骟痦嚯 如溧蝈朦耜 桕 绣潢铍脲汨 绣溧牿桀眄 耦忮 绣溧牿 碾 噔蝾痤 暑眚嚓螓
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蓐耧铕 眍忸耱彘

企痦嚯 徉玎 溧眄

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马桁囗棹 噔蝾痤!
想囹 噔蝾痤 玎 矬犭桕圉棹 痼觐镨皴 礤 忡桁噱蝰

褥镟牝-羿牝铕 骟痦嚯 腥椭 疣忮 0.710.

C 2017 泐溧 疱溧牿 矬犭桕箦 爨蝈痂嚯 念牦戾眚圉桀眄钽 皱眚疣 埋屐桊眍 勿汔龛玎鲨 卿疣忸铛疣礤龛.

DOI 镳桉忄桠噱蝰 怦屐 磬篦睇 耱囹, 矬犭桕箦禧 骟痦嚯, 徨玮铉戾玟眍.
秒噔磬 arrow 鲤蹊 眍戾痤 arrow 5 2016 (51) arrow 沃磐世 世着岩吕 问狼劳冗 奈岩酉臀岩 膛娜秩脱饰 衔涛偃 妊衔塑俏吕腿盘 韧呐恃温 了烂蜗嗡幼冗 膛娜秩脱嗜 涡美腿抢秩, 问狼勐擂偃 吓新茸陀 膛娜饰-牙腿依型愚 衔涛佘 忍呸偃 闲仁信纤磐臀 屠雅伺腿
沃磐世 世着岩吕 问狼劳冗 奈岩酉臀岩 膛娜秩脱饰 衔涛偃 妊衔塑俏吕腿盘 韧呐恃温 了烂蜗嗡幼冗 膛娜秩脱嗜 涡美腿抢秩, 问狼勐擂偃 吓新茸陀 膛娜饰-牙腿依型愚 衔涛佘 忍呸偃 闲仁信纤磐臀 屠雅伺腿 襄鬣螯
01.11.2016 .

DOI: 10.21045/2071-5021-2016-51-5-1
惕踵殡钼 ..1, 杨 ..1, 项腓赅痫钼 ..1, 罔觇磬 ..1,3, 洛黝痍 ..1, 肉囗钼 ..2, 妙塍徨 ..1

1 悦劣 屙蝠嚯 磬篦眍-桉耠邃钼囹咫觇 桧耱栩篁 铕汔龛玎鲨 桧纛痨囹桤圉梃 玟疣忸铛疣礤龛 惕礴漯噔 蓄耨梃, 填耜忄
2 悦劣 "皱眚 祛龛蝾痂磴 觌桧桕-铐铎梓羼觐 耧屦蜩琨" 藻溴疣朦眍 耠箧猁 镱 磬溏铕 耵屦 玟疣忸铛疣礤龛, 填耜忄
3 悦劣 屙蝠嚯 泐耋溧瘃蜮屙磬 戾滂鲨眈赅 嚓噤屐 幽 闲, 填耜忄

ASSESSING QUALITY AND ACCESSIBILITY OF HEALTH CARE USING WELL-BEING INDEXES OF PRIMARY HEALTH CARE FACILITIES WITH CATCHMENT AREA
Mikhaylova Yu.1, Son I.1, Polikarpov A.1, Shikina I. 1,3, Vechorko V.I, Ivanov I.V2, Golubev N.A.1

1 Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
2 Center for Monitoring and Clinical and Economic Examination of Federal Service on Surveillance in Health, Moscow
3 Central State Medical Academy, Department for Presidential Affairs of the Russian federation, Moscow

暑眚嚓蝽 桧纛痨圉: 罔觇磬 瑞桧 令痂耦忭, e-mail: 蒡铗 e-mail 玎 铗 耧囔-犷蝾. 碾 邈 镳铖祛蝠 忄 狃囿珏疱 漕腈磬 猁螯 怅膻麇磬 镱滗屦骊 Java-script

Contacts: Irina B. Shikina, e-mail: 蒡铗 e-mail 玎 铗 耧囔-犷蝾. 碾 邈 镳铖祛蝠 忄 狃囿珏疱 漕腈磬 猁螯 怅膻麇磬 镱滗屦骊 Java-script

绣琬戾.

狸蝮嚯铖螯. 棱蝾瘥 耱囹 疣耨爨蝠桠帼 戾蝾漕腩汨麇耜桢 囫镥牝 疱珞朦蜞螓 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 戾滂鲨眈觇 铕汔龛玎鲨, 铌噻帼 镥疴梓眢 戾滂觐-耦鲨嚯簋 镱祛, 赅 觌邂簋 镳钺脲祗 玟疣忸铛疣礤龛 蓄耨梃. 磬耱 怵屐 礤钺躅滂 蜞觐 桧纛痨圉桀眄 桧耱痼戾眚, 觐蝾瘥 猁 镱玮铍桦 噤尻忄蝽 囗嚯桤桊钼囹 铞屙桠囹 溴蝈朦眍耱 戾滂鲨眈觇 铕汔龛玎鲨 赅 漕赅玎蝈朦眢 徉珞 潆 疣琊噌铗觇 铒屦囹桠睇 耱疣蝈汨麇耜桴 箫疣怆屙麇耜桴 疱龛, 镳钽眍玷痤忄螯 疣玮栩桢.

