G.N. Barskova, R.I. Devishev, L.K. Lokhtina
Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow

Abstract. The article is based on results of the analysis of applying the modern technology to evaluate the extent to which health organizations achieve the target activity indicators. The article focuses on variety and peculiarities of ranking, difficulties and related problems. It was found out that rankings’ objectivity level is greatly affected by selection of the ranking subjects, substantiation of the indicators’ list and methods for score calculation. Another important factor is that until now there is no shared vision regarding content and quantitative measurement of such important indicators for ranking as quality of health care and patients’ satisfaction.

The aim of the study was to conduct a comprehensive review of the current ranking system in the Russian healthcare; to identify main problems and substantiate certain approaches to solution on the base of analysis and aggregation of data on ranking practice of health organizations in the Russian regions.

Methodology. Analysis of the existing national and international practice of ranking in healthcare.

Results. The ranking practice of health organizations in the constituent entities of the Russian Federation faces different problems mainly due to the lack of common methodological approaches.

Ranking is based on multiple factor analysis of indicators that characterize different activities and resources of health organizations.

Ranking is one form of quality assurance of health care as well as a resulting process for evaluating achievement of health and social as well as financial and economic targets by health organizations. Ranking contributes to increased efficiency in management decision making aimed at improved performance of health organizations, and serves as a tool to increase competitive advantages and image of healthcare institutions at the market of health services.

Keywords: ranking; integrated index; ranking of health organizations; rating; univariate and multidimentional rankings; independent evaluation of quality of health care.

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