Methods for assessing the quality of medical care in Russia and abroad: formation and modern aspects

Abstract

The study presents the results of the analysis of available literary sources covering the historical and modern aspects of assessing the quality of medical care in the healthcare systems of the Russian Federation and some foreign countries and shows the relevance and feasibility of improving the methodology for assessing the quality of medical care in the Armed Forces of the Russian Federation. At present, many methods are used for assessing the quality of medical care in the healthcare system of the Russian Federation; however, none of them contains an exhaustive set of criteria that would allow assessing the quality of medical care provided in full. In the Armed Forces of the Russian Federation, the methods used to assess the quality of medical care are also not perfect, which leads to a decrease in the effectiveness of management decisions and thereby a decrease in the effectiveness of military medical organizations and units. To this end, active development of assessment indicators and criteria for the quality of medical care, introduction of new assessment methods, including the use of automated data accounting and analysis tools, and improvement of the procedures and standards of medical care are necessary. The most promising area is the use of comprehensive methods for assessing the effectiveness and quality of medical care, which have recently become widespread. Their application provides comprehensive control over compliance with medical care requirements and allows us to investigate the conditions wherein it is indicated, assess the degree of patient satisfaction, and helps optimize the assessment procedure. In addition, to improve the effectiveness, continuity in the implementation of control measures performed at various levels both within the medical organization and with the participation of departmental and state control bodies must be ensured. To do this, close interaction of all control bodies must be organized, and their activities must be integrated into a single quality management system for medical care. The results of the assessment of the quality of medical care can help determine the main directions of the development of the medical and diagnostic process and optimize the work of medical personnel, which increases the importance of work aimed at improving the assessment methodology. In addition, the quality control of medical care in the Armed Forces of the Russian Federation must be further improved.

Keywords

military personnel / Armed Forces of the Russian Federation / military medical organization / quality of medical care / criteria for assessing the quality of medical care / a system for collecting and analyzing data on the quality of health care / procedures for the provision of medical care / health care development / medical-diagnostic process

References

[1] Belevitin AB, Shelepov AM, Tyts VV. Methodological principles of military medical administration theory: main terms and definitions. Bulletin of the Russian Military Medical Academy. 2010;(3):193–198. EDN: NCFPHH

[2] Белевитин А.Б., Шелепов А.М., Тыц В.В. Методологические основы теории управления военно-медицинской службой: основные термины и понятия // Вестник Российской военно-медицинской академии. 2010. № 3. С. 193–198. EDN: NCFPHH

[3] Belevitin AB, Shelepov AM, Tyts VV. Methodological principles of military medical administration theory: main terms and definitions. Bulletin of the Russian Military Medical Academy. 2010;(3):193–198. EDN: NCFPHH

[4] Abushinov VV, Esipov AV. Internal control of quality and safety of medical activity as a step to the construction of quality-based management of medical organization. Issues of expertise and quality of medical care. 2017;(6):3–15. (In Russ.).

[5] Абушинов В.В., Есипов А.В. Внутренний контроль качества и безопасности медицинской деятельности как ступень к построению менеджмента медицинской организации на основе качества // Вопросы экспертизы и качества медицинской помощи. 2017. № 6. С. 3–15.

[6] Abushinov VV, Esipov AV. Internal control of quality and safety of medical activity as a step to the construction of quality-based management of medical organization. Issues of expertise and quality of medical care. 2017;(6):3–15. (In Russ.).

[7] Starodubov VI. Public health and public health care: national guide. Moscow: GEOTAR-Media; 2014. 624 p. (In Russ.).

[8] Стародубов В.И. Общественное здоровье и здравоохранение: национальное руководство. Москва: ГЭОТАР-Медиа, 2014. 624 с.

[9] Starodubov VI. Public health and public health care: national guide. Moscow: GEOTAR-Media; 2014. 624 p. (In Russ.).

[10] Telnova EA. Quality of medical care as the main task of the health care system. Bulletin of Roszdravnadzor. 2010;(5):4–6. (In Russ.).