皱朦: 礤玎忤耔爨 铞屙赅 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 桉镱朦珙忄龛屐 噤囡蜩痤忄眄 桧溴犟钼 犭嚆铒铍篦 戾滂鲨眈觇 铕汔龛玎鲨, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛.

体蝾潲: 囗嚯栩梓羼觇, 耦鲨铍钽梓羼觇, 爨蝈爨蜩麇耜铋 耱囹桉蜩觇, 戾蝾 耧屦蝽 铞屙铌, 觐眚屙 囗嚯桤.

绣珞朦蜞螓 疣犷螓. 项塍麇睇 钺疣犷蜞睇 溧眄 镱 3811 戾滂鲨眈觇 铕汔龛玎鲨 (桎梓羼觇 腓鲟), 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛. 阳铕扈痤忄睇 爨犟桁嚯 珥圜屙 噤囡蜩痤忄眄 耋祆囵睇 桧溴犟钼 - 桧溴犟 犭嚆铒铍篦 - 潆 戾滂鲨眈觇 铕汔龛玎鲨.

蔓忸潲. 橡钼邃屙桢 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 桉镱朦珙忄龛屐 桧溴犟钼 犭嚆铒铍篦 戾滂鲨眈觇 铕汔龛玎鲨, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 镱玮铍弪: 铒疱溴腓螯 疱珞朦蜞蜩忭铖螯 溴蝈朦眍耱 戾滂鲨眈觇 铕汔龛玎鲨 镳桧螯 疋铄怵屐屙睇 戾瘥 镱 铒蜩扈玎鲨 邋 溴蝈朦眍耱 镱恹龛 翦牝桠眍耱; 疋铄怵屐屙眍 恹忤螯 礤汔蜩忭 羿牝铕, 怆桢 磬 赅麇耱忸 镳邃铖蜞怆屙 篑塍 耵屦 玟疣忸铛疣礤龛, 篑蝠囗屙桢 桴 镳梓桧 矬蝈 疱嚯桤圉梃 钺铖眍忄眄 鲥朦睇 戾痤镳蜩; 耱桁箅桊钼囹 镱恹龛 赅麇耱忄 疣犷螓.

吾豚耱 镳桁屙屙 疱珞朦蜞蝾. 朽琊噌铗赅 疱轵桧汔 溴蝈朦眍耱 戾滂鲨眈觇 铕汔龛玎鲨, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 磬 铖眍忮 镳钼邃屙 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 桉镱朦珙忄龛屐 桧溴犟钼 犭嚆铒铍篦 磬 翦溴疣朦眍, 疱汨铐嚯铎, 祗龛鲨镟朦睇 箴钼.

孰邂 耠钼: 赅麇耱忸 戾滂鲨眈觐 镱祛; 镥疴梓磬 戾滂觐-襦龛蜞痦 镱祛; 疱轵桧汨 戾滂鲨眈觇 铕汔龛玎鲨; 噤囡蜩痤忄眄 桧溴犟 犭嚆铒铍篦.

Abstract.

Significance. Authors of the article consider methodological aspects and results of an independent assessment of care quality and accessibility in primary health care facilities as a key problem of the Russian health care. Current situation calls for development of an information tool which would allow for analysis and critical evaluation of health care facilities performance as evidence for developing operational and strategic administrative decisions and forecasting further development.

Objective: To carry out an independent assessment of quality and accessibility of care using adjusted well-being indexes of primary health care facilities with catchment area.

Methods: analytical, sociological, mathematical statistics, method of expert evaluation, content analysis.

Results. Data on 3811 primary care facilities (legal entities) with catchment area has been collected and analyzed. Maximum values of the total adjusted indexes well-being indexes - for health care facilities have been calculated.

Conclusion. Implementation of an independent assessment of quality and accessibility of care using well-being indexes of primary care facilities with catchment area helps to: evaluate performance to implement activities to optimize and increase performance and timely identify factors negatively affecting quality of care to design and implement comprehensive evidence-based improvements.

Scope of application.Development of performance rating of primary care facilities with adjusted area on the basis of an independent assessment of care quality and accessibility using well-being indexes at the federal, regional, and municipal levels.

Keywords: quality of health care; primary care; ratings of health organizations; adjusted well-being indexes.

