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»2192Научная статьяTHE IMPACT OF HEALTH CARE QUALITY IMPROVEMENT MECHANISMS ON THE HOSPITAL PERFORMANCEDubininN. D.-National Research Institute for Public Health151220164233114042022Copyright © 2016,2016The article is devoted to last decades, worldwide development in of the modern mechanisms of health care quality improvement (total quality management, health care certification and accreditation, etc.) The importance of peer review systems is considered universally recognized. The evidence base for those mechanisms effectiveness is thought to be incomplete. Especially it is poor for clinical quality improvement point of view. There is small evidence of positive association between quality improvement mechanisms and clinical outcomes. It is also limit application of those programs in health care. The materials were taken from the studies that evaluate the benefits of those programs for hospitals. Analyzed studies were focused on certain hospital performance indicators. The most of indicators were relate to quality of hospital management. The article summarizes the trends of quality improvement to use it in hospital quality control systems.Quality of Health CareTotal Quality ManagementEfficiencyOrganizationalQuality AssuranceHealth CarePeer ReviewHealth CareInternational certificationHealth Careкачество медицинской деятельностикачество организации медицинской помощикачество медицинской помощимеждународная сертификация медицинских организацийсистема менеджмента качества1.Greenfield D., Braithwaite J. Health sector accreditation research: a systematic review. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care/ ISQua, 2008, 20(3).2.Flodgren G., Pomey M., Taber S. Effectiveness of external inspection of compliance with standards in improving healthcare organisation behaviour , healthcare professional behaviour or patient outcomes (Review). Cochrane Database Syst. Rev., 2011.3.Buetow S., Wellingham J. Accreditation of general practices: challenges and lessons. Quality & Safety in Health Care, 2003, 12 (2).4.Линденбратен А.Л. /Качество организации медицинской помощи и критерии его оценки. //Бюллетень Национального НИИ ОбщественногоЗдоровья РАМН, 2013, 2, 20-23.5.Donabedian A. The Methods and Findings of Quality Assessment and Monitoring. Michigan: Health Administration Press, 1985.6.Lester H. E., Eriksson T., Dijkstra R., Martinson K., Tomasik T., Sparrow N. Practice accreditation: the European perspective. The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 2012.7.Князюк Н.Ф., Кицул И.С. /Методология построения интегрированной системы менеджмента медицинских организаций // ИД «Менеджерздравоохранения». М., 2013.