[11] Тельнова Е.А. Качество оказания медицинской помощи как основная задача системы здравоохранения // Вестник Росздравнадзора. 2010. № 5. С. 4–6.

[12] Telnova EA. Quality of medical care as the main task of the health care system. Bulletin of Roszdravnadzor. 2010;(5):4–6. (In Russ.).

[13] Peshina EV, Leontiev IL, Makhinova NV. Modern health care management system: theory and practice: monograph. Yekaterinburg: USUE Publ.; 2010. 201 p. (In Russ.).

[14] Пешина Э.В., Леонтьев И.Л., Махинова Н.В. Современная система управления здравоохранением: теория и практика: монография. Екатеринбург: Изд-во УГЭУ, 2010. 201 с.

[15] Peshina EV, Leontiev IL, Makhinova NV. Modern health care management system: theory and practice: monograph. Yekaterinburg: USUE Publ.; 2010. 201 p. (In Russ.).

[16] Lukyantseva DV. Standardization in the sphere of medical services in the management of quality of medical care [dissertation]. Moscow; 2003. 169 p. (In Russ.).

[17] Лукьянцева Д.В. Стандартизация в сфере медицинских услуг в управлении качеством медицинской помощи: дис. ... канд. мед. наук. Москва, 2003. 169 с.

[18] Lukyantseva DV. Standardization in the sphere of medical services in the management of quality of medical care [dissertation]. Moscow; 2003. 169 p. (In Russ.).

[19] Atsel EA, Fomina AV. Estimation of quality of medical aid in public health services modernization. Modern studies of social issues. 2013;(1):11. doi: 10.12731/2218-7405-2013-1-37

[20] Ацель Е.А., Фомина А.В. Управление качеством медицинской помощи в период модернизации здравоохранения // Современные исследования социальных проблем. 2013. № 1. С .11. doi: 10.12731/2218-7405-2013-1-37

[21] Atsel EA, Fomina AV. Estimation of quality of medical aid in public health services modernization. Modern studies of social issues. 2013;(1):11. doi: 10.12731/2218-7405-2013-1-37

[22] Shabrov AV, Chavpetsov VF. Proceedings of the science and practice conferences: «Modern system of medical care quality management». Saint Petersburg; 2010. 168 p. (In Russ.).

[23] Шабров А.В., Чавпецов В.Ф. Материалы международной научно-практической конференции: «Современная система управления качеством медицинской помощи». Санкт-Петербург, 2010. 168 с.

[24] Shabrov AV, Chavpetsov VF. Proceedings of the science and practice conferences: «Modern system of medical care quality management». Saint Petersburg; 2010. 168 p. (In Russ.).

[25] Sharabchiev YT, Dudina TV. Availability and quality of medical care: components of success. Medical news. 2009;(12):6–12. (In Russ.).

[26] Шарабчиев Ю.Т., Дудина Т.В. Доступность и качество медицинской помощи: слагаемые успеха // Медицинские новости. 2009. № 12. С. 6–12.

[27] Sharabchiev YT, Dudina TV. Availability and quality of medical care: components of success. Medical news. 2009;(12):6–12. (In Russ.).

[28] Nazarenko GB. Quality of medical care in Russia. Clinical medicine (Russian jornal). 2021;99(5-6):383–387. EDN: YVDXWL doi: 10.30629/0023-2149-2021-99-5-6-383-387

[29] Назаренко Г.Б. Качество оказания медицинской помощи в России // Клиническая медицина. 2021. Т. 99, № 5-6. С. 383–387. EDN: YVDXWL doi: 10.30629/0023-2149-2021-99-5-6-383-387

[30] Nazarenko GB. Quality of medical care in Russia. Clinical medicine (Russian jornal). 2021;99(5-6):383–387. EDN: YVDXWL doi: 10.30629/0023-2149-2021-99-5-6-383-387

[31] Deming E. Exit from crisis. A new paradigm for managing people, systems and processes. Moscow: Alpina Publisher; 2011. 400 p. (In Russ.).

