The quality of medical care is the totality of its characteristics, confirming the compliance of the medical care provided to the existing needs of the patient (population), his expectations and the current level of evidence-based medical science and technology.
The quality of medical care is ensured, on the one hand, by the development of primary health care services, and on the other, by high-tech types of medical care. Both this and other aspects require qualified medical personnel who make clinical decisions based on a scientific approach, effective managers of medical organizations, ensuring the economic and clinical effectiveness of the treatment methods used.
Healthcare quality management programs are an ongoing process of influencing the provision of medical care in order to ensure quality through the consistent implementation of management functions.
For the effective organization of quality management, it is necessary to clearly organize and study healthcare quality certification USA. Know the categories, types, methods of quality management.
Some of the components of quality are poorly assessed and are still not perceived unambiguously. This primarily relates to patient satisfaction with medical care. There is a difference between objective needs, which may not be completely clear to the patient himself, and his subjective expectations.
Nevertheless, customer orientation is a key principle of the quality management system, although satisfaction of patient expectations cannot be the only or main indicator of the quality of medical care, as it develops under the influence of many factors: treatment efficiency, staff attitudes, conditions of care, personal preferences and expectations, etc.
Over the past decade, there has been a significant re-equipment of medical organizations with modern equipment and technologies. Ultrasound imaging methods, endoscopic diagnostic and treatment methods have become widely available. Many large hospitals use biochemical analysers and blood analysers. Holster monitoring and daily blood pressure monitoring are no longer rare. In oncology and haematology, cytogenetic and enzyme immunoassay methods of diagnosis are being introduced.
The range of drugs has changed dramatically: drugs that have been replaced by ineffective ones have been shown to reduce the manifestations of diseases that significantly affect life expectancy. The availability of high-tech assistance methods has expanded: cardiac surgery and vascular surgery, transplantation of kidneys, bone marrow and stem cells, liver transplantation is gradually being introduced.
In healthcare quality courses, in order to evaluate the performance of medical institutions, indicators of state statistical reporting are traditionally used, such as bed performance, hospital mortality, visits, frequency of coincidence or discrepancy of clinical and pathological diagnoses, etc.
- Supervision of the quality of medical care- A set of measures aimed to obtain information about medical care, comparing its real level with the standard (taking into account the capabilities of specific territories, medical organizations), as well as analysing the dynamics of indicators of the quality of medical care.
- Quality control of medical care – a set of measures aimed at obtaining information about management decisions to ensure the proper quality of medical care, determining the adequacy, adequacy and effectiveness of these decisions and measures developed on their basis for continuous improvement of the quality of medical care in accordance with the current level of medical development science and practice, management principles.
- Monitoring the activity of monitoring the quality of medical care – an analytical system for monitoring activities to continuously improve accessibility and quality of medical care, the components of which are: permanent monitoring, analysis, evaluation and forecasting of the results of activities to monitor and supervise the quality of medical care and the dynamics of the quality of medical care.