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Main arrow Archive of previous Issues arrow ╣6 2012 (28) arrow Quality grade of health care for tuberculosis when juxtaposed to federal program endpoints
Quality grade of health care for tuberculosis when juxtaposed to federal program endpoints Print
Thursday, 24 January 2013

O.B. Netchayeva, Ye.Yi. Skatchkova, O.K. Biragova
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow

Summary. Background: The Federal Program: Prevention and combatting socially sensitive conditions in 2007-11, subprogram: tuberculosis -had put forward the endpoints (by 2011) of TB-bacillus-free proportion in the pool of TB patients as 41.6% and of TB-caused mortality as 17.8 cases upon 100.000 of the population. Now these two endpoints have been surpassed reaching 35.9% and 14.2 cases, accordingly. There exists an opinion, however, that these endpoints of the subprogram had been down-graded from the very beginning simply on the premise that in reality they were reached in 1-2 years after the launch of this Program.

Results of the study: The analysis of real situation with tuberculosis in Russia showed that:

  • The ratio of TB incidence produced by legally free population to that of the cohort of prisoners and convicts has become quite stable at the level fixed in 2011 as 83.8%: 11.3%
  • Many epidemiologic features in the cohort of prisoners and convicts factually mimicked the situation in legally free population
  • More advanced rates of reducing TB-caused mortality than in reducing incidence rates were identified as potentially favorable tendency. Incidence: mortality ratio has raised in 2005-11 from 3.7 to 5.7 in the overall population; from 3.2 to 4.4 in males, from 6.2 to 8.1 in females; from 3.8 to 5.3 in the urban and from 3.5 to 4.9 in the rural population.

Conclusion: epidemic situation in Russia has moved towards certain stabilization, the counter-factors still persisting, were: 1. advancements in HIV-infection in Russia, as the situation with HIV-infection obviously tends to contribute more and more to the incidence and prevalence of tuberculosis; 2. epidemiologic growth of multiple drugs resistance (MDR) of TB mycobacteria to anti-TB preparations. MRN in TB could readily infringe on the treatment efficiency and thus could prospectively lead to increased mortality.

Keywords. Federal task-wise program; endpoints of public health; quality grade of healthcare; tuberculosis; HIV-infection.



  1. Vardosanidze S.L., Voskanyan Yu.E. Bezopasnost patsiyenta kak integralnyy kriteriy kachestva statsionarnoy meditsinskoy pomoshchi [Patientĺs safety as an integral criterion of hospital health care quality]. Problemy upravleniya zdravookhraneniyem 2003;(1):28-30.
  2. Glossariy - Kachestvo Meditsinskoy Pomoshchi. Rossiya-SShA, [Glossary. Quality of Health Care. Russia -USA]. Moscow. 1999. 61 p.
  3. Kapilevich L.V. Problema upravleniya kachestvom v zdravookhranenii [The problem of quality management in healthcare]. Zdravookhraneniye Rossiyskoy Federatsii 2002;(4):54-55.
  4. Mikhaylova Yu.V., Komarov Yu.M., Fedorova L.A., et al. MS ISO seriya 9000: 2000 kak metodologiya obespecheniya kachestva meditsinskoy pomoshchi [MS ISO seriya. Methodology for providing quality of health care]. Metody menedzhmenta kachestva 2001;(4):9-12.
  5. Nechayeva O.B., Shestakov M.G., Skachkova Ye.I., Fursenko S.N. Sotsialno ekonomicheskiye aspekty tuberkuleza [Socioeconomic aspects of tuberculosis]. Problemy upravleniya zdravookhraneniyem 2010;55(6):16-22.
  6. Postanovleniye Pravitelstva Rossiyskoy Federatsii ot 01.12.2004 g. ╣ 715 "Ob utverzhdenii perechnya sotsialno znachimykh zabolevaniy i perechnya zabolevaniy, predstavlyayushchikh opasnost dlya okruzhayushchikh" ["On approving the list of socially determined diseases and diseases dangerous to the others", the Regulation the Government of the Russian Federation of December 01, 2004. ╣ 715] [Internet]. 2004 [cited 2012 Jul 26]. Available from: http://www.referent.ru/1/68092
  7. Postanovleniye Pravitelstva Rossiyskoy Federatsii ot 10.05.2007 g. ╣ 280 "O federalnoy tselevoy programme "Preduprezhdeniye i borba s sotsialno znachimymi zabolevaniyami (2007-2011 gody)" "(v red. Postanovleniy Pravitelstva RF ot 18.02.2008 g. ╣ 95, ot 02.06.2008 g. ╣ 423, ot 09.04.2009 g. ╣319). ["The Federal Target Program "Prevention and control over socially determined diseases", the Regulation of the Government of the Russian Federation of May 10, 2007. ╣280] [Internet]. 2007 [cited 2012 Sep 6]. Available from: http://www.referent.ru/1/134823
  8. Rukovodstvo po upravleniyu kachestvom. Rossiya-SShA [Guides on quality control. Russia-USA]. Moscow. 2000. 88 p.
  9. Federalnyy zakon Rossiyskoy Federatsii ot 21.11.2011 g. ╣ 323-FZ "Ob osnovakh okhrany zdorovya grazhdan v Rossiyskoy Federatsii". ["On the bases of health protection of citizens of the Russian Federationö, the Federal Law of the Russian Federation of November 21, 2011. ╣323-FZ]. [Internet] 2011 [cited 2012 Sep 6]. Available from: http://www.rg.ru/2011/11/23/zdorovie-dok.html

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