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3 . 2022

Assessment of the quality of dispensary observation of patients suffering from CNCDs, based on the Practical Guidances of Roszdravnadzor

Abstract

This article presents the results of an external patients’ dispensary observation assessment, carried out in outpatient organizations among patients, suffering from chronic diseases, based on Proposals (Practical Guidances) on organizing internal quality and safety control of medical activities (for outpatient hospitals). The external evaluation was conducted according to the section “Dispensary monitoring of chronic patients” of Proposals (Practical Guidances) of Roszdravnadzor by the experts of the “National Quality Institute” of Roszdravnadzor. The results of the external evaluation revealed a low level of quality and efficiency in the organization and conduct of dispensary observation of patients in the studied outpatient organizations: none of the 14 medical organizations was recognized as meeting the requirements of the Practical Guidances of Roszdravnadzor. The problems identified during the external evaluation may be related to the lack of standardization in the conduct of dispensary observation and the system of regular internal audits in the medical organizations.

Keywords:quality of health screening; evaluation of effectiveness; health screening chronic diseases monitoring; internal quality control and safety of medical activity; assessment; Practical Guidances of Roszdravnadzor

Funding. The study had no sponsor support.

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

Contribution. Research concept and design, text writing, statistical data processing, data analysis, editing – Taut D.F.; concept and design of the study, editing – Ivanov I.V.; the concept and design of the study, processing of the material, editing – Minulin I.B.; the concept and design of the study, processing of the material, editing – Shcheblykina A.A.; processing of the material, compiling a list of references, editing – Tataurshchikov S.A.; processing of the material, compiling a list of references, editing – Popova A.A.

For citation: Taut D.F., Ivanov I.V., Minulin I.B., Shcheblykina A.A., Tataurschikov S.A., Popova A.A. Assessment of the quality of dispensary observation of patients suffering from CNCDs, based on the Practical Guidances of Roszdravnadzor. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2022; 8 (3): 34–44. DOI: https://doi.org/10.33029/2411-8621-2022-8-3-34-44 (in Russian)

References

1. Decree of the President of the Russian Federation No. 254 dated June 6, 2019 «On the Strategy for the development of healthcare in the Russian Federation for the period up to 2025». URL: https://base.garant.ru/72264534/ (in Russian)

2. Resolution of the Government of the Russian Federation No. 1304 dated 09.10.2019 «On approval of the principles of modernization of primary health care in the Russian Federation and the Rules for the examination of projects of regional programs for modernization of primary health care, monitoring and control over the implementation of regional programs for modernization of primary health care». URL: https://base.garant.ru/72833114/ (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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