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  • 2017 № 9 The discussion about mandatory compliance with medical organizations standards of medical care

    The authors in the order of discussion into details justify and prove that currently approved and put into effect in the prescribed manner the standards of medical care mandatory for medical organizations and doctors

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: clinical guidelines2 law enforcement agencies1 medical organization26 standards of medical care2

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  • Focus of problem
  • 2018 № 3 Influence of doctors’ patient-orientation on patient involvement in treatment

    In the article it is shown that nowadays in the public health care of different countries researches of patient-orientation are actively conducted. At the same time patient-orientation as a characteristic of the patient’s communication with the doctor is considered the basis of the patient-doctor relationship. All this corresponds with the feasibility of forming in the domestic health care model of 4P medicine, already repeatedly voiced in recent years on various medical forums. The authors carried out an assessment of the patient-oriented corporate culture of the medical organization. For this purpose, two types of questionnaires were developed and analyzed: “Involvement of health workers” and “Patients’ involvement in treatment”. It has been established that the level of the doctor’s involve- ment in achieving the strategic goals of the medical organization directly affects the level of intention of patients to fulfill doctors’ recommendations. The range of this influence is 43.3% on average

    Authors: Piven D. V. [31] Tsaranov K. N. [1] Lindenbraten A. L. [1] Tarbastaev A. G. [1]

    Tags: 4p medicine2 patient adherence  to treatment1 patient-centeredness1 patient-orientation1 physician involvement1

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  • 2017 № 10 Criteria for assessing the quality of health care: what to consider and how to ensure compliance in a healthcare organization

    The issue deals with the organization of work on the application of criteria to assess the quality of care in a medical organization. The authors pay attention to a number of characteristics that must be taken into account specified criteria, including note that work on their application not only largely concerned, but also overlap with the functions of the medical Commission of the medical organization. The article shows that the use in a medical organization criteria for evaluating the quality of medical care is one of the tools that ensures the continuity of inter¬nal control of the quality and safety of medical activities with the departmental and state control of the quality and security of medical activity

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: criteria3 medical commission4 medical organization26 quality and safety of medical activity5 quality control2

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  • 2017 № 9 Credit for accreditation of the specialist: some results of the «credit fever» in the russian health system

    The authors indicate that the main reason is over the past two years, the health system of Russia «credit fever» (the desire of doctors to earn credits and points for the upcoming accreditation) is the commercial interest of those who sell doctors credits for participation in conferences and seminars. The article noted that the process of providing doctors with credits was the most ambitious business project in the Russian healthcare system over the past 25 years. Getting doctors of points, credits, hours, credit units for participation in workshops and conferences on a commercial basis is unacceptable as this scheme does not increase the professional level of doctors, constrains and limits of their professional interests, undermines the state system of additional professional education of doctors, limits the availability of doctors to free conferences and seminars

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: a professional non-profit organizations1 accreditation2 commercial interests1 conferences2 credits1 seminars2 state educational organizations1

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  • 2017 № 8 Standards of medical care: whether they are mandatory for compliance with medical organizations?

    In the Federal legislation of public health has stated that «medical care is organized and is … on the basis of standards of medical care…». The phrase «on the basis of standards of medical care» is interpreted differently in medical institutions, in connection with which the question often arises: «do I have to perform the standards of care, or they are Advisory in nature?». In the article the authors substantiate and prove that is currently approved in the prescribed manner the standards of care mandatory for medical organizations and doctors

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: inspections1 medical organization26 monitoring1 quality and safety of medical practice4 standards of medical care2

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  • 2017 № 7 The duty of medical organizations inform about the doctors: what is informing and how to organize it

    The article deals with the responsibility of medical organizations to provide information on doctors, their level of education and qualifications. Presented and substantiated list of specific information about doctors who have to post every medical organization on the official site in a network “the Internet”, as well as on the stands. The authors demonstrated that even if the doctor your consent to the placing of personal data (information about the doctor), which in accordance with legislation, obliged to submit medical organization, the placement of these data on its official site in a network “the Internet”, as well as on the stands should be continued. Stressed that the problem of placing medical organizations and maintaining up to date information about doctors, including their level of education and qualification, necessary water supply amount, and in strict accordance with the established requirements is one of the most important ways of ensuring and monitoring the quality and safety of medical activity