[32] Деминг Э. Выход из кризиса. Новая парадигма управления людьми, системами и процессами. Москва: Альпина Паблишер, 2011. 400 с.

[33] Deming E. Exit from crisis. A new paradigm for managing people, systems and processes. Moscow: Alpina Publisher; 2011. 400 p. (In Russ.).

[34] Siburina TA, Indeikin EN, Lovenetsky AN. Health insurance abroad: problems, experience, prospects. Moscow: Soyuzmedininform; 1992. 103 p.

[35] Сибурина Т.А., Индейкин Е.Н., Ловенецкий А.Н. Страхование здоровья за рубежом: проблемы, опыт, перспективы. Москва: Союзмедининформ, 1992. 103 с.

[36] Siburina TA, Indeikin EN, Lovenetsky AN. Health insurance abroad: problems, experience, prospects. Moscow: Soyuzmedininform; 1992. 103 p.

[37] Omelyanovsky VV, Maximova LV, Tatarinov AP. International experience of funding and organization of healthcare systems. Financial journal. 2014;(3):22–34. EDN: TAHDCX

[38] Омельяновский В.В., Максимова Л.В., Татаринов А.П. Зарубежный опыт: модели финансирования и организации систем здравоохранения // Финансовый журнал. 2014. № 3. С. 22–34. EDN: TAHDCX

[39] Omelyanovsky VV, Maximova LV, Tatarinov AP. International experience of funding and organization of healthcare systems. Financial journal. 2014;(3):22–34. EDN: TAHDCX

[40] Kozminykh SV. Possibilities of using foreign experience of market models of health care in Russia. Bulletin of Volgograd Institute of Business. 2010;(3):52–57. EDN: NUDRZL (In Russ.).

[41] Козьминых С.В. Возможности использования в России зарубежного опыта рыночных моделей здравоохранения // Вестник Волгоградского института бизнеса. 2010. № 3. С. 52–57. EDN: NUDRZL

[42] Kozminykh SV. Possibilities of using foreign experience of market models of health care in Russia. Bulletin of Volgograd Institute of Business. 2010;(3):52–57. EDN: NUDRZL (In Russ.).

[43] Mishina OS, Starodubov VI. Trends in health care management in Russia and abroad. Health care abroad. 2011;(5):12–15. (In Russ.).

[44] Мишина О.С., Стародубов В.И. Тенденции в управлении здравоохранением в России и за рубежом // Здравоохранение за рубежом. 2011. № 5. С. 12–15.

[45] Mishina OS, Starodubov VI. Trends in health care management in Russia and abroad. Health care abroad. 2011;(5):12–15. (In Russ.).

[46] Khalfin RA, Tadjiev IY. Health system in the USA. Part 1. Manager zdravoohranenia. 2012;(9):35–47. EDN: PDSFWB

[47] Хальфин Р.А., Таджиев И.Я. Организация здравоохранения в США. Ч. 1 // Менеджер здравоохранения. 2012. № 9. С. 35–47. EDN: PDSFWB

[48] Khalfin RA, Tadjiev IY. Health system in the USA. Part 1. Manager zdravoohranenia. 2012;(9):35–47. EDN: PDSFWB

[49] Khalfin RA, Tadjiev IY. Health system in the USA. Part 2. Manager zdravoohranenia. 2012;(10):47–57. EDN: PKWJAD

[50] Хальфин Р.А., Таджиев И.Я. Организация здравоохранения в США. Ч. 2 // Менеджер здравоохранения. 2012. № 10. С. 47–57. EDN: PKWJAD

[51] Khalfin RA, Tadjiev IY. Health system in the USA. Part 2. Manager zdravoohranenia. 2012;(10):47–57. EDN: PKWJAD

[52] Emanuel AV. Elements of the quality management system on the basis of ISO 9001-2008 and ISO 9004-2010: review. Quality management in the sphere of health care and social development. 2012;(1):112–121. EDN: OXACYL

