Law
  • 2021 № 9 Legal and regulatory framework of the system for ensuring an accessible environment for people with disabilities and other low-mobility groups of the population on the example of an ophthalmological medical organization

    The article analyzes the existing regulatory framework governing the formation of an accessible environment for people with disabilities and other low-mobility groups of the population. The experience of a republican-level clinic providing medical care in the field of “ophthalmology” when organizing visits to low-mobility groups of the adult population in the Republic of Tatarstan is presented. The forms of work of an ophthalmological medical organization to provide an accessible living environment for the specified category of patients are considered. The types of responsibility of officials and legal entities for violations in the field of providing an accessible environment for people with disabilities and low-mobility groups of the population are determined.

    Authors: Khusainova D. K. [3] Stein E. V. [1] Zigangareeva G. G. [3]

    Tags: accessible environment1 disabled people2 people with limited mobility1

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  • Management in healthcare
  • 2023 № 6 WAYS TO IMPROVE INTERNAL CONTROL OF THE QUALITY AND SAFETY OF MEDICAL ACTIVITIES: HOW TO USE THE RESULTS OF CONTROL IN THE SPHERE OF COMPULSORY HEALTH INSURANCE

    R e l e v a n c e . Currently, the issues of ensuring the quality and safety of medical activities are one of the priority areas in healthcare management. The legislation of the Russian Federation has determined the organization and conduct of internal quality control and safety of medical activities as a licensing requirement. Identified inconsistencies/violations in the provision of medical care are one of the elements of risk management and should be used to improve the efficiency of medical organizations.
    T h e p u r p o s e of the study is to develop management practices to improve the quality and safety of medical activities using the results of external audits in the field of compulsory health insurance.
    M a t e r i a l s a n d m e t h o d s . The analysis of modern requirements of normative legal acts of quality control and safety of medical activity has been carried out, the main tools used in conducting external audits in the system of compulsory medical insurance have been systematized.
    R e s u l t s . The modern architecture of quality control and safety of medical activities includes 5 levels of control. The tools for monitoring the quality of medical care for identifying violations, applying financial sanctions to a medical organization are described. In order to improve the quality and safety of medical activities, the development of corrective measures and various management practices is recommended.
    C o n c l u s i o n s . The results of external audits are an important element of the modern model of quality management and safety of medical activities, which should be integrated into the work of a medical organization of any profile for use in a system of continuous quality improvement

    Authors: Khusainova D. K. [3] Zigangareeva G. G. [3] Koroleva O. I. [2]

    Tags: compulsory medical insurance18 examination of the quality of medical care4 internal quality control and safety of medical activities2 medical and economic examination1

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  • Sociology of healthcare
  • 2023 № 9 Algorithm for working with citizens’ appeals: the experience of a regional ophthalmological center.

    Relevance. At present, the institution of citizens’ appeals is a dynamically developing model of interaction between the population and state and municipal authorities, including medical organizations. In the legislation of the Russian Federation, for the purpose of a comprehensive, timely and objective procedure for considering citizens’ appeals related to receiving medical care, a three-level hierarchy of regulatory legal regulation has been formed. Determination of the officials of the organization, forms and methods of working with appeals, analysis of the results of consideration of citizens’ appeals and the introduction of measures that correct the activities of employees of a medical organization (medical and non-medical personnel), the implementation of organizational and legal changes are an indispensable element of an effective management system of a modern healthcare institution.
    The purpose of the study: аnalysis of the organization and conduct of work with citizens’ appeals related to obtaining medical care for the adult population in the field of «ophthalmology» in the regional center of the Republic of Tatarstan – the state autonomous healthcare institution «Republican Clinical Ophthalmological Hospital of the Ministry of Health of the Republic of Tatarstan named after Professor E. V. Adamyuk» (GAUZ “RKOB MH RT named after prof. E. V. Adamyuk”), and the development of measures to improve the
    efficiency of the ophthalmological clinic.
    Materials and methods. The analysis of modern requirements of normative legal acts of quality control and safety of medical activity has been carried out, the main tools used in conducting external audits in the system of compulsory medical insurance have been systematized. We used mathematical and statistical analytical methods (quantitative, comparative, structural, expert).
    Results. A routing scheme for citizens’ appeals is presented, taking into account the channels of their receipt, and an algorithm for working with written appeals sent to the regional ophthalmological center of the Republic of Tatarstan. The trend of modern feedback services with applicants is noted, characterized by the active use of new Internet resources, social networks and instant messengers, various mobile applications for registering citizens’ appeals, and «fan» distribution of complaints about the activities of a medical organization.
    According to the statistics for 2021–2022 in the structure of the reasons for written appeals of the GAUZ “RKOB MH RT named after prof.
    E. V. Adamyuk” were in the lead in requests for the provision of medical documentation, which amounted to 2021. 45,4%, 2022 – 55,9% of all received applications. In second place were issues related to the organization of medical care, the share of which amounted to 2021 in 2021. 32,5%, in 2022 – 26,3%. Requests for assistance in the provision of medical care were made in 2021. 12,1%, in 2022 – 8,4% of the total considered appeals.
    Conclusions. Based on the results of consideration of citizens’ appeals by officials of the GAUZ “RKOB MH RT named after prof.
    E. V. Adamyuka, managerial decisions are made to increase the satisfaction of the adult population of the Republic of Tatarstan with the quality and availability of medical care in the field of ophthalmology, including changes in the organization of the clinic, the implementation of measures that correct the activities of medical and non-medical personnel.

    Authors: Khusainova D. K. [3] Zigangareeva G. G. [3] Koroleva O. I. [2]

    Tags: algorithm for working with appeals1 appeals of citizens1 internal quality control and safety of medical activities2 management of a medical organization2

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