骡邃屙桢

襄疴梓磬 戾滂觐-襦龛蜞痦 镱祛 耦耱噔弪 礤铗祀屐簋 鬣耱 镳铞羼襦 耦鲨嚯-铐铎梓羼觐泐 疣玮栩 钺耱忄 磬鲨铐嚯铋 耔耱屐 玟疣忸铛疣礤龛 蓄耨栝耜铋 藻溴疣鲨 (性). 项铎 镱恹龛 赅麇耱忄, 漕耱箫眍耱 徨珙镟耥铖蜩 戾滂鲨眈觐 镱祛 - 觌邂 镳钺脲爨 玟疣忸铛疣礤龛, 耠铈眍 疱屐 磬耱 怵屐 怆 镳邃戾蝾 铖钺铋 铉噌铟屙眍耱 耱痼牝箴 怆囫蜩 磬 怦艴 箴钼 箫疣怆屙. 念耱箫磬 桧纛痨圉 赅麇耱忮 徨珙镟耥铖蜩 戾滂鲨眈觐 镱祛 铖蜞弪 骅珥屙眍 忄骓铋 镱蝠遽眍耱 磬皴脲龛.

暑祜脲犟磬 铞屙赅 溴蝈朦眍耱 戾滂鲨眈觇 铕汔龛玎鲨 (涛) 铗疣耠 玟疣忸铛疣礤龛 铖簌羼蜮弪 镱祛 耩噔龛蝈朦眍泐 囗嚯桤 桴 溴蝈朦眍耱 磬 铖眍忮 纛痨桊钼囗 耔耱屐 疱轵桧泐. 绣轵桧汨 涛 镳邃耱噔 耦犷 桧纛痨圉桀眄 桧耱痼戾眚, 镳邃磬珥圜屙睇 潆 噤尻忄蝽铋 铞屙觇 囗嚯桤 溴蝈朦眍耱 涛, 镳钽眍玷痤忄龛 蝈礓屙鲨 疣玮栩 疣琊噌铗觇 铒屦囹桠睇 耱疣蝈汨麇耜桴 箫疣怆屙麇耜桴 疱龛. 绣轵桧汨 耱痤蝰 磬 铖眍忮 桉镱朦珙忄龛 耦怵屐屙睇 戾蝾漕 襻铕 钺疣犷蜿 耱囹桉蜩麇耜桴, 耦鲨铍钽梓羼觇 漯筱桴 溧眄 溴蝈朦眍耱 涛.

体滂鲨眈赅 镱祛 磬 蝈痧栩铕梃 性 镳邃铖蜞怆弪 耦铗忮蝰蜮梃 镱潢囔 铌噻囗 戾滂鲨眈觐 镱祛 磬 铖眍忮 耱囗溧痱钼 戾滂鲨眈觐 镱祛, 蜞赕 篦弪铎 铖钺屙眍耱彘 镱腩忸琊囫蝽钽 耦耱噔 磬皴脲龛, 箴钼 耱痼牝箴 玎犷脲忄屐铖蜩 磬皴脲龛, 铖眍忄眄 磬 溧眄 戾滂鲨眈觐 耱囹桉蜩觇. 署铎 蝾泐, 磬耱 怵屐 性 溴轳蜮簋 镳桕噻, 踵疣牝屦桤簋 镟疣戾蝠 赅麇耱忄 漕耱箫眍耱 铌噻囗 戾滂鲨眈觐 镱祛 沭噫溧磬 性 [3-10]. 武磬觐 纛痨桊钼囗桢 疱轵桧泐 涛, 镱溻邃铎耱忮眄 耋狷尻蝮 性, 铗眍耔蝰 镱腠铎铟 铕汔眍 桉镱腠栩咫铋 怆囫蜩 耵屦 玟疣忸铛疣礤龛 铗疣驵弪 溴蝈朦眍耱 桉镱腠栩咫铋 怆囫蜩 磬 蝈痧栩铕梃 觐黻疱蝽钽 耋狷尻蜞 性. 疋玷 恹桤腩驽眄, 耋耱怏弪 镱蝠遽眍耱 镳钼邃屙 铞屙觇 镱赅玎蝈脲 潆 铒疱溴脲龛 箴钼 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛.

皱朦 桉耠邃钼囗: 礤玎忤耔爨 铞屙赅 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 磬皴脲龛 蓄耨栝耜铋 藻溴疣鲨 桉镱朦珙忄龛屐 噤囡蜩痤忄眄 桧溴犟钼 犭嚆铒铍篦 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 耋狷尻蜞 性.

体蝾潲: 囗嚯栩梓羼觇, 耦鲨铍钽梓羼觇, 爨蝈爨蜩麇耜铋 耱囹桉蜩觇, 戾蝾 耧屦蝽 铞屙铌, 觐眚屙 囗嚯桤.

绣珞朦蜞螓.

橡钼邃屙桢 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 忸 怦艴 耋狷尻蜞 性 镳钼钿桦铖 4 囡. 襄疴 溻 囡 镱漯钺眍 铒桉囗 铒筢腓觐忄眄 疣礤 耱囹, 耨觇 磬 觐蝾瘥 祛骓 磬轵 耧桉赍 腓蝈疣蝮瘥 [1, 2].

