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Main arrow Archive of previous Issues arrow ╣1 2013 (29) arrow Quality indicators for cancer care
Quality indicators for cancer care Print
Tuesday, 19 March 2013

O.B. Nechaeva1, V.K. Popovich2, I.B. Shikina2, O.K. Biragova1
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
2City Hospital ╣17, Moscow Healthcare department

Summary. Target indicators and performance measures of the Federal target program ôPrevention and control of socially-sound diseases for 2007-2011ö/ôOncologyö 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 ľ 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 facilitiesĺ performance.

ôMorbidity/mortality ratioö 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.


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