To the content
2 . 2024

Proposals for updating indicators for evaluating the effectiveness of primary care institutions on the example of Moscow

Abstract

The article presents the results of a study on the formation of a list of estimated performance indicators of outpatient clinics for the adult population. Based on the principles of the balanced scorecard, it is proposed to adjust the current resource management Quality standard and create it based on two blocks of evaluation indicators. One is to assess the state of resources and the effectiveness of their use, and the second is to assess the results of medical activities, taking into account the actual data of the activities of a medical organization. In order to increase the objectivity of the assessment of the accessibility and quality of medical care conditions, it is proposed to supplement the second block with evaluation indicators characterizing the results of public opinion.

Keywords:evaluation indicators; standardization; medical organization; primary health care; resources; resource management Quality standard; patient orientation; point estimates

Funding. The study had no sponsor support.

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

For citation: Budarin S.S. Analysis of expert proposals on updating indicators for evaluating the activities of primary care institutions on the example of Moscow. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2024; 10 (2): 48–58. DOI: https://doi.org/10.33029/2411-8621-2024-10-2-48-58 (in Russian)

References

1. Aksenova E.I., Budarin S.S., El’bek Yu.V., Volkova O.A. Introduction of the resource management quality standard. Moskovskaya meditsina [Moscow Medicine]. 2019; 5 (33): 89–94. EDN WGNLPR. (in Russian)

2. Bekbergenova Z., Derbissalina G., Umbetzhanova A., et al. [Key indicators of performance as a method for monitoring nursing service]. Meditsinskie novosti Gruzii [Georgian Medical News]. 2020: (299): 151–7. PMID: 32242864. (in Russian)

3. Campbell N., Ordunez P., Jaffe M.G., et al. Implementing standardized performance indicators to improve hypertension control at both the population and healthcare organization levels. J Clin Hypertens. 2017; 19: 456–61. URL: https://doi.org/10.1111/jch.12980

4. Gallyamov R., Kuznetsova Yu. The quality of medical care in the Russian region: a comparative analysis of «subjective» indicators [Electronic resource]. Sotsiologicheskie issledovaniya [Sociological Research]. 2019; (9): 146–53. URL: http://ras.jes.su/socis/s013216250006654-2-1-en (date of access October 15, 2023). DOI: https://doi.org/10.31857/S013216250006654-2 (in Russian)

5. Nelson J., Ding A., Mann S., Parsons M., Samei E. Key performance indicators for quality imaging practice: why, what, and how. J Am Coll Radiol. 2022; 19 (1 pt A): 4–12. DOI: https://doi.org/10.1016/j.jacr.2021.09.044

6. Tinasilov M.D., Urkumbayeva A.R. Innovative model of healthcare development within the framework of the science of social economics. Aktual’nye problemy teoreticheskoy i klinicheskoy meditsiny [Actual Problems of Theoretical and Clinical Medicine]. 2019; 23 (1): 5–8. EDN VZNNIO. (in Russian)

7. Rahimi H., Kavosi Z., Shojaei P., Kharazmi E. Key performance indicators in hospital based on balanced scorecard model. J Health Man Info. 2017; 4 (1): 17–24.

8. Budarin S.S., El’bek Yu.V. The influence of the quality of resource management on the availability of medical care. Vestnik Kazanskogo gosudarstvennogo agrarnogo universiteta [Bulletin of Kazan State Agrarian University.] 2020; 15 [3 (59)]: 88–93. DOI: https://doi.org/10.12737/2073-0462-2020-88-93 EDN GTSDSS. (in Russian)

9. Budarin S.S., Volkova O.A., Smirnova E.V. Evaluation of the effectiveness of using the resource capabilities of medical organizations to ensure the availability of medical care based on data from information systems in the field of healthcare. ETAP: ekonomicheskaya teoriya, analiz, praktika [STAGE: Economic Theory, Analysis, Practice]. 2021; 5: 111–25. DOI: https://doi.org/10.24412/2071-6435-2021-5-111-125 EDN HPXQNB. (in Russian)