1 囡 - 疣琊噌铗赅 邃桧钽 戾蝾漕腩汨麇耜钽 镱漉钿, 耧屦蝽铄 戾蝾漕腩汨麇耜铄 钺铖眍忄龛 牮栩屦桢 潆 镳钼邃屙 蜩镨玎鲨 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 耋狷尻蝾 性. 鲥 钺羼镥麇龛 耦镱耱噔桁铖蜩 铞屙桠噱禧 镱赅玎蝈脲 恹溴脲眍 麇螓疱 沭箫稃 (桎梓羼觇 腓), 铌噻帼 镱祛 囔狍豚蝾痦 篑腩忤 涛: 灭箫镟 (祉钽铒痤翳朦睇 犷朦龛鳆 鲥眚疣朦睇 泐痤漶觇 犷朦龛鳆, 桁妣 镳桕疱镫屙眍 磬皴脲龛); 灭箫镟 (襦祛耱蝈朦睇 镱腓觌桧桕); 灭箫镟 (疣轭眄 犷朦龛鳆 鲥眚疣朦睇 疣轭眄 犷朦龛鳆; 灭箫镟 (篦囫蜿钼 犷朦龛鳆 怵圜遽睇 囔狍豚蝾痂) [1].

2 囡 - 镳钼邃屙桢 囗嚯栩梓羼觐泐 钺珙疣 溴轳蜮簋 眍痨囹桠眍-镳噔钼铋 徉琨 镱 铞屙赍 溴蝈朦眍耱 耔耱屐 玟疣忸铛疣礤龛 磬 疣珉梓睇 箴钼: 铗 铞屙觇 铕汔眍 桉镱腠栩咫铋 怆囫蜩 耵屦 玟疣忸铛疣礤龛 磬 翦溴疣朦眍 箴钼礤, 漕 牮栩屦桢 溴蝈朦眍耱 痼觐忸滂蝈脲 疣犷蝽桕钼 涛 疣礻圊 趑尻蜩忭钽 觐眚疣牝嗷 溴 耋狷尻蝾 性.

碾 铒疱溴脲龛 箴钼 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 镳 镱祛 戾蝾溧 觐腚尻蜩忭铋 耧屦蝽铋 铞屙觇, 戾蝾溧 觐痧咫鲨铐眍泐 囗嚯桤 钺钺眄 桧滂赅蝾痤 猁 镱溷铗钼脲 栩钽钼 镥疱麇睃 桤 24 镱赅玎蝈脲 [2].

3 囡 - 襻铕 耱囹桉蜩麇耜桴 溧眄 噌耦膻蝽 珥圜屙, 疣琊噌铗赅 桧纛痨圉桀眄铋 镫囹纛痨 潆 襻铕 钺钺龛 桧纛痨圉梃 镱 赅驿铋 涛 (asmms.mednet.ru), 疣琊噌铗赅 戾蝾漕腩汨 戾蝾滂 爨蝈爨蜩麇耜铋, 嚯泐痂蜢梓羼觐 耱囹桉蜩麇耜铋 钺疣犷蜿 溧眄 镳桁屙屙桢 觐祜蝈痦 蝈蹴铍钽栝.

碾 钺羼镥麇龛 钺牝桠眍耱 镳钼钿桁铋 铞屙觇 猁豚 镳钼邃屙 爨聒蜞犴 疣犷蜞 镱 蜩箴钼礤忸祗 觐眚痤膻 镱腠铗 漕耱钼屦眍耱 镳邃耱噔脲眄 溧眄, 镱耠 赅驿钽 桤 龛 铖簌羼蜮腩顸 铒屦囹桠眍 忡噼祛溴轳蜮桢 耋狷尻蜞扈 潆 觐痧尻蜩痤怅 恹怆屙睇 溴翦牝钼. 疱珞朦蜞蝈 镳钼邃屙睇 戾痤镳蜩 猁豚 镱塍麇磬 钺疣犷蜞磬 桧纛痨圉 镱 3811 涛 (桎梓羼觇 腓鲟), 钺 觐腓麇耱忮 犷脲 275 螓. 邃桧桷 噌耦膻蝽 珥圜屙栝.

疣礻圊 襻铕 溧眄 镳钼邃屙 觐眚痤 猁腩 钺羼镥麇眍 镱耱眄铄 戾蝾滂麇耜铄 戾蝾漕腩汨麇耜铄 耦镳钼铈溴龛 镱滗屦骊 耋狷尻蝾 性, 蝾 麒耠 铗溴朦睇 涛. 聋腩 溧眍 犷脲 500 镱耥屙栝 疱觐戾礓圉栝.

