Issue: 2023, Vol. 28, No. 3

V. А. Kozlov, B. А. Polyakov

ASSESSMENT OF THE QUALITY OF ONCOLOGICAL CARE TO THE POPULATION

Keywords

oncological care management, health management.

Abstarct

The strategy of national health care development sets ambitious goals for the oncological service namely the reduction of mortality rate, within–one-year mortality rate and increasing patient’s satisfaction with the medical care provided; solving of these problems requires improving the system. Objective – to estimate the quality of oncological care to the population. Material and methods. The survey was performed in Ivanovo regional oncological dispensary. Expert review was made for 600 cases of rendering oncological aid in out-patient and in-patient departments of the dispensary. Expert group was composed of 10 persons with corresponding qualification and training in expert activity in medical facilities. The analysis was made on 23 parameters of oncological care at out- patient stage and on 18 parameters – at in-patient stage. Frequency of the defects of oncological care management was determined per 100 cases. Data statistic analysis was performed by Statistica program. Results and discussion. Observed defects rate of oncological care management in out-patient department was amounting to 576 per 100 cases; there were mainly violations of routing, procedure for obtaining informed voluntary consent, long waiting for admission by patients, non-compliance with the rules of primary registration documents flow. Observed defects rate at in-patient department was amounting to 305 per 100 cases: long waiting in hospital emergency room, violations of the procedure for obtaining in- formed voluntary consent, errors in logistics of diagnostic examination and patients’ flow management, non-compliance with the rules of primary registration documents flow. Conclusion. The obtained data allowed to form an idea about frequency and structure of the defects in oncological care management; it should be used for management decision-making and for planning measures for improving the quality of medical care to population.

Скачать

• Vestnik_3_2023-5-9