Sharafutdinov M.A.
Bashkortostan state medical university

The Resume. Evaluation of quality of medical care as an important measure of medical establishment could be provided on intra-/extra-establishment basis. In the system of obligatory medical care, it is the medical insurance companies that provide extra-establishment evaluation.

Results of evaluation of quality of medical care for patients with gynecological diseases by the experts of medical insurance companies are presented here in comparison with the results of such intra-establishment evaluation. Treatment outcomes, diagnostic investigations selected, quality of diagnosis-making and of medical care were assessed through the experts analysis for 819 inpatients. 94.9% inpatients did not overpass the age of implied capacity for work. Experts verified 94.2% of the diagnoses. 94.5% of inpatients had been released on convalescence grounds. The analysis of release registry revealed that (along the medical economic standards) 84.5% of inpatients received timely release, 11.5% - premature, 4% - delayed. Prescribed diagnostic measures were not performed in 28.8% of cases.

Evaluations of experts of medical insurance companies decreased the measure of controlled medical care quality by 6% on the motive of wrong diagnoses.

To improve the expertise for the evaluation of quality of medical care, certain scales to evaluate sets of diagnostic investigations, diagnostic adequacy, efficiency of sets of actions for therapy, rehabilitation, disease prevention, sanitation, and screening should be properly elaborated.

Key words: quality of medical care, inpatients, gynecological diseases.

References

1. Azizova BG. Uluchsheniye dostupnosti i kachestva meditsinskoy pomoshchi v munitsipalnom diagnosticheskom tsentre [To promote availability and quality of medical care in a municipal diagnosis-making center] [PhD. Thesis]. Moscow: 2008. 24 p.
2. Breskina TN. Osnovnye napravleniya sovershenstvovaniya kachestva meditsinskoy pomoshchi v mnogoprofilnom statsionare [Main streams of developing and enhancing quality of medical care in multifunctional inpatient facility] [PhD. Thesis]. Moscow; 2008. 47 p.
3. Verkhovodova OV. Osobennosti sistem upravleniya kachestvom v Rossiyskoy Federatsii i vozmozhnye ogranicheniya vnedreniya etikh sistem v sfere okazaniya meditsinskikh uslug [Peculiar features of systems of quality control in the Rusian Federation and certain possible confinements of their introduction in medical services activities]. Voprosy ekspertizy i kachestva meditsinskoy pomoshchi 2006;(12):4-15.
4. Golubeva AP. Metodiki i tekhnologii v deyatelnosti ekspertov: problema ponyatiy i opredeleniy [Techniques and technologies in activities of experts: notions and definitions]. Voprosy ekspertizy i kachestva meditsinskoy pomoshchi 2006;(3):34-36.
5. Kalinina OI. Kontrol EVN byl, est i budet [A control for the expertise of temporary disability will proceed just as before]. Voprosy ekspertizy i kachestva meditsinskoy pomoshchi 2006;(7):16-19.
6. Seregina IF. Ispolzovaniye informatsionnykh tekhnologiy v upravlenii kachestvom meditsinskoy pomoshchi [Implementation of information technologies in controlling quality of medical care]. Voprosy ekspertizy i kachestva meditsinskoy pomoshchi 2006;(7):5-9.
7. Taevskiy BV. Innovatsionnye tekhnologii v upravlenii kachestvom meditsinskoy pomoshchi [Innovative technologies in controlling quality of medical care]. Voprosy ekspertizy i kachestva meditsinskoy pomoshchi 2007;(8):8-11.
8. Tatarnikov MA. Sistema otsenki kachestva meditsinskoy pomoshchi naseleniyu Respubliki Kazakhstan [The system of evaluation of quality of medical care to population of Kazakhstan Republic]. Voprosy ekspertizy i kachestva meditsinskoy pomoshchi 2007;(2):45-55.
9. Fokin VA, Karas SI, Kalitvyanskaya TA. Dokazatelnaya meditsina v professionalnoy podgotovke vrachey: informatsionnye i ekonomicheskiye aspekty [Evidence medicine in professional qualification upgrading of physicians: information and organization]. Byulleten sibirskoy meditsiny 2007;1:47-59.
10. Dubynina EI, Kalininskaya AA, Sulkina FA. Monitoring udovletvorennosti naseleniya meditsinskoy pomoshchyu - osnova effektivnoy sistemy upravleniya zdravookhraneniem [Monitoring for the sensation of satisfaction of population with the provided medical care as one of the foundations for the effective control system in public health]. Proceedings of Conference on Invalid i obshchestvo. Moscow 2009 Dec 22. p. 36-40.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*