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Tuesday, 06 March 2018

DOI: 10.21045/2071-5021-2018-59-1-2

Institute of Advanced Training of the Federal Medical and Biological Agency, Moscow, Russia

Contacts: Olenev Anton, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Acknowledgments. The study was supported by the Russian Federal Medical and Biological Agency.
Conflict of interests. The authors declare no conflict of interest.


Significance. Activity of medical organizations is under control of the Russian healthcare administrative bodies. Analysis of results of the control activities shows increased incidence of diseases and existence of illegal and non-efficient budgetary expenditures. Such trends suggest a low effectiveness of control activities and the need for new improved forms and methods to control performance of medical organizations.

Purpose: to scientifically substantiate the need for on-site pre-licensing of medical organizations in big cities.

Methods. This study used methods of analytical and historical analysis, survey and "Test-survey" method.

Results. The highest rates of beds reduction were registered in 2011-2014.

Reduction in the number of municipal beds was rather due to the reduced number of medical facilities than bed closure in active hospitals. 32.9% out of 10500 closed beds were in the shut down hospitals.

Except for 2008 the peak of shutting down the municipal hospital facilities was registered in 2013-2014 i.e. during licensing of the city medical organizations by the Licensing and Accreditation Commission.

On-site pre-licensing of municipal and state medical organizations contributes to improved quality of care by denying access to the "health care market" to those organizations that fail to meet sanitary and other technical requirements according to the survey of heads of medical organizations.

Conclusions. 1. Need for conducting a preliminary performance evaluation of medical organizations in a big city (exemplified by Moscow) when carrying out licensing and accreditation has been identified.

2. According to the survey of heads of medical organizations, on-site pre-licensing undoubtedly results in care quality improvement.

3. A small number of respondents who disagreed with this opinion (3.2%) had objective problems with licensing of their organizations.

Keywords: licensing and accreditation of medical organizations; pre-licensing; monitoring of activities; managers; opinion.


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