S.A. Livshits, O.V. Nagornaya
State Research Center - Burnasyan Federal Medical Biophysical Center of the Federal Medical Biological Agency of Russia

Summary. Background. Respiratory diseases among children ranks first accounting for up to 43%; upper airway disorders are at the top both among newborns and school-aged children ranging from 14.0% to 19.0% of all otorhinolaryngological disorders. High prevalence of otorhinolaryngological disorders is fraught with severe complications of organs and systems resulting in decreased quality of life, deterioration of public health in general, and increased primary disability; their pathogenic mechanisms rest on undetected, late diagnosed otorhinolaryngological disorders.

Progressive health deterioration of children in big Russian regions dense with population along with low detection of different disorders within the current system of regular medical check-up for the last decade make it necessary to look for ways to better manage healthcare resources, develop new forms of preventive activities and improve quality evaluation system of care delivery to children with otorhinolaryngological disorders.

Objective of the study was to design activities aimed at improving quality of otorhinolaryngological care to children at the outpatient level of care delivery.

Results. Age-specific peculiarities of otorhinolaryngological prevalence in children in the big region and its structure have been analyzed.

Causes of errors in performance of pediatric otorhinolaryngologists at polyclinics have been studied.

Procedures for expert review of performance of pediatric otorhinolaryngologists at polyclinics have been developed.

Conclusions. Algorithm to evaluate performance of pediatric otorhinolaryngologists at polyclinics has been developed and implemented including:

• Surveys to understand satisfaction with quality of otorhinolaryngological care delivery to school-aged children at urban polyclinics in the current context.
• Analysis of errors in performance of otorhinolaryngologists based on expert review.
• Development of medical and organizational activities aimed at elimination of unfavorable factors and errors of pediatric otorhinolaryngologists.

This algorithm helped to suggest activities to improve quality management of otorhinolaryngological care to school-aged children at the outpatient level in a big region.

Keywords: children; health care; quality, otorhinolaryngological disorder.

References

1. Nesterenko EI, Golukhov GN, Polunina NV. Methodical grounds for reforming health care facilities under current conditions. Moscow: Megatron XXI; 2001. 225 p. (in Russian).
2. Sabanov VI, Bagmetov NP, Votintseva GO. Statistics of health care facilities: Educational guidance for students of medical higher education institutions. Rostov-on-Don: Ôåíèêñ; 2008. 157 p. (in Russian).
3. Savostina EA. Monitoring of medical care to population and its resource provision in a unified regional information healthcare system. Moscow: Meditsina; 2004. 199 p. (in Russian).
4. Skvirskaya GP, Il'chenko IN, Syrtsova LE. The modern organization, information, and preventive technologies which are implemented and recommended for implementation at the levels of health facilities and primary healthcare specialists. Voprosy ekonomiki i upravleniya dlya rukovoditeley zdravookhraneniya 2008;(3):28-48 (in Russian).
5. Starodubov V.I., Kalininskaya A.A., Shlyafer S.I. Primary healthcare: the current state and prospects for development. Moscow: Meditsina; 2007. 264 p. (in Russian).
6. Stolbov AP, Tronin YuN. Computerization of the mandatory health insurance system: Guidelines. Moscow: Elit; 2008. 558 p. (in Russian).
7. Chertukhina OB. Experience in developing the strategy of healthcare reformation at a municipal level. Ekonomika zdravookhraneniya 2003;(10):5-10 (in Russian).
8. Chernienko EI, Volnukhin AV, Drobyazko NA. Analysis of efficient hospital replacing technologies by an example of multi-profile outpatient facility with a GP department. Ekonomika zdravookhraneniya 2008; (1):36-40 (in Russian).
9. Chudnov VP Organization of primary health care at a municipal level in the current conditions. Cand.Med.Sci [thesis]. Moscow; 2005. 27 p. (in Russian).
10. Shevskiy VI, Shishkin SV. Primary health care reforms: complications and prospects. Moscow: IEPP; 2006. 82 p. (in Russian).

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