|
N. Yu. Trifonova1, A.P. Gabrielyan2, K.I. Kasapov3
1I.M. Sechenov First Moscow State Medical University, Moscow
2 City Clinical Hospital #64, Moscow
3 “SM-Clinic”, “DERAIS” Limited Liability Company, Moscow
Summary. Background. Quality of medical care is a
complex of care characteristics aimed at meeting needs in effective
prevention and treatment, improved quality of life and increased life
expectancy. A more simple and clear definition of quality of medical
care – it’s when they do what is needed when needed and as needed. The
aim of the program on quality management of medical care is to receive
maximum possible performance outcomes in improving public health with
due regard to current level of knowledge and cost optimization. The
above stated necessitated the need to study the issue of quality care
delivery, identify its criteria with due regard to modern state of the
healthcare system.
The aim of the study was to develop and test criteria
for quality evaluation of care delivery exemplified by implementation of
financial methods of quality management at the multi-field hospital.
Objectives of the study included the following:
-
Analyze current situation with quality improvement of medical care delivery
-
Describe available criteria for quality evaluation of care delivery
-
Develop and implement innovative financial techniques for material staff
incentives in the multi-field hospital as one of the methods of quality
management of care delivery.
The article presents quality analysis of care delivery with a focus on its financial component.
Results and scope of application.
The main idea of the suggested financial methods for staff incentives
is to develop effective performance of community-focused multi-field
hospital through direct and indirect stimulation of financial interests
of medical care providers by prices, remuneration, profit and other
economic instruments.
The suggested methods of financial management of the workforce can be
successfully used at primary care facilities as well as in multi-field
hospitals alone.
Keywords: of medical care; quality; effectiveness; financial methods; performance
References
-
Lebedev AA, Goncharova MV, Serebryanskiy OYu, Lebedev NA. Innovations
in health facility management. Moscow: «Littera»; 2010. 172 p. (in
Russian).
-
Nesterenko EI, GolukhovGN, Polunina NV. Methodological basis for
reforming health care facilities under current conditions. Moscow:
Megatron XXI; 2001. 225 p. (in Russian).
-
GasnikovVK. Improvement of regional health care management on the base
of methodical approaches and information technologies. Dr.Med.Sci
[thesis]. Moscow; 2001. 45 p. (in Russian).
-
Polubentseva EI, Ulumbekova GE, Saytkulov KI. Clinical recommendations
and quality indicators in the system of health care quality management.
Moscow: GEOTAR-Media; 2006. 60 p. (in Russian).
-
Skvortsova VI, Trifonova NYu, Alekseeva GS. Grounds for implementation
of innovations under the current conditions of restructuring of a
municipal clinical hospital. Moscow: Sam Poligrafist; 2013. 100 p. (in
Russian).
-
Starodubov VI, Shchepin OP, Lindenbraten AL, Galanova GI. Methodical
grounds and mechanisms to provide health care quality. Moscow:
Meditsina; 2001. 784 p. (in Russian).
-
Stolbov AP, Tronin YuN. Computerization of the mandatory health
insurance system. Reference Manual. Moscow: Elit; 2008. 558 p. (in
Russian).
-
Shil'nikova NF, Khodakova OV. Social and psychological aspects in
management of municipal health care facility in conditions of healthcare
reformation. Problemy upravleniya zdravookhraneniem 2004;19(6):42-45 (in Russian).
Views: 23409
|