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: certificate of accreditation1 graduate certificate1 information about the doctor1 level of education and qualifications1 medical organization26 medical organization site1 personal data1 the quality and safety of medical practice1

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  • 2017 № 5 A new control tool in healthcare: a control without interacting with legal entities and individual entrepreneurs

    The article deal with the emergence of a new monitoring tool in the health sector – organization and conduct of control measures without the cooperation of legal entities and individual entrepreneurs. The authors note that the legislation of the Russian Federation contains a significant amount of the requirements for medical organizations
    to embed and provide information. Thus compliance with these requirements will be validated by the Supervisory authorities by carrying out control activities without interaction with legal entities, individual entrepreneurs. All this increases the responsibility of medical organizations and confronts them with new challenges when conducting internal monitoring the quality and safety of medical activity.

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: caution1 control without interaction with legal entities and individual entrepreneurs1 medical organization26 quality and safety of medical activity5 requirements1

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  • 2017 № 3 Issue of evaluation of the doctor’s report for accreditation

    The article deal with the questions of information security, related to the assessment of the report of the doctor in the procedure of accreditation of specialist. The authors note that current Regulation of the accreditation of professionals do not transparent that information about the professional achievements should reflect the doctor in the report which he submits to the accreditation Commission. With the exception of information about the development of professional development programmes is not established, and criteria of doctor’s report of the accreditation Commission. All this makes the assessment of the report of the doctor not transparent within the accreditation of a specialist and requires the necessary correction.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: accreditation of specialist? training programmes1 portfolio1 professional achievements1 report of doctor1

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  • 2017 № 2 New tasks and directions of work of the medical commision in the system of providing and controlling the quality and safety of medical activities

    The article deals with the reasons of insufficiently work of medical commissions of medical organizations. It was noted that today the medical Commission, continuing to be the third level of quality control of medical care in medical organization, often is the third level of quality control and safety of medical activities. In the publication of the proposals to improve the efficiency of the medical Commission, including revealed the contents of its work in accordance with the objectives and functions set by law, which often remain outside the purview of heads of medical organizations.

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: medical commission4 medical organization26 quality and safety of medical activities4 quality of medical care9 safety of medical activities2

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  • 2016 № 10 Accreditation specialist: myths, realities, risks, proposals

    The article analyzes into detail the situation related to the newly introduced procedure of accreditation experts, caused by the professional community a set of questions. The authors show convincingly that doctors do not need to be mandatory to get collecting credits in order to in the future be accredited. In the publication are listed and thoroughly analysed risks relevant to the requirements for the procedure of accreditation of specialist. One of the risks named a possible limitation of the availability for doctors free conferences and seminars. The article contains a large block of proposals concerning the accreditation of specialist, including the formation of the system of continuous medical education.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: accreditation of specialist1 conferences2 educational events1 educational organizations1 health professional non-profit organizations1 seminars2 training programmes1

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  • Focus of the problem
  • 2015 № 4 Safety of medical activity: what is it and how the Chief doctor should provide it

    The article deals with the contents of medical organization working to support and monitor the safety of medical activity. Priorities that should be decided by each head of the medical organization in this field. Emphasized that the main body of the medical organization for addressing issues and making decisions on ensuring and monitoring the safety of medical practice must be a medical Commission.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: chief doctor1 medical commission4 medical organization26 quality of medical activity1 safety of medical activity1

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  • Law
  • 2016 № 8 Guarantee citizens‘ rights while using medical devices

    The article shows that in recent years the requirements in the sphere of medical products circulation not only increased in volume but also become more stringent. So it requires that medical organizations has to do targeting actions to improve the work to ensure the rights of citizens to use medical devices. It is proved that the rights of citizens in the use of medical devices has certain specifics. The proposed measures aimed at improving the provision of these rights of citizens and safety monitoring of medical devices.

