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3 . 2021

Ensuring the quality and safety of medical care in perinatal centers as a basis for reducing infant mortality in the Russian Federation

Abstract

Infant mortality is traditionally one of the key indicators characterizing the state of health and standard of living of the population. Despite the steady downward trend in infant mortality, its level in the perinatal period of life remains quite high. The article discusses the main causes of deaths of children of this age group in the perinatal Center (PC) for the period 2016-2020, analyzes possible ways to solve the problem.

Material and methods. A cohort study was conducted in the State Medical Institution of the Nizhny Novgorod Region "Dzerzhinsky Perinatal Center" for the period 2016-2020. The analysis included an assessment of the level and structure of causes of mortality of children in the perinatal period of life, compliance of the documents used with the regulatory framework, as well as data from official statistical reporting of work (information about the medical organization (form N 30 (annual), form code for OKUD 0609362)

Results. In accordance with Federal Law No. 323-FZ of 21.11.2011 "On the Protection of the health of citizens in the Russian Federation" (No. 323-FZ), which defines "the quality of medical care as a set of characteristics reflecting the timeliness of medical care, the correctness of the choice of methods of prevention, diagnosis, treatment and rehabilitation in the provision of medical care, the degree of achievement of the planned result", the results of medical activities were evaluated and the documents implementing each of the listed components in the level 3 perinatal center were reviewed. An assessment of the impact of the execution of these documents on infant mortality rates was carried out.

Keywords:national project, infant mortality, quality control and safety of medical activities, perinatal center

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

Contribution. Formulation of key goals and objectives, preparation and editing of the text, approval of the final version of the article - Pereslegina I.A.; formation of an idea, ensuring translation of a manuscript, participation in scientific design, the use of statistical methods for analysis - Karpova S.S.; participation in the formation of an idea, the formulation of key goals, data collection - Ryzhova N.K.

For citation: Pereslegina I.A., Karpova S.S., Ryzhova N.K. Ensuring the quality and safety of medical care in perinatal Centers as a basis for reducing infant mortality in the Russian Federation. ORGZDRAV: novosti, mneniya, obuchenie. Bulletin of VSHOUZ]. 2021; 7 (3): 53-61. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. DOI: https://doi.org/10.33029/2411-8621-2021-7-3-53-61 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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