About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

Main arrow Archive of previous Issues arrow ╣1 2016 (47) arrow ASSESSING EFFECTIVENESS OF CANCER CARE
Tuesday, 15 March 2016

Antipova T.V.1, Melnik M.V.2, Nechaeva O.B.3, Shikina I.B.3, Vechorko V.I.3, Lutseva E.M.4

1 Academician D.N. Pryanishnikov Perm State Agricultural Academy, Perm
2Financial University under the Government of the Russian Federation, Moscow
3Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
4LTD "Zdorovie" Medical centre, Novomoskovsk, Tula region

Contacts: Irina Shikina, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it


Relevance. Malignant new growths belong to socially significant diseases and involve essential material and non-material expenses, both healthcare institutions, and society in general. Incidence and an indicator of prevalence of malignant new growths of the population constantly grows in Russia since 1995. Mortality indicators from malignant new growths also don't tend to improvement.

Work purpose. Productivity of health care is included into a framework of the general concept on increase of productivity of the budgetary expenses. In article some indicators (indicators) of productivity of medical care for evaluation of the work of primary link of health care and oncological service in the Russian Federation are defined. Target indicators and indicators of implementation of the Federal target program "Prevention and Fight against Socially Significant Diseases (2007-2011)", the subprogramme "Oncology" are analyzed. The accepted indicators according to the subprogramme "Oncology" were unreasonably overestimated and therefore couldn't be executed.

The used methods and results. Indicators of quality of medical care for job evaluation at the level of primary link of health care and oncological service which show improvement of quality of carrying out routine inspections and improvement of diagnostics are developed. Nevertheless, they didn't reach satisfactory values.

The indicators characterizing early identification of malignant new growths didn't reach satisfactory values, including increase in a share of patients with the visual localizations of a tumor revealed at IáandáII stages of a disease; decrease in a share of the patients who died of malignant new growths within a year from the moment of establishment of the diagnosis.

The assessment of quality of medical care at oncological diseases has to be carried out by use (introduction) of system of indicators (indicators) registering dynamics of productivity of treatment of patients. Each indicator which is switched on in system has to represent a link of that chain of cause and effect dependences which connects strategy of concrete healthcare institution and strategy of the budgetary policy of society.

Conclusions of research are based on reporting data of oncological services of medical institutions of the Russian Federation. Results of monitoring should be considered when summing up implementation of the federal target program and development of other budgetary funds allocated for treatment of oncological patients.

Use of the developed indicators of quality of medical care for oncological service possibly as when developing federal and territorial target programs, and for their assessment.

Keywords: quality of medical care; malignant new growths; indicators of productivity of medical care.


  1. Antipova T.V., Zhelnin A.V. Otsenka effektivnosti lecheniya nevrologicheskikh patsientov [Efficiency assessment of treatment of neurological patients]. In: Teoreticheskie i prikladnye voprosy nauki i obrazovaniya [Theoretical and applied problems of science and education]. Materialy Mezhdunarodnoy nauchno-prakticheskoy konferentsii. 2013, 31 avgusta, Tambov. Tambov: 2013. Part.1. P. 14-16. (In Russian).
  2. Vardosanidze S.L., Voskanyan Yu.E. Patientĺs safety as an integral criterion of inpatient health care quality. Problemy upravleniya zdravookhraneniem 2003;(1);18-20. (In Russian).
  3. Ivanova A.E., Didenko I.S., Semenova V.G., Zemlyanova E.V., Sharova E.A. Phenomenon of oncological mortality in Russia in the 1990-th years. Obshchestvennoe zdorov'e i profilaktika zabolevaniy 2005;4(12);16-21. (In Russian).
  4. Kapilevich L.V. The problem of quality management in health care. Zdravookhranenie Rossiyskoy Federatsii 2002;(4);54-55. (In Russian).
  5. Korotkova A.V. Methodical aspects and information provision for improving healthcare quality in the regional healthcare systems. Moscow: RIO TsNIIOIZ; 2005. (In Russian).
  6. Ob utverzhdenii perechnya sotsial'no znachimykh zabolevaniy i perechnya zabolevaniy, predstavlyayushchikh opasnost' dlya okruzhayushchikh [On approving the list of socially significant diseases and the list of diseases dangerous to others]. Postanovlenie Pravitel'stva Rossiyskoy Federatsii ot 01.12.2004 g. ╣ 715 [Online] [cited 2016 Feb 02]. Available from: http://base.garant.ru/12137881/.(In Russian)
  7. O federal'noy tselevoy programme źPreduprezhdenie i bor'ba s sotsial'no znachimymi zabolevaniyami (2007-2011 gody)" [On the federal target program ôPrevention and control of socially significant diseasesö (v red. Postanovleniy Pravitel'stva RF ot 18.02.2008 ╣ 95, ot 02.06.2008 ╣ 423, oto 09.04.2009 ╣ 319): Postanovlenie Pravitel'stva Rossiyskoy Federatsii ot 10.05.2007 g. ╣ 280. [Online] [cited 2016 Feb 02]. Available from: http://ivo.garant.ru/#/document/ 4184672/paragraph/287832:4. (In Russian)
  8. Son I.M., Shestakov M.G. Human resource provision for health facilities delivering medical care to patients with socially significant diseases in the Russian Federation. Sotsial'nye aspekty zdorov'ya naseleniya [serial online]. 2010 [cited 2016 Feb 02]; 13 (1). Available from: http://www.vestnik.mednet.ru/content/view/178/30/. (In Russian).
  9. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii [On the basis of population health protection in the Russian Federation]. Federal'nyy zakon ot 21 noyabrya 2011 ╣ 323-FZ. [Online] [cited 2016 Feb 02]. Available from: http://base.garant.ru/12191967/ . (In Russian)
  10. Shikina I.B., Meleshkina N.V., Sorokina N.V. Analysis of efficiency of treatment and diagnosis process. Byulleten' natsional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya 2006;(6);71-74. (In Russian).
  11. Shikina I.B., Sorokina N.V., Vardosanidze S.L., Likhota A.I. Patientsĺ satisfaction as a criterion for assessing the medical care quality in multi-profile inpatient facility. Problemy upravleniya zdravookhraneniem 2006; 30 (5): 22-26. (In Russian).
  12. Lindgren, P., Bengt, J. Costľeffectiveness of statins revisited: lessons learned about the value of innovation. European Journal of Health Economics. 2012; (13):445ľ450. DOI 10.1007/s10198-011-0315-1.18

Views: 12724

Be first to comment this article

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.

Code:* Code

Last Updated ( Friday, 25 March 2016 )
< Prev   Next >
home contact search contact search