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: medical devices1 medical organization26 quality and safety of medical devices1 quality control and safety of medical practice1 rights of citizens1 safety monitoring of medical devices1

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  • 2016 № 5 Legal regulation of internal control of the quality and safety of medical activity

    The article shows and proves what the Federal legislation should be analyzed and used in medical organization in the field of internal control of the quality and safety of medical activity. Presents directions for internal control of quality and safety of medical activities with regard to regulation of each Federal legislation.

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: internal control5 legislation2 medical organization26 quality and safety of medical activities4

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  • Management in health care
  • 2018 № 1 About the requirements of the identification and design of preliminary and clinical diagnoses: what you need to pay attention in a medical organization

    The article discusses issues related to the organization of the identification and registration of clinical and preliminary diagnoses in accordance with the requirements of order of Ministry of Public Health from 10.05.2017 № 203н. Practical recommendations for filling approved by the Ministry of the Russian Federation of forms of medical documents (medical card of a patient receiving medical care in outpatient facilities, and medical card of the inpatient), taking into account new requirements for the establishment and design of the preliminary and clinical diagnoses. Brought to the attention of healthcare leaders that we now have a criterion of quality of medical care is the fulfillment of the requirements for the compulsory consultation of doctors in case of difficulty of establishing a clinical diagnosis within the specified time

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: clinical diagnosis1 criteria for evaluating quality1 doctors2 monitoring of quality of care1 preliminary diagnosis1 quality and safety of medical activity5

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  • 2015 № 10 About formation of new content of work of the head of the medical organization to ensure and control the quality and safety of medical activity

    The article deals with the problems and issues that impede the implementation of legislative requirements on ensuring and monitoring the quality and safety of medical activities in medical organizations. The article presents and justifies a specific list of the main activities of the head of the medical organization to ensure and control the quality and safety of medical activity. Proposed and substantiated the areas of control that should be reflected in the internal control of quality and safety of medical activity. Reasonable changes in the activities of medical commissions. Emphasized the need for active and systematic participation of the health authorities and the territorial departments of Roszdravnadzor in the formation of a new content of the work of the head of the medical organization to ensure and control the quality and safety of medical activity.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: head of medical organization1 health authorities1 medical commission4 medical organization26 quality and safety of medical activity5 quality of medical care9 territorial departments of roszdravnadzor1

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  • 2015 № 7 The role of medical panel in providing medical aid: why is it not fulfilled in the total capacity and what the action plan should be

    The article demonstrates and proves that in most of the medical organizations today medical panels do not play a leading role in the activities aimed to enhance the provision of medical aid. Authors draw attention to the issues of incomplete development of panel’s responsabilities and functional described in the Federal Law dated 21 November 2011 N 323-FL «On the principals of Health Protection of citizens of Russian Federation» and in the Order on creation and conducting medical panels in a medical organization, certified by the Order of Russian Ministry of Health Care and Social Development dated 05.05.2012. № 502. Authors suggested and justified additions and changes, which these documents must include.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: medical organizations5 medical panel1 provision of medical aid1 quality and safety control of the medical activity1

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  • 2015 № 6 The need for more continuity and cooperation the relationship between quality of medical care in the mandatory medical insurance system and control of quality and safety of medical activities

    The article shows the lack of continuity and the relationship between the quality of medical care in the mandatory medical insurance system (MMI) and control of the quality and safety of medical activity. Named a number of problems in this regard in public health practice, one of which is the absence in most of the medical organizations of the country internal control systems of quality and safety of medical activity. Asked to create one for the whole health of the Russian Federation the Order of evaluation of the quality and safety of medical care, regardless of whether this examination in a medical organization that is involved in the implementation of insurance programmes, or it is performed in a medical organization, in which the implementation of the programs of the MMI is not involved.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: control the quality and safety of medical activities1 mandatory medical insurance7 medical organization26 quality control of medical care1 quality examination1

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  • 2015 № 2 Work with citizen's applications in a medical organization as one of the mostimportant indicators of quality and safety of medical practice

    The article presents the characteristics of modern features and challenges of working with citizens applications in a healthcare organization. Attention to the fact that this activity is often underestimated chief physicians. It is proved that work with citizens applications in a healthcare organization, being one of the most important indicators of the quality and safety of medical practice, requires allocation of this area in a separate section of the internal control quality and safety of medical practice.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: citizens applications1 internal control5 medical organization26 quality and safety of medical practice4

