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[About standardization of specialized medical care].
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2016 May-Jun; 24(3):156-9
Publication Type
Journal Article
I V Uspenkaia
A A Nizov
E V Manukhina
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2016 May-Jun; 24(3):156-9
Publication Type
Journal Article
Delivery of Health Care, Integrated - organization & administration - standards
Health Care Reform
Medicine - methods - standards
Program Development
Quality Improvement - organization & administration
Specialization - standards
The article presents materials of studying of such important problem of health care as standardization of specialized medical care provided in conditions of hospital and modernization of regional health care. The issues of standardization of specialized medical care are considered in medical, economic and social aspects. The implementation of medical standards was determined as one of main tasks of the regional program of modernization of health care. The program was developed with direct involvement of the authors of article. The comparative analysis of classes of diseases and nosologic forms on main indices of hospitalized morbidity and lethality was used for substantiation of priority of implementing medical standards in the region. The questionnaire survey was carried out on sampling of 510 patients of hospitals. The sociological questionnaire survey was applied to sampling of 8732 patients comprised by system of mandatory medical insurance. Such an approach determined reliability of derived results. The expertise of medical standards was implemented by 124 experienced and competent physicians participating in implementation of medical standards. The results of expertise confirmed expediency of implementation of medical standards. Kepy following shortcomings were established: inadequate financing; lacking of modern equipment and analysis techniques in hospitals, etc. The article presents evidences of effectiveness of process of standardization of specialized of medical care provided in hospital conditions. The basis of such an assumption was reliable increasing of level of satisfaction of quality of its organization and achievement of planned indices of "road map" in the section of increasing of salary of medical workers and decreasing of mortality of population because of controllable causes.
PubMed ID
29553232 View in PubMed
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