The role of the center of expertise and to ensure the rights of patients and physicians to improve the quality of medical care
Science Articles / / August 12, 2017
Hutorskoy MA, Resnyansky AV Milyakov VPCity Hall Health Department, NP "Center of Expertise and ensuring the rights of patients and physicians," MSC "ASKO-VAZ", Togliatti
Among health care reform issues at the present stage, the quality of care problems (ILC), which is designed to ensure that the finalfinally, the constitutional rights of citizens to receive quality health care have a special place.
have developed legislation aimed at ensuring the rights of citizens to health care.Improving the Commission's population is one of the main objectives of the current Russian health care reform.Ensuring the rights of citizens to health care of appropriate quality is declared law "Fundamentals of Legislation on health care", "On health insurance of citizens in the Russian Federation" and "On Protection of Consumers' Rights.
Pursuant to Federal Laws and the Federal Ministry of Health of Russian Fund of CHI has adopted a number of normative documents regulating the activation of measures aimed at improving
Department of Health in the city of Togliatti 1995-1996work was carried out to assess the possibility of using the expertise to create a quality system at the municipal level in a number of areas proven automated examination of the quality of care technology countries (ATE ILC), the proposed "Center of Quality and Qualifications" (St. Petersburg, head - Professor, Doctor.m.n. Chavpetsov VF).
On the basis of the results:
??ATE system evaluates the Commission's basic (medical) health care process;
??It has formalized language, thus reducing the subjectivism of the Commission's assessment;
??It allows you to quickly process the results from the release of the typical medical errors with the provision of generalizing and evaluative information on the units of the medical process, according to doctors, hospitals and structural units, etc .;
??discloses the formation of expert opinion and the requirements of modern social technologies.
Agreement between the subjects of the CHI system Togliatti, a decision was made on the application of the Commission in ATE systems, departmental and non-departmental examination.
the course of the above work was determined the feasibility of establishing a legally independent expert organization in the role of "staff organization" structure of the Commission's urban management system.
In early 1996, with the support of the City Hall of Togliatti, a city of the Association of doctors was convened in the form of a non-commercial partnership "Center for examination and ensure the rights of patients and physicians."
Its founders are "Quality Center and qualifications" (St. Petersburg) and MSC "Asko-VAZ" (Togliatti).
were formulated goals and objectives of the Centre, the stages of its development.As a result of problems solved by the Centre have been incorporated into a comprehensive program for the city's health reform.
For 6 years of operation, the Centre formed organization "the legal framework, organizational and methodological support of the Commission's examination at the city level.
The city ATE ILC trained more than 300 doctors (in almost all specialties), of which about 90 are periodically involved in the conduct of departmental and non-departmental Commission's expertise.16 Prepared by the organizers of the Commission assessment.A total of about 10 thousand. ILC expertise.
annually, according to the plan approved by the Department of Health, carried out about ten thematic Commission's expertise on key health care facilities of the city.Thematic examinations carried out more than 40, almost all the managerial decision-making,
implementation and effectiveness of management decisions increased from 21% in 1998 to 73% in 2001, which proves that their influence on the change of quality indicators of medical activities, more efficient use ofmunicipal health resources.
The most significant reduction of pre-hospital mortality in acute cerebral circulatory disorders were obtained during the execution of the quality of urban neurological care of municipal contracts in the period of 2000 - 2001 gg
In 2002, the system of municipal orders scheduled work on the quality of care young children (perinatal encephalopathy).
Center Experience has often seemed skilled at ILC management of other areas of the country (Saint-Petersburg, Belgorod, Pskov. Tula, etc.), As well as Russian and international conferences on quality management issues.
As a result of a comprehensive, scientific research, experimental and organizational work (study) 1996 Togliatti created and operates a hierarchical system of the Commission's management of uniting the efforts of the Department of Health of the mayoralty of Tolyatti, TFOMS leading MSK "Asko-VAZ", NP"Center of expertise to ensure the rights of patients and physicians," as a "headquarters organization" structures of municipal health care quality management system.