Tajnitskaja E.V., Komarova I.I., Storogeva I.V., Stashina V.N., Belova O.V
Children's polyclinic № 3, Yaroslavl Region

Abstract. Relevance. Low professional level of management training in health care, the restriction of the medical commission on internal care quality control motivated this study.

The aim. Work has been done in order to validate the role of the medical commission in quality management of medical assistance to children in primary care. The subjects assessed: professional qualification of medical staff of medical commissions of children's polyclinics in Yaroslavl, the activities of the medical commission, through the example of children's polyclinic № 3 Dzerzhinsky district of Yaroslavl. Methods: Statistical analysis, descriptive, analytical methods, survey through questionnaires.

Results. Medical personnel of medical commissions have a priority training on assesses of temporary disability and permanent loss of health and a lack training (about 40%) on the health care quality control. The solution of medical and social problems in an integral connection with quality control of medical care possible to obtain the consistent results of average duration of care for a sick child on disease for 8.2, on injuries for 14.1 days. A stabilization of a level of general child´s disability level were observed. The number of outpatients with identified care violation significantly decreased from 36.7 to 28.3% (8.4%).

Conclusions. Training priority of medical commissions of children's clinics in Yaroslavl in the field of expertise of temporary disability, permanent loss of health and a lack of medical care quality management has been established. The relationship of training and activities of the medical commission and medical-social outcomes in a particular area, has been established. We offer to include the internal control quality and safety of medical practice in the list of functions of the medical commission of medical organizations.

Keywords: medical commission; professional qualifications; medical expertise; control of the medical care quality

References

1. Armashevskaya O.V. Kadrovye problemy pediatricheskoy sluzhby [Public health personnel issues with a special focus on pediatric service]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2011 [cited 2011 Nov 21]; 18 (2). Available from: http://vestnik.mednet.ru/content/view/619/30/lang,ru/ (In Russian).
2. Balashov P.Yu. Rol' sovremennoy sluzhby upravleniya personalom v osushchestvlenii kadrovoy politiki LPU [Role of the modern workforce management in staffing policy in a health care facility]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2014 [cited 2015 Jan 22]; 39(5). Available from: http://vestnik.mednet.ru/content/view/619/30/lang,ru/ (In Russian).
3. Bunina E.V., Malakhov V.V. Organizatsiya raboty vrachebnoy komissii [Organization of the medical commission work]. Zamestitel' glavnogo vracha: lechebnaya rabota i meditsinskaya ekspertiza 2009; 32 (1): 34-43. (In Russian).
4. Breskina T.N. Sovremennye podkhody k organizatsii ekspertizy kachestva meditsinskoy pomoshchi v mnogoprofil'nom statsionare [Modern approaches to the organization of the expertise of medical care quality in a multidisciplinary hospital]. Problemy sotsial'noy gigieny i istorii meditsiny 2007;(5):32-36. (In Russian).
5. Erugina M.V. Nekotorye aspekty prakticheskoy realizatsii Programmy gosudarstvennykh garantiy okazaniya besplatnoy meditsinskoy pomoshchi v sisteme obyazatel'nogo meditsinskogo strakhovaniya [Some aspects of practical implementation of the Program of the State guarantees for delivering free medical care to population in the system of mandatory health insurance]. Zamestitel' glavnogo vracha: lechebnaya rabota i meditsinskaya ekspertiza 2008; 21(2): 62-72. (In Russian).
6. Kitsul I.S., Knyazyuk N.F. Vozmozhnosti i klyuchevye faktory uspekha primeneniya standartov serii ISO 9000 [Opportunities and key factors of the success in implementation of ISO 9000 standards]. Zamestitel' glavnogo vracha: lechebnaya rabota i meditsinskaya ekspertiza 2008; 21(2): 53-61. (In Russian).
7. Kudrina V.G, Dubinskaya E.L., Goncharova O.V. Uchebno-metodicheskoe posobie. Otsenka kachestva meditsinskoy pomoshchi v lechebno-profilakticheskikh uchrezhdeniyakh [Assessment of medical care quality in health care facilities. Training manual]. Moscow: RMAPO; 2007. 43 p. (In Russian).
8. Kudrina V.G, Goncharova O.V., Dubinskaya E.L. Uchebno-metodicheskoe posobie. Analiz deyatel'nosti lechebno-profilakticheskikh uchrezhdeniy [Analysis of the activity of health care facilities. Training manual]. Moscow: RMAPO; 2007. 43 p. (In Russian).
9. Ludupova Yu.D., Dugarova R.V., Zanabadarova Z.M., Denisova M.A. Sistema menedzhmenta kachestva v mnogoprofil'nom statsionare [The quality management system in a multidisciplinary hospital]. Zamestitel' glavnogo vracha: lechebnaya rabota i meditsinskaya ekspertiza 2013; 85(6): 40-47. (In Russian).
10. Mikhaylova Yu.V., Miroshnikova Yu.V., Knyazev A.A. Rukovodyashchie kadry organov i uchrezhdeniy zdravookhraneniya (sotsiologicheskoe issledovanie) [Management authorities in healthcare institutions and facilities (social study)]. Vestnik Roszdravnadzora 2014;(6):71-77. (In Russian).
11. Savel'eva E.N. Chelovecheskiy faktor v upravlenii kachestvom meditsinskoy pomoshchi [The human factor in management of medical care quality]. Menedzhment kachestva v sfere zdravookhraneniya i sotsial'nogo razvitiya 2009; (6):28-33. (In Russian).
12. Tyurina I.V., Vorob'ev P.A., Avksent'eva M.V., Luk"yantseva D.V., Sura V.M. Upravlenie kachestvom v meditsinskoy organizatsii [Management of quality in a health facility]. Problemy standartizatsii v zdravookhranenii 2008;(1):77-81. (In Russian).
13. Khayrullin I.D. Opyt po vnedreniyu sistemy akkreditatsii (JCI) v Respublike Tatarstan. [Experience on the implementation of accreditation system (JCI) in the Republic of Tatarstan]. Kruglyy stol «Kak povysit' effektivnost' v zdravookhranenii» [How to improve the efficiency in health care]. V ramkakh «Rossiyskoy nedeli zdravookhraneniya – 2014», 10 dekabrya 2014 g. Moscow. [Online] No date [cited 2015 Jan 22]. Available from: http://www.rosmedobr.ru/patrns/conf_materials/2014-rtable/3.Hairullin.pdf (In Russian).
14. Shchepin O.P, Starodubov V.I., Lindenbraten A.L., Galanova G.I. Metodologicheskie osnovy i mekhanizmy obespecheniya kachestva meditsinskoy pomoshchi [Methodological bases and mechanisms to provide the quality of medical care]. Moscow: Meditsina; 2002. 109 р. (In Russian).
15. Massoud MR, Donohue KL, McCannon CJ. Options for Large-scale Spread of Simple, High-impact Interventions. Technical Report [Online]. No date [cited 2012 Jun 30]. Available from: http://fgcasal.org/aeets/Documentos/MassoudDonahueMcCannonLargeScaleSpreadHighImpactInterventions_USAIDURCSept10.pdf.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*