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  • 2014 № 8 Circulation of medical products: numerous problems regulatory or what chief doctor have to do. Part 2 (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    In the article the characteristic of a number of issues in the sphere of medical products circulation: insufficient legislative regulation, absence of the system of training, lack of secure rights of a patient and, as a consequence, serious problems at the level of the medical organization. The authors offer concrete solutions as part of the normative regulation of the sphere of medical products circulation, and of the expanded operation algorithm at the level of medical organization in this area, namely those actions that must initiate the chief doctor.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: medical organization26 medical product2 quality and safety of medical practice4 the sphere of circulation of medical products2

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  • 2014 № 7 Circulation of medical products: numerous problems regulatory or what chief doctor have to do. Part 1 (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    In the article the characteristic of a number of issues in the sphere of medical products circulation: insufficient legislative regulation, absence of the system of training, lack of secure rights of a patient and, as a consequence, serious problems at the level of the medical organization. The authors offer concrete solutions as part of the normative regulation of the sphere of medical products circulation, and of the expanded operation algorithm at the level of medical organization in this area, namely those actions that must initiate the chief doctor.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: medical organization26 medical product2 quality and safety of medical practice4 the sphere of circulation of medical products2

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  • 2014 № 2 Corruption in a medical organization: mechanisms to counter (Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    In article are considered questions of the organization of work in counteraction to corruption in a medical organization. The authors analyze the existing difficulties in solving this problem and suggest ways to overcome them. The article stressed that anti-corruption measures in medical organizations must not only be independent direction in the work of its leadership, but also the most important component of the internal control system of quality and safety of medical activity.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: anti-corruption1 corruption1 the medical organization2 the quality and security of medical activities1

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  • 2013 № 12 Some problems of implementation of the Federal law of the Russian Federation dated November 21, 2011 № 323-FZ «On fundamentals of protection of the health of citizens in the Russian Federation » (Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    Annotation. The article proves the necessity to introduce amendments to the Federal law of the Russian Federation dated November 21, 2011 № 323-FZ «On fundamentals of protection of the health of citizens in the Russian Federation». These amendments relate both to clarify used in the law of the conceptual apparatus and concretization of the mechanisms for the implementation of patients rights in receiving medical care.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: health care9 local normative acts1 patient rights3 priority of the interests of the patient1 quality and safety of medical care1

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  • 2013 № 10 Regarding the right of a patient or his official legal representatives to demand a consultation of physicians-specialists (Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia).

    Annotation. Authors refer the right of a patient or his official legal representatives to demand a consultation of physicians-specialists to the group of hardest to establish rights in the health care system of Russian Federation. In the article there is given a detailed description of problems, related to implementing this right. As a proposal directed on complying the appointed law, there is suggested a mandatory development of internal document in every medical entity, regulating the procedure of processing patient's consultations. There are given concrete recommendations on what content has to be reflected in the regulation of the procedure of organizing and conducting consultations in medical organizations.

    Authors: Piven D. V. [31] Kitzul I. S. [3]

    Tags: attending physician1 consultation per demand1 consultations of physiciens-specialistes1 legal representative1 patient's right1

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  • 2013 № 7 The problems of realization of the patient rights for the choice of doctor and the ways of its solution in the medical organization (Saint-Petersburg, Irkutsk, Russia)

    The article considers the issues related to the implementation of the rights of the patient to choose a doctor. The authors emphasize that the need for compliance with the law in the medical organization requires the development and adoption of the relevant internal document regulating the procedure of choice of doctor it is in this medical organization. The article provides specific recommendations as to what should be reflected in the procedure of choice of doctor in the medical organization.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: choice of doctor1 medical organization26 patient rights3 replacement of a doctor1

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  • 2013 № 2 А new system of control of quality and safety of medical care in public health system of the Russian Federation (Sankt-Peterburg, Russia; Irkutsk, Russia)