4 囡 - 嚆疱汔鲨 蝠囗耧铐桊钼囗桢 镱塍麇眄铋 桧纛痨圉梃 邃桧簋 徉珞 溧眄, 爨蝈爨蜩麇耜 钺疣犷蜿 疱珞朦蜞蝾 鬣耱 纛痨桊钼囗 钺钺眄 桧溴犟钼 犭嚆铒铍篦 噤囡蜩痤忄眄 桧溴犟钼 犭嚆铒铍篦 戾滂鲨眈觇 铕汔龛玎鲨. 泥脲 猁腩 铖簌羼蜮脲眍 疣耧疱溴脲龛 徉琨 溧眄 磬 沭箫稃 玎忤耔祛耱 铗 赅蝈泐痂 钺耠箧桠噱祛泐 磬皴脲龛, 蜞赕 铗 蜩镟 涛. 襄疱 恹麒耠屙桢 钺钺眄 踵疣牝屦桉蜩 镱赅玎蝈脲, 猁腩 镳铊玮邃屙 桉觌屙桢 桤 桁妣轳 耦忸牦镯铖蜩 溧眄 恹镟溧桴 (囗铎嚯) 珥圜屙栝.

燕禧 疣耧痤耱疣礤眄 戾蝾漕 纛痨桊钼囗 铞屙铌 怆弪 耩噔礤龛 嚯铐眍 铕汔龛玎鲨彘, 桁妣 塍鼬邋 珥圜屙桢 镱 怦屐 镱赅玎蝈 (徨眵爨痍桧), .. 嚯铐铎 耩噔礤龛 怆弪 礤 耋狷尻蜩忭铄 镳邃腩驽龛 耧屦蝾 忤溴 眍痨 (牮栩屦), 耠铈桠羼 疱嚯铖蜩 磬栳铍邋 恹耦觇 疱珞朦蜞螓. 铖眍忮 疣聍弪 栩钽钼钽 镱赅玎蝈 铞屙觇 脲骅 耩噔礤龛 铕汔龛玎鲨 (钺牝 铞屙觇) 镱 赅驿铎 镱赅玎蝈膻 篑腩忭铋 嚯铐眍 铕汔龛玎鲨彘 (钺牝铎), 桁妣 磬桦篦 疱珞朦蜞螓 镱 耩噔龛忄屐 镱赅玎蝈 [11].

泥脲, 潆 镳钼邃屙 疣聍弪 桧溴犟 犭嚆铒铍篦 镱赅玎蝈脲 猁豚 桉镱朦珙忄磬 噤囡蜩痤忄眄 悦劣 腿任惹 惕礴漯噔 蓄耨梃 戾蝾滂赅, 怅膻麇眄 眍痨囹桠睇 漕牦戾眚 镱 铞屙赍 溴蝈朦眍耱 涛 [7]. 灶痨桊钼囗桢 桧溴犟钼 犭嚆铒铍篦 铖簌羼蜮腩顸 磬 铖眍忄龛 珥圜屙栝, 镱塍麇眄 疱珞朦蜞蝈 钺疣犷蜿 溧眄 耦铗忮蝰蜮梃 镳钼邃屙眍 蜩镨玎鲨彘 涛. 碾 赅驿钽 桤 镱赅玎蝈脲 镳 镱祛 戾蝾溧 觐腚尻蜩忭铋 耧屦蝽铋 铞屙觇 猁腩 铒疱溴脲眍 邈 塍鼬邋 珥圜屙桢. 碾 桴 鲥脲 猁腓 疣耨麒蜞睇 爨犟桁嚯, 扈龛爨朦睇 耩邃龛 珥圜屙 镱赅玎蝈脲 赅驿铋 桉耠邃箦祛 沭箫镥 涛.

袜 玎忮瘌帼 囡 猁 镳铊玮邃屙 镥疱忸 桧溴犟 犭嚆铒铍篦 镱赅玎蝈脲 铞屙牦 徉腚圊 铗 0 漕 10 潆 箫痤龛 镳铞羼襦 忤珞嚯桤圉梃, 沅 0 镥疱忮溴眄 桧溴犟 躞澍邈 珥圜屙, 10 镥疱忮溴眄 桧溴犟 塍鼬邈 珥圜屙.

亦觇 钺疣珙, 镱 耋狷尻蜞 性 猁腓 耵铕扈痤忄睇 爨犟桁嚯 扈龛爨朦睇 珥圜屙 噤囡蜩痤忄眄 耋祆囵睇 桧溴犟钼 犭嚆铒铍篦 潆 4 沭箫 襦祛耱蝈朦睇 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 镱 疱珞朦蜞蜞 觐蝾瘥 猁豚 镳钼邃屙 礤玎忤耔爨 铞屙赅 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 磬皴脲龛 性.

吾耋驿屙桢.

项 疱珞朦蜞蜞 磬 赅驿铎 桤 麇螓疱 囡钼 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 忸 怦艴 耋狷尻蜞 性 猁豚 漕赅玎磬 钺牝桠眍耱 镱赅玎蝈脲 铞屙觇 怦艴 磬镳噔脲龛 溴蝈朦眍耱.

绣珞朦蜞螓 铞屙觇 忤腓顸 漕赅玎蝈朦眍 徉珙 潆 耦忮瘌屙耱忸忄龛 溴蝈朦眍耱 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 镱玮铍 镳钼羼蜩 耩噔龛蝈朦睇 囗嚯桤 溴蝈朦眍耱 镱 桴 疱珞朦蜞蜩忭铖蜩, 觐蝾疣 桧蝈沭桊钼囗 邃桧 镱赅玎蝈朦 桧溴犟 犭嚆铒铍篦.

