The national system of quality and safety indicators of medical care as a tool to support decision-making in the health care system of the Russian Federation

• Igor M. Burykin
• Rofia Kh. Khafizyanova

Abstract

The quality of medical care is one of the acute problems in today's health care system. Clinical studies have demonstrated widespread defects, inconsistency of medical care with the current level of medical science, and low efficiency of medical care. This problem is urgent for the Russian Federation, since high mortality rates, a significant number of defects and dissatisfaction with medical care are recorded. A literature review was conducted and a model of medical care quality was formulated based on six determinants: effectiveness, efficiency, accessibility, quality of life, safety, and satisfaction.

We analyzed the criteria of accessibility and quality of medical care in 15 regions of the Russian Federation included in the Volga Federal District and the city of Moscow. It was found that the criteria for the quality and accessibility of medical care established under the health insurance program do not evaluate all determinants. Significant qualitative and quantitative variation was recorded between the subjects of the Russian Federation.

Based on the analysis, the development of a national system of quality indicators is justified. This system is necessary for making quality management decisions in the health care system.

Keywords:quality indicators, quality of medical care

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