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Main arrow Archive of previous Issues arrow 2 2015 (42) arrow ROLE OF MEDICAL COMMISSION IN THE MANAGEMENT OF MEDICAL CARE QUALITY
Wednesday, 24 June 2015

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



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