O.B. Nechaeva¹, V.K. Popovich², I.B. Shikina², O.K. Biragova^1
1Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
²City Hospital ¹17, Moscow Healthcare department

Summary. Target indicators and performance measures of the Federal target program “Prevention and control of socially-sound diseases for 2007-2011”/“Oncology” subprogram have been unreasonably overstated and, therefore, could not be attained.

Quality indicators of medical care have been developed to assess performance of primary care and cancer care facilities.

Quality indicators of malignant neoplasm detection – share (%) of newly detected patients through regular medical examinations; share (%) of newly detected patients at stages I-II; share (%) of newly detected patients diagnosed by microscopic examination of a tissue sample; share (%) of newly detected patients diagnosed postmortem; malignant neoplasm one-year mortality (% of newly detected patients for the preceding year) show improved quality of regular medical examinations and improved detection at primary care and cancer care facilities. However, they failed to reach satisfactory values.

Five-year survival rates among patients registered for follow-up at health care facilities remain almost unchanged (50.4-51.3%). Decreased five-year survival rates among children aged 0-14 (from 41.4% in 2005 to 35.9% in 2011) give rise to concern. This indicator reflects quality of cancer facilities’ performance.

“Morbidity/mortality ratio” indicator can show both quality of regular medical examinations and quality of treatment. Despite many funds allocated through budgets at different levels the morbidity/mortality ratio grew slowly from 1.64 in 2005 to 1.8 in 2011. This indicator increased from 1.42 to 1.55 in males; from 1.91 to 2.1 in females; from 1.66 to 1.81 among urban population; and from 1.6 to 1.79 among rural population.

Malignant neoplasm morbidity and mortality are 13-15% higher among urban dwellers compared to rural population with the prevalence (as of the end of the year) being 43% higher. Rural dwellers are less frequently taken under follow-up at cancer care facilities.

Keywords. Quality of medical care; quality of care indicators; malignant neoplasms.

References

1. Vardosanidze S.L., Voskanyan Yu.E. Patient safety as an integral criterion for the quality of inpatient health care. Problemy upravleniya zdravookhraneniem 2003;(1):28-30.
2. Ivanova A.E., Didenko I.S., Semenova V.G., Zemlyanova E.V., Sharova E.A. Phenomenon of cancer-related mortality in Russia in the 1990s. Obshchestvennoe zdorov'e i profilaktika zabolevaniy 2005;12(4):16-21.
3. Kapilevich L.V. The problem of quality management in healthcare. Zdravookhranenie Rossiyskoy Federatsii 2002;(4):54-55.
4. Korotkova A.V. Methodical aspects and information provision for quality improvement in the regional healthcare systems. Guidelines for healthcare managers. Ìîscow: RIO TsNIIOIZ; 2005
5. Mikhaylova Yu.V., Komarov Yu.M., Fedorova L.A, et al. MS ISO. Ser. 9000: 2000 as a methodology for providing the quality of medical care. Metody menedzhmenta kachestva 2001;(4):9-12.
6. "On approving the list of socially significant diseases and the list of diseases that pose a risk to others", the Regulation of the RF Government of December 01, 2004, ¹ 715. [Èíòåðíåò]. 2004 [cited 2012 Jul 26]. Available from: http://www.referent.ru/1/68092
7. “On the Federal Target Program “Socially significant disease prevention and control (2007-2011)”, the Regulation of the RF Government of May 10, 2007, ¹ 280 (Rev.: Regulations of the RF Government of February 18, 2008, ¹95, June 02, 2008, ¹423, April 09, 2009 ¹319. [Internet]. 2009 [cited 2012 Sep 06]. Available from: http://www.referent.ru/1/134823
8. Son I.M., Shestakov M.G. Human resources of healthcare facilities providing medical care to patients with socially significant diseases in the Russian Federation. Sotsial'nye aspekty zdorov'ya naseleniya [Online scientific journal]. 2010 [cited 2012 Sep 06]; 13(1). Available from: http://www.vestnik.mednet.ru/content/view/178/30/
9. Shikina I.B., Sorokina N.V., Vardosanidze S.L., Likhota A.I. Patient satisfaction as a criterion for assessing healthcare quality. Problemy upravleniya zdravookhraneniem 2006;30(5):22-26.

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