About unsolved problems of quality management in health care

Authors

  • Наталия Гурьевна Петрова Pavlov First St. Petersburg-State Medical University, 6–8, ul. L’va Tolstogo, St. Petersburg, 197022, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2018.108

Abstract

Ensuring a high level of quality of care is the main task of any medical organization. The first stage of its solution is proper quality control. In the article, problems that make it difficult to solve these problems are considered. They are: the imperfection of the legislative base, the lack of a clear understanding of the quality criteria by the leaders of medical organizations and subjects of control, different approaches to its evaluation and interpretation of indicators, the lack of differentiation of tasks for achieving certain indicators by management levels, the recommendatory nature of orders and standards for the need for their compliance, the lack of systematic approach to the organization of control and quality assurance, the lack of special training for managers in the field of quality management. Only a systematic approach to solving these problems will lead to a significant improvement in the quality of medical care.

Keywords:

quality of medical care, quality management

Downloads

Download data is not yet available.
 

References

Литература

Трепель В. Г., Шишов М. А. К вопросу об оценке деятельности медицинских работников, участвующих в оказании медицинских услуг // Управление качеством в здравоохранении. 2017. № 1. С. 20–24.

Петрова Н. Г., Погосян С. Г., Миннуллин Т. И., Окунев А. Ю., Брацлавский В. Б Качество медицинской помощи и вопросы кадрового менеджмента // Современные проблемы науки и образования. 2016. № 5. URL: http://www.science-education.ru/article/view?id=25192 (дата обращения: 10.06.2016).

Орлов А. Е.Научное обоснование системы обеспечения качества в условиях городской многопрофильной больницы: автореф. дис. … д-ра мед. наук. М., 2016. 45 с.

Меркель В. А., Стародубцев С. В., Черемин Р. А. Внедрение системы управления качеством в медицинской организации // Управление качеством в здравоохранении. 2015. № 1. С. 14–23.

Fredericks S., Lapum J., Schwind J. Discussion of Patient-Centered Care in Health Care Organisation // Quality management in Health Care. 2012. Vol. 21, N 3. P. 127–134.

Eckerman S., Coelli T. Including quality attributes in efficiency measures consistent with net benefit creating incentives for evidence based medicine in practice // Soc. Sci. Med. 2013. Vol. 76, N 1. P. 159–168.

Серегина И. Ф. Система управления качеством в здравоохранении: модный тренд или требование времени // Управление качеством в здравоохранении. 2014. № 1. C. 3–7.

Martin S., Smith P. C., Dusheiko M. Do Quality Improvements in Primary Care Reduce Secondary Care Costs? Primary research into the impact of the quality and outcomes framework in hospital costs and mortality: Health Foundation, 2011. URL: www.health.org.uk/publications/QOF-report (дата обращения: 10.06.2016).

McNutt R., Johnson T., Kane J. Cost and Quality Implications of Discrepancies Between Admitting and Discharge Diagnoses // Quality management in Health Care. 2012. Vol. 21, N 4. P. 220–227.


References

Trepel V. G., Shishov M. A.K voprosu ob otsenke deiatel’nosti meditsinskikh rabotnikov, uchastvuiushchikh v okazanii meditsinskikh uslug [To the question of the evaluation of the activity of medical workers participating in the provision of medical services]. Upravlenie kachestvom v zdravookhranenii [Quality management in public health], 2017, no. 1, pp. 20–24. (In Russian)

Petrova N. G., Pogosian S. G., Minnullin T. I., Okunev A. Iu., Bratslavskii V. B. Kachestvo meditsinskoi pomoshchi i voprosy kadrovogo menedzhmenta [Quality of medical care and personnel management issues]. Sovremennye problemy nauki i obrazovaniia [Modern problems of science and education], 2016, no. 5. Available at: http://www.science-education.ru/article/view?id=25192 (accessed: 10.06.2016). (In Russian)

Orlov A. E. Nauchnoe obosnovanie sistemy obespecheniia kachestva v usloviiakh gorodskoi mnogoprofil’noi bol’nitsy. Avtoref. dis. … kand. med. nauk [Scientific substantiation of the quality assurance system in the conditions of a city hospital. Thesis of PhD Diss. of medical sciences]. Moscow, 2016. 45 p. (In Russian)

Merkel’ V. A., Starodubtsev S. V., Cheremin R. A. Vnedrenie sistemy upravleniia kachestvom v meditsinskoi organizatsii [Implementation of a quality management system in a medical organization]. Upravlenie kachestvom v zdravookhranenii [Quality management in public health], 2015, no. 1, pp. 14–23. (In Russian)

Fredericks S., Lapum J., Schwind J. Discussion of Patient-Centered Care in Health Care Organisation. Quality management in Health Care, 2012, vol. 21, no. 3, pp. 127–134.

Eckerman S., Coelli T. Including quality attributes in efficiency measures consistent with net benefit creating incentives for evidence based medicine in practice. Soc. Sci. Med., 2013, vol. 76, no. 1, pр. 159–168.

Seregina I. F. Sistema upravleniia kachestvom v zdravookhranenii: modnyi trend ili trebovanie vremeni [Quality management system in health care: a fashion trend or the demand of time]Upravlenie kachestvom v zdravookhranenii [Quality management in public health], 2014, no. 1, pp. 3–7. (In Russian)

Martin S., Smith P. C., Dusheiko M. Do Quality Improvements in Primary Care Reduce Secondary Care Costs? Primary research into the impact of the quality and outcomes framework in hospital costs and mortality: Health Foundation, 2011. Available at: www.health.org.uk/publications/QOF-report (accessed: 10.06.2016).

McNutt R., Johnson T., Kane J. Cost and Quality Implications of Discrepancies Between Admitting and Discharge Diagnoses.Quality management in Health Care, 2012, vol. 21, no. 4, pp. 220–227.

Published

2018-03-27

How to Cite

Петрова, Н. Г. (2018). About unsolved problems of quality management in health care. Vestnik of Saint Petersburg University. Medicine, 13(1), 83–90. https://doi.org/10.21638/11701/spbu11.2018.108

Issue

Section

Public health and health care

Most read articles by the same author(s)