L. Methodological approaches to assessing the quality of medical care. Zdravoohranenie [Health care], 2015, no. 1, pp. 74-78 (in Russian).17.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. Zamestitel' glavnogo vracha[Deputy Chief Physician], 2013, no. 4, pp. 44-47 (in Russian).18.Lindenbraten A.L. Federal law "On the basics of public health protection in the Russian Federation" and problems of quality management of medical care. Problemy social'noj gigieny, zdravoohraneniya i istorii mediciny [Problems of Social Hygiene, Health Care and the History of Medicine], no. 4. pp. 3-5 (in Russian).19.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).20.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, Semashko Research Institute of Social Hygiene, Economics and Health Management, 1992. 91 p. (in Russian).21.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).22.Kolomiychenko M.E. The affordability and quality criteria of medical care: legislative framework. Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya imeni N.A. Semashko [Bulletin of Semashko National Research Institute of Public Health], 2020, no. 3, pp. 46-51 (in Russian).