[53] Эмануэль А.В. Элементы системы менеджмента качества на базе ГОСТ Р ИСО 9001-2008 и ГОСТ Р ИСО 9004-2010. Обзор стандартов // Менеджмент качества в сфере здравоохранения и социального развития. 2012. № 1. С. 112–121. EDN: OXACYL

[54] Emanuel AV. Elements of the quality management system on the basis of ISO 9001-2008 and ISO 9004-2010: review. Quality management in the sphere of health care and social development. 2012;(1):112–121. EDN: OXACYL

[55] Gulyayev VA, Kryukov AYe, Shein AF, Velichko IV. The problems of medical care quality control in Russian Federation armed forces. Military Medical Journal. 2006;327(2):9–13. EDN: HVSVNT

[56] Гуляев В.А., Крюков А.Е., Величко И.В. Вопросы управления качеством медицинской помощи в Вооруженных силах Российской Федерации // Военно-медицинский журнал. 2006. Т. 327, № 2. С. 9–13. EDN: HVSVNT

[57] Gulyayev VA, Kryukov AYe, Shein AF, Velichko IV. The problems of medical care quality control in Russian Federation armed forces. Military Medical Journal. 2006;327(2):9–13. EDN: HVSVNT

[58] Kartashov VT. Management of quality of medical aid in military dispensary-clinical institutes. Military Medical Journal. 2008;329(10):1–11. EDN: JVBJXB

[59] Карташов В.Т. Управление качеством медицинской помощи в военных амбулаторно-поликлинических учреждениях // Военно-медицинский журнал. 2008. Т. 329, № 10. С. 1–11. EDN: JVBJXB

[60] Kartashov VT. Management of quality of medical aid in military dispensary-clinical institutes. Military Medical Journal. 2008;329(10):1–11. EDN: JVBJXB

[61] Kuvshinov KE, Ryzhman NN, Reutskii IA, Butsenko SA. The internal quality control of medical care in military medical organizations. Military Medical Journal. 2015;336(2):4–10. EDN: WCBFFJ

[62] Кувшинов К.Э., Рыжман Н.Н., Реутский И.А., Буценко С.А. Внутренний контроль качества медицинской помощи в военно-медицинских организациях // Военно-медицинский журнал. 2015. Т. 336, № 2. С. 4–10. EDN: WCBFFJ

[63] Kuvshinov KE, Ryzhman NN, Reutskii IA, Butsenko SA. The internal quality control of medical care in military medical organizations. Military Medical Journal. 2015;336(2):4–10. EDN: WCBFFJ

[64] Furmanov EE, Ivchenko EV. Modern approaches to examination of quality of the medical aid rendered by the military man, in the conditions of transition of budgetary establishments to new system of planning and budget execution. Bulletin of the Russian Military medical academy. 2011;(1):178–180. EDN: NRCIUJ

[65] Фурманов Е.Е., Ивченко Е.В. Современные подходы к экспертизе качества медицинской помощи, оказываемой военнослужащим, в условиях перехода бюджетных учреждений на новые условия планирования и исполнения бюджета // Вестник Российской военно-медицинской академии. 2011. № 1. С. 178–180. EDN: NRCIUJ

[66] Furmanov EE, Ivchenko EV. Modern approaches to examination of quality of the medical aid rendered by the military man, in the conditions of transition of budgetary establishments to new system of planning and budget execution. Bulletin of the Russian Military medical academy. 2011;(1):178–180. EDN: NRCIUJ

[67] Shelepov AM, Tyts VV. The federal law “On the principles of health protection of the citizens of the Russian Federation” and the problems of its realization in the armed forces. Bulletin of the Russian Military medical academy. 2012;(3):236–242. EDN: PKBRLF

[68] Шелепов А.М., Тыц В.В. Федеральный закон «Об основах охраны здоровья граждан в Российской Федерации» и проблемы, связанные с его реализацией в Вооруженных силах // Вестник Российской военно-медицинской академии. 2012. № 3. С. 236–242. EDN: PKBRLF

[69] Shelepov AM, Tyts VV. The federal law “On the principles of health protection of the citizens of the Russian Federation” and the problems of its realization in the armed forces. Bulletin of the Russian Military medical academy. 2012;(3):236–242. EDN: PKBRLF

[70] Assessment of economic efficiency of medical service activity in peacetime: methodical materials of VMedA. Leningrad, 1992. 72 p. (In Russ.).

