2017 № 2 The application of the process approach for operations management of the medical organization
The article noted the possibility of using as a tool the creation of an internal control of medical organizations quality and safety of medical activities of the quality management system in accordance with the principles and requirements of the national standard is identical to ISO 9001:2015 «Quality management systems – Requirements». Using the principle of process approach, the authors in the activities of medical organizations identified the main macro-processes that determine the outcome. Describes the organizational role and direction of the actions of the process owners. Formulated own definition of diagnostic, therapeutic, and expert processes from the standpoint of the analysis of their content. Marked by close integration relationship and mutual influence of these processes on each other. Outlined the prospects for improving the quality of medical activities of the organization and its results by introducing a process-centric technologies to enhance business processes.
2017 № 4 Functional features of the system of ultrasound examination of patients with urinary malignant neoplasms
The incidence of the urinary malignant neoplasms has been steadily growing in Russia. However, in the Russian Federation there is no document, approving the standard of primary health care in this pathology. In practice, the burden of primary and specialized ultrasound of the urinary malignant neoplasms rests on the shoulders of Oncology Center doctors. Purpose - analysis of the effectiveness of the ultrasound diagnostic services in Kursk and the Kursk region at the urinary malignant neoplasms examination of patients at primary inspection, the specialized treatment, dispensary observation, uptake of this population in commercial structures. The study includes 309 patients assigned to Cancer registration in Kursk Regional Clinical Oncology Center from 2012 to 2015 diagnosed with kidney cancer and bladder cancer. Statistical analysis of the data is performed using SPSS «STATISTICS20.0». Our study shows that the majority of patients with primary urinary malignant neoplasms holds ultrasound examination in primary health care facilities. Often, however, the survey volume is carried out incomplete. The main factor determining the effectiveness of the primary ultrasound is an establishment of the meeting (p < 0,01). The greatest problems encounter in the study of retroperitoneal lymph nodes and the inferior vena cava, and the detection of tumors of small dimensions (T1). The ways of elimination of shortcomings of the ultrasound system and direction of further scientific research are proposed in this article.