项塍麇眄 疱珞朦蜞螓 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 怆 忄骓铋 桧纛痨圉桢:

  1. - 潆 惕礴漯噔 蓄耨梃, 赅 漕赅玎蝈朦磬 徉玎 镳 恹疣犷蜿 镱腓蜩觇 钺豚耱 铕汔龛玎鲨 镥疴梓眍 戾滂觐-襦龛蜞痦铋 镱祛 磬皴脲龛;
  2. - 潆 痼觐忸滂蝈脲 铕汔眍 箫疣怆屙 玟疣忸铛疣礤龛屐 耋狷尻蝾 性, 赅 漕赅玎蝈朦磬 徉玎 疣琊噌铗觇 疱嚯桤圉梃 戾痤镳蜩 潆 耦忮瘌屙耱忸忄龛 镥疴梓眍 戾滂觐-襦龛蜞痦铋 镱祛;
  3. - 潆 痼觐忸滂蝈脲 戾滂鲨眈觇 铕汔龛玎鲨 潆 犷脲 溴蜞朦眍泐 桉耠邃钼囗 镳梓桧 羿牝铕钼 龛珀铋 翦牝桠眍耱 铗溴朦睇 镱漯噻溴脲龛 耠箧, 怩钿 桴 耦耱噔.

蔓忸潲.

  1. 羽钼屙 铕汔龛玎鲨, 漕耱箫眍耱, 赅麇耱忸 篑腩忤 铌噻囗 镥疴梓眍 戾滂觐-襦龛蜞痦铋 镱祛 珥圜栩咫铋 戾疱 铒疱溴 箐钼脲蜮铕屙眍耱 磬皴脲龛 怦彘 耔耱屐铋 玟疣忸铛疣礤龛.
  2. 砚铄怵屐屙眍 镳桧蜩 翦牝桠睇 铕汔龛玎鲨铐睇 疱龛 镱 镱恹龛 赅麇耱忄 戾滂鲨眈觇 篑塍 铕汔龛玎鲨, 铌噻帼 镱祛 囔狍豚蝾痦 篑腩忤, 蝠遽簋 镳钼邃屙 镱耱眄钽 祛龛蝾痂磴 铞屙觇 桴 溴蝈朦眍耱 磬 铖眍忮 钺牝桠睇 牮栩屦桢 篦弪铎 耧弼梏桕 涛.
  3. 绣珞朦蜞螓 礤玎忤耔祛 铞屙觇 漕耱箫眍耱 赅麇耱忄 囔狍豚蝾痦铋 戾滂鲨眈觐 镱祛 桉镱朦珙忄龛屐 噤囡蜩痤忄眄 桧溴犟钼 犭嚆铒铍篦 怆 钺牝桠眍 桧纛痨圉桀眄铋 徉珙 镳 疣琊噌铗赍 鲥脲恹 镳钽疣祆, 镳铄牝钼, 戾痤镳蜩 镱 耦忮瘌屙耱忸忄龛 镥疴梓眍泐 皴牝铕, 铞屙铟睇 桧耱痼戾眚铎 镳 纛痨桊钼囗梃 疱轵桧汔 觐黻疱蝽 涛.
  4. 橡钼邃屙桢 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 漕耱箫眍耱 戾滂鲨眈觐 镱祛 桉镱朦珙忄龛屐 噤囡蜩痤忄眄 桧溴犟钼 犭嚆铒铍篦 涛, 铌噻帼 镥疴梓眢 戾滂觐-襦龛蜞痦簋 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛, 镱玮铍弪:
  5. 铒疱溴腓螯 疱珞朦蜞蜩忭铖螯 溴蝈朦眍耱 涛 镳桧螯 疋铄怵屐屙睇 戾瘥 镱 镱恹龛 翦牝桠眍耱 铒蜩扈玎鲨 邋 溴蝈朦眍耱;
  6. 疋铄怵屐屙眍 恹忤螯 礤汔蜩忭 羿牝铕, 怆桢 磬 赅麇耱忸 镳邃铖蜞怆屙 篑塍 耵屦 玟疣忸铛疣礤龛, 篑蝠囗屙桢 桴 镳梓桧 矬蝈 疱嚯桤圉梃 鲥脲恹 戾痤镳蜩;
  7. 箨疱镨螯 桧耱栩篁 钺耱忮眄钽 觐眚痤 钺羼镥麒螯 镱蝠遽栩咫彘 篑塍 耵屦 玟疣忸铛疣礤龛 漕镱腠栩咫铋 桧纛痨圉桢 疣犷蝈 涛, 蝾 麒耠 鲥 疱嚯桤圉梃 镳桧噤脲驵泐 镱蝠遽栩咫 镳噔 恹犷疣 觐黻疱蝽铋 涛 潆 镱塍麇龛 篑塍 耵屦 玟疣忸铛疣礤龛.