[71] Оценка экономической эффективности деятельности медицинской службы в мирное время: методические материалы ВМедА. Ленинград, 1992. 72 с.

[72] Assessment of economic efficiency of medical service activity in peacetime: methodical materials of VMedA. Leningrad, 1992. 72 p. (In Russ.).

[73] Kuzmina MA, Zuev AV, Sertakova OV. Internal control of the quality and safety of healthcare: the socio-economic dimension. Economics and society: contemporary models of development. 2022;12(2):129–138. EDN: BMCDLX doi: 10.18334/ecsoc.12.2.116257

[74] Кузьмина М.А., Зуев А.В., Сертакова О.В. Внутренний контроль качества и безопасности медицинской помощи: социально-экономический аспект // Экономика и социум: современные модели развития. 2022. Т. 12, № 2. С. 129–138. EDN: BMCDLX doi: 10.18334/ecsoc.12.2.116257

[75] Kuzmina MA, Zuev AV, Sertakova OV. Internal control of the quality and safety of healthcare: the socio-economic dimension. Economics and society: contemporary models of development. 2022;12(2):129–138. EDN: BMCDLX doi: 10.18334/ecsoc.12.2.116257

[76] Kuzmina MA, Zuev AV, Sertakova OV. Problems of ensuring internal quality control and safety of medical care. Remedium. 2023;27(1):36–41. EDN: IJKRXE doi: 10.32687/1561-5936-2023-27-1-36-41

[77] Кузьмина М.А., Зуев А.В., Сертакова О.В. Проблемы обеспечения внутреннего контроля качества и безопасности медицинской помощи населению // Ремедиум. 2023. Т. 27, № 1. С. 36–41. EDN: IJKRXE doi: 10.32687/1561-5936-2023-27-1-36-41

[78] Kuzmina MA, Zuev AV, Sertakova OV. Problems of ensuring internal quality control and safety of medical care. Remedium. 2023;27(1):36–41. EDN: IJKRXE doi: 10.32687/1561-5936-2023-27-1-36-41

[79] Taigibova TT. Improvement of mechanisms of quality management of medical services. Young scientist. 2014;(6):496–499. EDN: SBZVOF (In Russ.).

[80] Тайгибова Т.Т. Совершенствование механизмов управления качеством медицинских услуг // Молодой ученый. 2014. № 6. С. 496–499. EDN: SBZVOF

[81] Taigibova TT. Improvement of mechanisms of quality management of medical services. Young scientist. 2014;(6):496–499. EDN: SBZVOF (In Russ.).

[82] Bedoreva IYu, Grigorkina ZB, Gubina EV, Kirilova IA. Methodological approaches to the organization of internal control of the quality and safety of medical activity in a medical organization. Acta biomedica scientifica. 2022;7(1):198–207. EDN: KPXBAP doi: 10.29413/ABS.2022-7.1.23

[83] Бедорева И.Ю., Григоркина З.Б., Губина Е.В., Кириллова И.А. Методические подходы к организации проведения внутреннего контроля качества и безопасности медицинской деятельности в медицинской организации // Acta biomedica scientifica. 2022. Т. 7, № 1. С. 198–207. EDN: KPXBAP doi: 10.29413/ABS.2022-7.1.23

[84] Bedoreva IYu, Grigorkina ZB, Gubina EV, Kirilova IA. Methodological approaches to the organization of internal control of the quality and safety of medical activity in a medical organization. Acta biomedica scientifica. 2022;7(1):198–207. EDN: KPXBAP doi: 10.29413/ABS.2022-7.1.23

[85] Viktorov VN. The integration of the systems of internal control of the quality and safety of medical activity and quality management of medical organizations. Manager zdravoohranenia. 2017;(5):25–32. EDN: YTWCGV

