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Main arrow Archive of previous Issues arrow ╣3 2011 (19) arrow Military medical expertise. monitoring of quality of medical care for military servicemen
Military medical expertise. monitoring of quality of medical care for military servicemen Print
Thursday, 29 September 2011

Summary. Background. In the past, the problem of monitoring of quality of medical care for military servicemen was tackled with by many native researchers and also by organs for managing of public health. But for a long time only extensive measures for the problem of quality of medical care were being implemented, mainly on the way of expanding the number of medical staff, quantity and seize of medical establishments.

Certain attempts of slightly more successful controlling quality of medical care were made on the way of exclusive use of economic techniques, namely through internal re-distribution of budget resources between various METPs (medical establishment for treatment and prevention).

Scientific arrangement of labor process, as well as centralization of auxiliaryá services, then elaboration of official directions, disposition forá operatorĺs position, advanced management of registry and circulation of documentation have been also scrupulously involved in this respect.á

Improved approaches to evaluation and investigation into operation of METP were also supposed to ameliorate quality of medical care. Special forms and questionnaires had been designed along incredible number of items for investigating into therapeutic and diagnostic measures in METPs.

The drawback of the last approach was little likelihood of controlling quality of medical care to the benefit of every single patient.

Statistical, expertise-based, comprehensive (systemic) techniques for the evaluation of the process of controlling quality of medical care were implemented.

Certain authors had examined in detail various techniques of assessment of diagnostic mistakes, and compared these various techniques for the evaluation of their real importance in improving quality of diagnosis-making. They proposed a unification of statistical and expertise-based methods.

Comprehensive approach to the assessment of labor expenditure of medical staff had been implemented in many METPs. Scale technique has been one of the most popular to this end. Each criterion of labor expenditure was to receive certain score according to its importance and extent of expression.

The criteria usually included statistical indicators, as well as expertise-based ones. Later on, the medical standards were elaborated.

Recently, the survey for the extent of satisfaction of patients with quality of medical care received has been becoming more and more widespread. Such a survey has been usually performed implementing variousá questionnaires, each one designed in accordance with the concrete kind of medical care.

It is a general knowledge that just such surveys significantly urged improvement of quality of medical care.

Military medical expertise has been playing a special role in controlling quality of medical care. Originally, it had been designed as a tool for identification of category of suitability of a person (a citizen of RF) for military service on health condition grounds and a procedure to establish casual relationship with military service fulfilled of acquired injury, mutilation, trauma, contusion, and diseases.á

Nowadays, this expertise expanded its function including certain control for quality of medical care.

Prospective studies are to assess the role of military medical expertise in evaluation of quality of medical care provided to military servicemen under present conditions.

Key words: expertise, military medical, control, quality, military servicemen, medical care.á

References

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  2. Gulyayev VA, Kryukov AYe, Shein AF, Gepalova VD. Organizatsiya litsenzirovaniya voyenno-meditsinskikh chastey i uchrezhdeniy [Organization of licensing in military medical units and establishments]. Voyenno-meditsinskiy zhurnal 2006;(8):15-17.
  3. Gulyayev VA, Kryukov AYe, Shein AF, Gepalova VD. Pravovyye osnovy litsenzirovaniya deyatelnosti meditsinskikh voinskikh chastey i uchrezhdeniy Minoborony Rossii [Legal foundations of licensing in military medical units and establishments of the Ministry of Defense of Russia]. Voyenno-meditsinskiy zhurnal 2006;(9):4-8.
  4. Gulyayev VA, Kuvshinov KYe. K probleme upravleniya dorogostoyashchey (vysokotekhnologichnoy) meditsinskoy pomoshchyu v Minoborony Rossii [On the problem of managing highly expensive (high-tech) medical care in the Ministry of Defense of Russia]. Voyenno-meditsinskiy zhurnal 2004;(12):4-9.
  5. Kartashov VT. Metodicheskiye i prakticheskiye podkhody k upravleniyu kachestvom meditsinskoy pomoshchi v krupnom voyennom poliklinicheskom uchrezhdenii [Methodical and practical approaches to controllingá quality of medical care in a huge military medical outpatient establishment]. Voyenno-meditsinskiy zhurnal 2004;(4):15-23.
  6. Kartashov VT. Pravovoye regulirovaniye obyazatelnogo meditsinskogo strakhovaniya v Rossiyskoy Federatsii [Legal regulationá of mandatory medical insurance in the Russian Federation]. Voyenno-ekonomicheskiy vestnik 2005;(3):124-126.
  7. Rukovodstvo po organizatsii raboty garnizonnogo voyennogo (voyenno-morskogo) gospitalya [Guidelines for organization of work of garrison hospital of the Army/Navy]. Vol. 1. Moscow; 2007. 381 p.
  8. Chizh IM, Gulyayev VA, Kartashov VT. Organizatsionnyye osnovy upravleniya kachestvom dispanserizatsii v vooruzhennykh silakh [. Organizational foundations of controlling quality of overall medical screening in the Armed Forces]. Voyenno-meditsinskiy zhurnal 2004;(10):4-12.

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