    The questions relating to the formation of a new system of quality and safety of medical care in the context of the provisions of the Federal Law. The authors note that it needs further legislative drop-ment term safety of medical practice. Offers strategic and operational scenario of gradual formation of quality control and safety of medical care. Specific recommendations managers of medical organization to develop internal documents of the internal control quality and safety of medical care.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: medical activities1 monitoring system1 quality and safety2

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  • Management in healthcare
  • 2014 № 11 Сontents of internal control quality and safety of medical activities in medical organizations: what should it be and what hinders it (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    The issue deals with the fact that today in most medical organizations in the country is not built system of internal control quality and safety of medical activities, as provided by applicable law. In this context, the article presents and justified proposals for the filling of the internal control quality and safety of medical activities specific areas of work corresponding to the requirements of state control. The factors hindering the development of internal quality control and safety of medical activities.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: internal control5 medical organization26 quality and safety of medical activities4 quality inspection1

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  • 2013 № 4 Ensuring the rights of the patient and the need to develop a medical organization necessary internal regulatory documents (Sankt-Peterburg, Irkutsk, Russia)

    The questions related to patients' rights in health care. Detail the mechanisms to ensure patients' rights to information about their rights and responsibilities, their health status. The authors emphasize that the rights of the patient in health care is impossible without a clear regulation of this work relevant internal documents of the medical organization. Specific recommendations on the content of these documents.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: patient information1 patient rights3 quality of medical care9 regulatory documents1

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  • Personnel management
  • 2013 № 11 New rules of providing paid educational services: what head of the medical organization should know (Saint Petersburg, Russia; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)

    In the article the questions connected with enactment of the new Rules of providing of paid educational services. These Rules introduced new concepts — «disadvantage of paid educational services» and «significant disadvantage of paid educational services». Accordingly, questions are: «What is a disadvantage of paid educational services? What action can be taken by head of the medical organization if it is customer service and delivery disadvantages? » This article gives the answers to these questions.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: contract1 paid educational services1 the disadvantage of paid educational services1 the head of the medical organization1 trained medical workers1

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  • Quality of health care management
  • 2016 № 6 Order for examination of quality of medical care

    The article deals with the factors that must be considered when establishing the order of examination of quality of medical care in the Russia with the exception of medical assistance provided in accordance with the Russian legislation on mandatory medical insurance. Analyzed and systematized information on the powers of constituent entities of control of quality and safety of medical activities in feald of examination of quality of medical care. Subject to the authority of constituent entities of control of quality and safety of medical activities proposed to allocate external and internal examination of quality of medical care. The content of examination of quality of medical care carried out by medical organizations.

    Authors: Piven D. V. [31] Kitsul I. S. [30] Ivanov I. V. [9]

    Tags: examination of quality of medical care1 medical activity2 medical organization26 quality control and safety of medical activity1 the expert of quality of medical care1

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  • Quality of medical aid
  • 2014 № 5 The quality of medical care or the quality and safety of medical activity: what are still controlled medical organizations? (Saint Petersburg, Irkutsk, Russia)

    In the article the authors reason imperfect regulation of the Federal law dated November 21, 2011, №323-FZ internal quality control and safety of the medical activity. Given specific proposals on consolidation in the law of the concepts of quality of medical activity and safety of medical activity. In addition, the authors have defined the list of measures that must be implemented in a medical organization within the framework of internal control of quality and safety of medical activity.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: internal control5 medical activity2 medical organization26 quality and safety2

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  • Staff management
  • 2016 № 4 Restrictions on medical stuff in the exercise of professional activity and the prevention of conflicts of their interests: medical organization actions

    Annotation. The article deals with the features of today for the healthcare organizations compliance with the restrictions placed on medical stuff in the exercise of professional activity and on prevention of conflict of their interests. Authors substantiate and emphasize the need for strict governance of this work in medical organizations local regulations. It is shown that the restrictions imposed on medical stuff in the exercise of professional activity and the prevention of conflict of interests of medical stuff is an integral component of ensuring and control of quality and safety of medical activities in a medical organization.

    Authors: Piven D. V. [31] Kitsul I. S. [30]

    Tags: conflicts of interests1 control of quality and safety of medical activities2 medical organization26 medical stuff1 professional activities1 restrictions1

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