凌犭桀沭圄

  1. 惕踵殡钼 .., 肉囗钼 .., 罔觇磬 .., 项腓赅痫钼 .., 洛黝痍 .. 体蝾漕腩汨麇耜桢 囫镥牝 镳钼邃屙 礤玎忤耔祛 铞屙觇 戾滂鲨眈觇 铕汔龛玎鲨 耋狷尻蝾 性, 铌噻帼 戾滂鲨眈牦 镱祛 镳桕疱镫屙眍祗 磬皴脲龛 囔狍豚蝾痦 篑腩忤. 杨鲨嚯 囫镥牝 玟铕钼 磬皴脲龛 [尻蝠铐睇 磬篦睇 骟痦嚯]. 2016; 3(49). URL: http://vestnik.mednet.ru/content/view/749/30/lang,ru/ 泥蜞 钺疣龛 30 棹 2016) DOI: 10.21045/2071-5021-2016-49-3-1
  2. 惕踵殡钼 .., 肉囗钼 .., 项腓赅痫钼 .., 罔觇磬 .., 妙塍徨 .., 洛黝痍 .. 橡桁屙屙桢 戾蝾漕 耧屦蝽 铞屙铌 镳 恹犷疱 镱赅玎蝈脲 潆 铞屙觇 赅麇耱忄 铌噻囗 戾滂鲨眈觐 镱祛 戾滂鲨眈觇扈 铕汔龛玎鲨扈, 铌噻帼 囔狍豚蝾痦簋 戾滂鲨眈牦 镱祛 桁妣 镳桕疱镫屙眍 磬皴脲龛. 洛耱龛 蓄耒漯噔磬溏铕 2016;( 4):74-77.
  3. 戾痤镳蜩 镱 疱嚯桤圉梃 泐耋溧瘃蜮屙眍 耦鲨嚯铋 镱腓蜩觇. 雨噻 橡彗桎屙蜞 性 象蜩磬 .. 铗 59707 爨 2012 [软蝈痦弪]. URL: http://base.garant.ru/70170950/ (泥蜞 钺疣龛 20 棹 2016).
  4. 戾蝾滂麇耜桴 疱觐戾礓圉 镱 镳钼邃屙棹 礤玎忤耔祛 铞屙觇 赅麇耱忄 疣犷螓 铕汔龛玎鲨, 铌噻帼 耦鲨嚯 篑塍汨 耵屦 耦鲨嚯钽 钺耠箧桠囗. 橡桕噻 惕眚痼溧 蓄耨梃 铗 30 噔泱耱 2013 391. URL http://www.rosmintrud.ru/docs/mintrud/orders/120http://www.rosmintrud.ru/docs/mintrud/orders/120 (泥蜞 钺疣龛 20 棹 2016).
  5. 吾 铖眍忄 铛疣睇 玟铕钼 沭噫溧 蓄耨栝耜铋 藻溴疣鲨. 藻溴疣朦睇 玎觐 铗 21 眍狃 2011 323-郧. URL: http://ivo.garant.ru/#/document/12191967/paragraph/1:1
  6. 吾 铕汔龛玎鲨 疣犷螓 镱 纛痨桊钼囗棹 礤玎忤耔祛 耔耱屐 铞屙觇 赅麇耱忄 疣犷螓 泐耋溧瘃蜮屙睇 (祗龛鲨镟朦睇) 篦疱驿屙栝, 铌噻帼 篑塍汨 耵屦 玟疣忸铛疣礤龛. 橡桕噻 惕礴漯噔 蓄耨梃 铗 31.10.2013 N 810 (篁疣蜩 耔塍). URL: http://www.rosminzdrav.ru/documents/5363-prikaz-minzdrava-rossii-ot-31-oktyabrya-2013-g-810a
  7. 吾 铕汔龛玎鲨 疣犷螓 镱 纛痨桊钼囗棹 疱轵桧泐 泐耋溧瘃蜮屙睇 (祗龛鲨镟朦睇) 篦疱驿屙栝, 铌噻帼 篑塍汨 耵屦 玟疣忸铛疣礤龛" (忪羼蝈 "体蝾滂麇耜桁 疱觐戾礓圉扈 镱 纛痨桊钼囗棹 疱轵桧泐 泐耋溧瘃蜮屙睇 (祗龛鲨镟朦睇) 篦疱驿屙栝, 铌噻帼 篑塍汨 耵屦 玟疣忸铛疣礤龛"). 橡桕噻 惕礴漯噔 蓄耨梃 铗 12.09.2014 N 503 (篁疣蜩 耔塍). URL: http://www.garant.ru/products/ipo/prime/doc/70663238/
  8. 吾 篁忮疰溴龛 体蝾滂麇耜桴 疱觐戾礓圉栝 镱 镳钼邃屙棹 礤玎忤耔祛 铞屙觇 赅麇耱忄 铌噻囗 篑塍 戾滂鲨眈觇扈 铕汔龛玎鲨扈. 橡桕噻 惕龛耱屦耱忄 玟疣忸铛疣礤龛 蓄耨栝耜铋 藻溴疣鲨 铗 14 爨 2015 240 URL: https://www.rosminzdrav.ru/documents/9072-prikaz-ministerstva-zdravoohraneniya-rossiyskoy-federatsii-ot-14-maya-2015-g-240-ob-utverzhdenii-metodicheskih-rekomendatsiy-po-provedeniyu-nezavisimoy-otsenki-kachestva-okazaniya-uslug-meditsinskimi-organizatsiyami
  9. 吾 篁忮疰溴龛 镱赅玎蝈脲, 踵疣牝屦桤簋 钺 牮栩屦梃 铞屙觇 赅麇耱忄 铌噻囗 篑塍 戾滂鲨眈觇扈 铕汔龛玎鲨扈. 橡桕噻 惕礴漯噔 蓄耨梃 铗 28 眍狃 2014 787. URL: http://base.garant.ru/70835536/
  10. 吾 篁忮疰溴龛 项腩驽龛 惕龛耱屦耱忮 玟疣忸铛疣礤龛 蓄耨栝耜铋 藻溴疣鲨. 项耱囗钼脲龛 橡噔栩咫蜮 性 铗 19 棹 2012 608. URL: http://base.garant.ru/70192436/
  11. 畜溴黻 ., 念痤翦邂 . 义蹴铍钽 徨眵爨痍桧汔. 锑痍弪桧. 2013;2(129): 57-66.

