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1 . 2023

Organizational risk-oriented approach technology for identifying the characteristics of the internal quality control system subjects

Abstract

The search for unified mechanisms of vertical and horizontal integration of participants in the medical industry quality and safety control system is an urgent and demanded scientific task, the solution of which will contribute to the development of the national quality and safety management system in medical activities.

Material and methods. Using the methods of organizational and legal analysis, analytical method and method of logical generalization, using the example of assessment of medical organizations of the Chelyabinsk region (n=123), an organizational technology for determining the characteristics of subjects of internal quality control using a risk-oriented approach was proposed.

Results. When analyzing the requirements of the legislation, it was established that the possibility of a certain variability in the construction of the internal control organizational system. At the same time, in medical organizations of

the Chelyabinsk region, there is a shift in responsibility for internal control from the head of the medical organization and deputies in charge of medical work to specially allocated deputies for internal control and other deputies with the medical organization risk category increase (p=0.001). At the same time, a significant number of medical organizations that have appointed a person responsible for internal control from the list of specialists who do not meet the requirements of the current legislation draw attention to themselves.

Discussion. In accordance with the principles of a risk-oriented mechanism for vertical integration of the medical activities quality and safety control system in the regional health care system, a differentiated approach to building an internal control system based on the risk category of a medical organization is proposed.

Conclusion. The use of a unified technology for organizing internal control using a risk-oriented approach allows a differentiated approach to organizing internal control in each medical organization, taking into account the individual specifics of the medical organization and using the optimal amount of resources, and also expands the degree of vertical integration of participants in the system of quality control and safety of medical activities.

Keywords:healthcare organizations; internal control; state control; quality of medical activity; safety of medical activity; mandatory requirements; risk-based approach

Funding. The study had no sponsor support.

Conflict of interest. The author declares no conflict of interest.

For citation: Kuchin N.E. Organizational risk-oriented approach technology for identifying the characteristics of the internal quality control system subjects. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2023; 9 (1): 82-91. DOI: https://doi.org/10.33029/2411-8621-2023-9-1-82-91 (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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