2017 № 3 Functional requirements for healthcare quality information system
One of the main objectives of the adoption of the Law of the Russian Federation of 29.11.10, No. 326-FZ «About compulsory medical insurance in the Russian Federation» is a significant improvement of the quality of medical care for Russian citizens. In accordance with the norm of Article 4 of the Law, the main principle of compulsory health insurance is to «...create conditions for ensuring the accessibility and quality of medical care provided under compulsory health insurance programs». Healthcare quality assessment can be implemented using the following methods:
- medical standards compliance inspections;
- pharmacotherapy effectiveness inspections;
- medical and economical quality control;
- questioning the quality of medical care, medical institutions rating, and medical staff rating.
These methods allow to formulate the functional requirements for a healthcare quality information system. In practical implementation, such a system should contain a knowledge base on the basis of which it is possible to develop a formal scheme for the process of solving the tasks, as well as the implementation of the proposed knowledge representation model and the decision-making procedure