[86] Викторов В.Н. Вопросы интеграции систем внутреннего контроля качества и безопасности медицинской деятельности и менеджмента качества медицинской организации // Менеджер здравоохранения. 2017. № 5. С. 25–32. EDN: YTWCGV

[87] Viktorov VN. The integration of the systems of internal control of the quality and safety of medical activity and quality management of medical organizations. Manager zdravoohranenia. 2017;(5):25–32. EDN: YTWCGV

[88] Lee MV, Beniova SN, Kiku PF, et al. Independent assessment of the quality of medical care in a multidisciplinary hospital. Manager zdravoohranenia. 2021;(9):21–33. EDN: APNWWQ doi: 10.21045/1811-0185-2021-9-21-33

[89] Ли М.В., Бениова С.Н., Кику П.Ф., и др. Независимая оценка качества оказания медицинской помощи в многопрофильном стационаре // Менеджер здравоохранения. 2021. № 9. С. 21–33. EDN: APNWWQ doi: 10.21045/1811-0185-2021-9-21-33

[90] Lee MV, Beniova SN, Kiku PF, et al. Independent assessment of the quality of medical care in a multidisciplinary hospital. Manager zdravoohranenia. 2021;(9):21–33. EDN: APNWWQ doi: 10.21045/1811-0185-2021-9-21-33

[91] Arustamyan GN. Clinical and economic analysis and its role in the quality of medical care management. E-journal public administration. 2011;(29):1–12. EDN: PCDERN (In Russ.).

[92] Арустамян Г.Н. Клинико-экономический анализ и его роль в управлении качеством медицинской помощи // Государственное управление. Электронный вестник. 2011. № 29. С. 1–12. EDN: PCDERN

[93] Arustamyan GN. Clinical and economic analysis and its role in the quality of medical care management. E-journal public administration. 2011;(29):1–12. EDN: PCDERN (In Russ.).

[94] Kolomiychenko ME. Quality assessment of medical care by integral index. Bulletin of Semashko National Research Institute of Public Health. 2021;(2):82–89. EDN: VRDNMN doi: 10.25742/NRIPH.2021.02.010

[95] Коломойченко М.Е. Оценка качества медицинской деятельности с использованием интегральных показателей // Бюллетень национального научно-исследовательского института общественного здоровья имени Н.А. Семашко. 2021. № 2. С. 82–89. EDN: VRDNMN doi: 10.25742/NRIPH.2021.02.010

[96] Kolomiychenko ME. Quality assessment of medical care by integral index. Bulletin of Semashko National Research Institute of Public Health. 2021;(2):82–89. EDN: VRDNMN doi: 10.25742/NRIPH.2021.02.010

[97] Samoylova AV. Organization of quality and safety control of medical activities and tools for reducing risks in the provision of medical care. Вестник Росздравнадзора. 2023;(1):6–19. EDN: MATGLE

[98] Самойлова А.В. Организация контроля качества и безопасности медицинской деятельности и инструменты снижения рисков при оказании медицинской помощи // Вестник Росздравнадзора. 2023. № 1. С. 6–19. EDN: MATGLE

[99] Samoylova AV. Organization of quality and safety control of medical activities and tools for reducing risks in the provision of medical care. Вестник Росздравнадзора. 2023;(1):6–19. EDN: MATGLE

[100] Zheleznyakova IA, Seryapina YuV, Mikhailov IA, et al. Methodological approaches to the development of medical care quality control at medical organizations. Medical technologies. Assessment and choice. 2020;(4):13–20. EDN: XETFJP doi: 10.17116/medtech20204204113

[101] Железнякова И.А., Серяпина Ю.В., Михайлов И.А., и др. Методологические подходы к внедрению системы контроля качества медицинской помощи в медицинских организациях // Медицинские технологии. Оценка и выбор. 2020. № 4. С. 13–20. EDN: XETFJP doi: 10.17116/medtech20204204113