References

  1. Mikhaylova Yu.V., Ivanov I.V., Shikina I.B., Polikarpov A.V., Vechorko V.I. Methodological aspects of carrying out an independent assessment of health care facilities of the RF subjects providing medical care to the attached population in out-patient conditions. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2016 [cited 2016 Jun 30]; 3(49). Available from: http://vestnik .mednet.ru/content/view/749/30/lang, ru DOI: 10.21045/2071-5021-2016-49-3-1/. (In Russian)
  2. Mikhaylova Yu.V., Ivanov I.V., Polikarpov A.V., Shikina I.B., Golubev N.A., Vechorko V.I. Application of expert estimation methods for selecting indicators for assessing the quality of medical care providing by out-patient health care facilities to the attached population. Vestnik Roszdravnadzora 2016; (4):74-77. (In Russian).
  3. On the actions for realization of the state social policy. Ukaz Prezidenta RF Putina V.V. ot 59707 maya 2012 [Online] [cited 2016 Jul 20]. Available from: http://base .garant.ru/70170950/ .(In Russian).
  4. On methodical recommendations for carrying out an independent quality assessment of the organizations providing social care. Prikaz Mintruda Rossii ot 30 avgusta 2013 391a. [Online] [cited 2016 Jul 20]. Available from: http://www.rosmintrud.ru/docs/mintrud/orders/120http://www.rosmintrud.ru/docs/mintrud/orders/120 .(In Russian).
  5. On the bases of public health protection in the Russian Federation. Federal'nyy zakon ot 21 noyabrya 2011 323-FZ. [Online]. Available from: http://ivo .garant.ru/#/document/12191967/paragraph/1:1.(In Russian).
  6. On the organization of works to form an independent system for assessing the operational quality of the public (municipal) health care facilities. Prikaz Minzdrava Rossii ot 31.10.2013 N 810a (utratil silu). [Online]. Available from: http://www .rosminzdrav.ru/documents/5363-prikaz-minzdrava-rossii-ot-31-oktyabrya-2013-g-810a.(In Russian).
  7. On the organization of works to form the ratings of the public (municipal) health care facilities " (together with "Methodical recommendations for formation of ratings of the public (municipal) health care facilities"). Prikaz Minzdrava Rossii ot 12.09.2014 N 503 (utratil silu). [Online]. Available from: http://www.garant.ru/products/ipo/prime/doc/70663238/.(In Russian).
  8. On the approval of Methodical recommendations for carrying out an independent assessment of the quality of medical services providing by health facilities. Prikaz Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 14 maya 2015 240 [Online]. Available from: https://www.rosminzdrav. ru/documents/9072-prikaz-ministerstva-zdravoohraneniya-rossiyskoy-federatsii-ot-14-maya-2015-g-240-ob-utverzhdenii-metodicheskih-rekomendatsiy-po-provedeniyu-nezavisimoy-otsenki-kachestva-okazaniya-uslug-meditsinskimi-organizatsiyami (In Russian).
  9. On approval of the indicators characterizing the general criteria to assess the quality of services providing by health care facilities. Prikaz Minzdrava Rossii ot 28 noyabrya 2014 787n. [Online]. Available from: http://base .garant.ru/70835536/ (In Russian).
  10. On the approval of the Provisions for the Health Ministry of the Russian Federation. Postanovlenie Pravitel'stva RF ot 19 iyunya 2012 608. [Online]. Available from: http://base.garant.ru/70192436/.(In Russian).
  11. Rudenko M., Dorofeeva A. Technology of a benchmarking. Marketing 2013; 2(129): 57-66. (In Russian).

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