E.V. Rozhkova
Ulyanovsk State University

Summary. In the second half of the twentieth century the trends of dynamic growth of services were clearly denoted in all developed countries: GDP ratio of revenue from the services sector and the share of employment in it was increased, the number of service organizations was risen, international trade in services was expanded. Nowadays one of the most extensive sectors of economy is health care. An obvious very high social significance of the industry predetermines a careful study of all decisions in the management of medical institutions with allowance for dynamics of the environment.

Thus, the formation of medical services market, increased competition exacerbates the problem of assessing the quality of medical services. Quality rating of medical aid is one of the effectiveness criteria of implementation of various innovations in the activity of medical institutions. The study aims to develop a methodological approach and methodological tools for assessing the quality of medical services. As part of systematic approach the methods of comparison, logical analysis, structural descriptions of objects, general scientific methods of classification and aggregation are used. As a result, the list of quality characteristics of medical services was formed and the author divides it into subjective and objective ones. Subjective characteristics include professional, informational, spatial and claim characteristics. Meaningful, regulatory, techno-economic and comfort characteristics refer to objective characteristics. It was shown what features as part of this classification are determined with the conditions of medical services and what features are determined with the quality of the medical process.

The article identifies priority assessment methods of individual characteristics of quality of medical services, the method for assessing quality of medical services was proposed and the example of this calculation was given. This approach is of practical importance in the process of forming strategic priorities and innovation development organization of health care market.

Keywords. Medical service, assessment of quality of medical services, indexes of quality of medical services. 

References

1. Golyshev A.Ya., Nosyreva O.M. Kontseptsiya sozdaniya sistemy upravleniya kachestvom v lechebno-profilakticheskikh uchrezhdeniyakh pomoshchi [Conception of formation the quality control system in health care facilities]. Meditsinskiye konferentsii [Online Journal]. [cited 2011 Jun 10]; Available from: http://www.medico.ru/articles/management/article_001.htm
2. Yermakova S.Ye. Biznes-protsessy v meditsinskikh organizatsiyakh [Business-processes in health facilities]. Rossiyskoye predprinimatelstvo 2009;(5):131.
3. Kudryavtsev A.A. Menedzhment v zdravookhranenii: Mediko-ekonomicheskiye standarty i metody ikh analiza [Management in health care: economic and health standards and methods for their analysis]. SPb.: Izd-vo S.-Peterb. un-ta. 2004. 172 p.
4. Lisitsyn Yu.P. Zdravookhraneniye v XX veke [Healthcare in the XXth century]. Moscow: Meditsina; 2002. 216 p.
5. Rozhkova Ye.V. Razrabotka innovatsionnykh uslug: metodologiya podkhoda [Development of innovation service: methodology of an approach]. Ulyanovsk: UlGU; 2011. 184 p.
6. Siburina T.A. Sovremennyye tekhnologii obespecheniya konkurentnogo preimushchestva uchrezhdeniya zdravookhraneniya na rynke meditsinskikh uslug [The current technologies for providing competitive advantage for health care facilities in the medical service market]. Sotsialnyye aspekty zdorovya naseleniya [Online Scientific Journal]. 2010 [cited 2011 Jun 10]; 15(3). Available from: http://vestnik.mednet.ru/content/view/209/30/
7. Federalnyy Zakon RF ¹323-FZ «Ob osnovakh okhrany zdorovya grazhdan v Rossiyskoy Federatsii» [“On the basic regulations for health protection of the citizens of the Russian Federation” the Federal Law of the RF ¹323-FZ]. Rossiyskaya gazeta. Federalnyy vypusk. ¹5639, 23 noyabrya 2011 g. [Internet] [cited 2011 Dec 10]. Available from: http://www.rg.ru/gazeta/rg/2011/11/23.html
8. Shein A.F. Analiz effektivnosti innovatsionnoy deyatelnosti v lechebno-profilakticheskikh uchrezhdeniyakh uslug [The analysis of efficiency of innovation activity in health care facilities]. Sotsialnyye aspekty zdorovya naseleniya [Online Scientific Journal]. 2011. [cited 2011 Jun 10]; 17(1). Available from: http://vestnik.mednet.ru/content/view/274/30/lang,ru
9. Shchepin O.P., Starodubov V.I., Lindenbraten A.L., Galanova G.I. Metodologicheskiye osnovy i mekhanizmy obespecheniya kachestva meditsinskoy pomoshchi [Methodological frameworks and mechanism for providing medical care quality]. Moscow: Meditsina. 2002. 176 p.
10. Donabedian À. The criteria and standards of quality. Michigan: Health Administration Press; 1982. 504 p.
11. McGuire Th.G. Physician Agency. Handbook of Health Economists. Vol.1A (Ed. by A.J. Culyer, J.P. Newhouse). Amsterdam: Elsevier Science; 2000. P. 461-536.

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