The legality of the allocation categories of the discrepancy of clinical
and pathological-anatomical diagnoses
AbstractDespite the lack of federal regulation and the inconsistency of regional instruments for such a questionable criterion for evaluating the quality of medical care, as the category of a divergence of diagnoses, they form the basis of economic sanctions for medical organisations working in system of obligatory medical insurance, and illegal combined cat II and III discrepancies. In addition, the establishment of a category of a divergence of diagnoses also improperly rests with the physician, the pathologist who conducted the autopsy, which cannot be neither independent nor expert. The question of categories of a divergence of diagnoses, which The Russian Society of Pathologists is not the first proposes to delete from the practice, assetstatus example of unresolved organizational problems such as clinical and expert work, and other activities that are carried out post-mortem service. Requires close interaction of The Russian Society of Pathologists with Ministry of Health of the Russian Federation and other professional public health organizations at earliest opportunity the development of an appropriate regulatory framework.
Keywords:categories of a divergence of diagnoses, comparison of clinical and pathoanatomical diagnoses, the organization of pathoanatomical service