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. [2] Stein E. V. [1] Zigangareeva G. G. [2]

    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. [2] Zigangareeva G. G. [2] Koroleva O. I. [1]

    Tags: compulsory medical insurance18 examination of the quality of medical care3 internal quality control and safety of medical activities1 medical and economic examination1

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