[102] Zheleznyakova IA, Seryapina YuV, Mikhailov IA, et al. Methodological approaches to the development of medical care quality control at medical organizations. Medical technologies. Assessment and choice. 2020;(4):13–20. EDN: XETFJP doi: 10.17116/medtech20204204113

[103] Kosareva EA, Dekhnich SN, Klykov AI. Problematic issues of quality control of medical care in the healthcare system of the Russian Federation. Vestnik of the Smolensk State medical academy. 2021;20(1):186–195. EDN: IZEVFA doi: 10.37903/vsgma.2021.1.28

[104] Косарева Е.А., Дехнич С.Н., Клыков А.И. Проблемные вопросы контроля качества медицинской помощи в системе здравоохранения российской федерации // Вестник Смоленской государственной медицинской академии. 2021. Т. 20, № 1. С. 186–195. EDN: IZEVFA doi: 10.37903/vsgma.2021.1.28

[105] Kosareva EA, Dekhnich SN, Klykov AI. Problematic issues of quality control of medical care in the healthcare system of the Russian Federation. Vestnik of the Smolensk State medical academy. 2021;20(1):186–195. EDN: IZEVFA doi: 10.37903/vsgma.2021.1.28

[106] Kharisov AM, Berseneva EA, Bereznikov AV, et al. To the question of the organization of internal quality control of medical care in medical organizations. Bulletin of Semashko National Research Institute of Public Health. 2020;(2):4–15. EDN: RSGAML doi: 10.25742/NRIPH.2020.02.001

[107] Харисов А.М., Берсенева Е.А., Березников А.В., и др. К вопросу об организации внутреннего контроля качества медицинской помощи в медицинских организациях // Бюллетень Национального научно-исследовательского института общественного здоровья имени Н.А. Семашко. 2020. № 2. С. 4–15. EDN: RSGAML doi: 10.25742/NRIPH.2020.02.001

[108] Kharisov AM, Berseneva EA, Bereznikov AV, et al. To the question of the organization of internal quality control of medical care in medical organizations. Bulletin of Semashko National Research Institute of Public Health. 2020;(2):4–15. EDN: RSGAML doi: 10.25742/NRIPH.2020.02.001

[109] Morozov SYu, Kamynina NN, Vorykhanov AV, et al. Evaluation of the effectiveness of internal quality control of medical care during control and supervision activities in medical organizations. City-healthcare. 2021;2(3):6–16. EDN: OOXUIX doi: 10.47619/2713-2617.zm.2021.v2i3;6-16

[110] Морозов С.Ю., Камынина Н.Н., Ворыханов А.В., и др. Оценка результативности внутреннего контроля качества медицинской помощи при контрольно-надзорных мероприятиях в медицинских организациях // Здоровье мегаполиса. 2021. Т. 2, № 3. С. 6–16. EDN: OOXUIX doi: 10.47619/2713-2617.zm.2021.v2i3;6-16

[111] Morozov SYu, Kamynina NN, Vorykhanov AV, et al. Evaluation of the effectiveness of internal quality control of medical care during control and supervision activities in medical organizations. City-healthcare. 2021;2(3):6–16. EDN: OOXUIX doi: 10.47619/2713-2617.zm.2021.v2i3;6-16

[112] Khusainova DK, Zigangareeva GG, Shulaeva LM. The timeliness as the main characteristic of the medical care’s medical quality. Manager zdravoohranenia. 2021;(6):35–41. EDN: KWQAUQ doi: 10.21045/1811-0185-2021-6-35-41

[113] Хусаинова Д.К., Зигангареева Г.Г., Шулаева Л.М. Своевременность как главная характеристика качества медицинской помощи // Менеджер здравоохранения. 2021. № 6. С. 35–41. EDN: KWQAUQ doi: 10.21045/1811-0185-2021-6-35-41

[114] Khusainova DK, Zigangareeva GG, Shulaeva LM. The timeliness as the main characteristic of the medical care’s medical quality. Manager zdravoohranenia. 2021;(6):35–41. EDN: KWQAUQ doi: 10.21045/1811-0185-2021-6-35-41

RIGHTS & PERMISSIONS

Eco-Vector