10. Sedevich-Fons L. Financial indicators in healthcare quality management systems. TQM J. 2014; 26 (4): 312–28. DOI: https://doi.org/10.1108/TQM-01-2014-0009

11. Ruter A., Ortenwall P., Wikstrom T. Performance indicators for major incident medical management – a possible tool for quality control? Int J Disaster Med. 2004; 2 (1–2): 52–5. DOI: https://doi.org/10.1080/15031430410023355

12. Tadzhiev I.Ya., Belostotsky A.V., Budarin S.S. The quality of medical care in medical organizations of the state healthcare system of Moscow in the assessments of patients and doctors. Sotsiologiya meditsiny [Sociology of Medicine]. 2017; 16 (2): 100–6. DOI: https://doi.org/10.18821/1728-2810-2017-16-2-100-106 EDN YQEZVQ. (in Russian)

13. Timofeeva A.S. Modern models of polyclinic management: a literary review. Zdorov’e megapolisa [Health of Megapolis]. 2023; 4 (2): 101–11. DOI: https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;101-111 EDN CGQSYV. (in Russian)

14. Borisov I.V., Bondar’ V.A., Kudinov D.A., et al. Problems and prospects of information technologies in healthcare in Russia: modern realities. Fizicheskaya i reabilitatsionnaya meditsina: meditsinskaya reabilitatsiya [Physical and Rehabilitation Medicine, Medical Rehabilitation]. 2022; 4 (4): 271–82. DOI: https://doi.org/10.36425/rehab110384 EDN SAGQKI. (in Russian)

15. Budarin S.S., Bakulina N.E., El’bek Yu.V. The practice of improving the information analytical system of IAS SCUR NIIOZMM DZM. Moskovskaya meditsina [Moscow Medicine]. 2020; 4 (38): 58–63. EDN KLCKLS. (in Russian)

16. Budarin S.S., Starshinin A.V., Tyazhel’nikov A.A., et al. The value of an integrated approach to assessing the availability of primary health care, taking into account public opinion and EMIAS data. Zdravookhranenie Rossiyskoy Federatsii [Health Care of the Russian Federation]. 2021; 65 (5): 411–7. DOI: https://doi.org/10.47470/0044-197X-2021-65-5-411-417 EDN UULMIU. (in Russian)

17. Konovalov A.A., Romashkova O.N. A model of a flexible software architecture for managing a regional healthcare system. Sovremennaya nauka: aktual’nye problemy teorii i praktiki. Seriya: Estestvennye i tekhnicheskie nauki [Modern Science: Actual Problems of Theory and Practice. Series: Natural and Technical Sciences]. 2023; (2-2): 82–7. DOI: https://doi.org/10.37882/2223-2966.2023.02-2.18 EDN RHDPVE. (in Russian)

18. Kulikova O.M., Usacheva E.V., Shamis V.A., et al. The model of financial support for regional healthcare. Natsional’nye interesy: prioritety i bezopasnost’ [National Interests: Priorities and Security]. 2021; 17 [7 (400)]: 1367–91. DOI: https://doi.org/10.24891/re.16.10.1823 EDN RPSVWQ. (in Russian)

19. Pinkus T.M., Stepchuk M.А., Krylova L.S. Updating economic methods of healthcare development management (on the example of Belgorod Region). Regional’naya ekonomika: Yug Rossii [Regional Economy: South of Russia]. 2021; 9 (3): 39–49. DOI: https://doi.org/10.15688/re.volsu.2021.3.4 EDN ZEJAUA. (in Russian)

20. Poscia A., Cambieri A., Tucceri C., Ricciardi W., Volpe M. [Audit as a tool to assess and promote the quality of medical records and hospital appropriateness: methodology and preliminary results]. Ig Sanita Pubbl. 2015; 71 (2): 139–56. PMID: 26057172.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

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)

Journals of «GEOTAR-Media»