Based on the developed expert case record for evaluating quality and practices of medical care the most significant and common defects in medical service are identified in the paper. They include incomplete anamnesis on admission (48%), insufficient physical examination (25%), lack of staged diagnosis (16%), ab-sence of correction in the dynamics of therapeutic actions (11%), partial description of patient’s condition in journals and examination data (32%). However implementation of full and timely laboratory and instrumental examinations (93%), as well as timeliness of diagnosing in 85% of cases are revealed. The program of therapeu-tic measures was chosen rationally (79%). Effectiveness and high results of medical service were achieved in 78% of cases. Advices for the rehabilitation of a patient in accordance with diagnosis and assistance rendered were given professionally and in full volume (93%). The use of a formalized approach and a mathematic model, conversion of the function of quantitative assessment of quality from 0 to 1 to the usual five-point system of evaluation of expert activity results make it possible to level difficulties in perception of ranking and simplify understanding of the assessment criteria. Detection of defects in time, reduction of the number of errors in the process of quality control, intensification of diagnostic and therapeutic measures, as well as of diagnosing should serve as a basis for optimizing medical and organizational technologies to render medical care to patients.
quality, medical care, defects, criteria, evaluation, efficiency.
1. Alekseeva N. Yu., Gaydarov G. M., Latysheva E.A. Novye podkhody k ekonomicheskomu analizu effektivnosti deyatel´nosti mnogoprofil´nogo lechebno-profilakticheskogo uchrezhdeniya v sovremennykh usloviyakh. Ekonomika zdravookhraneniya. 2009. №12. S.33–38.
2. Galanova G.I. O kontrole i otsenke kachestva deyatel´nosti LPU. Voprosy ekspertizy i kache-stva meditsinskoy pomoshchi. 2006. №4. S.3–5.
3. Kirbasova N. P., Pogorelova A. B. Kontrol´ kachestva meditsinskoy pomoshchi po rezul´tatam ekspertnoy otsenki ee kriteriev. Problemy standartizatsii v zdravookhranenii. 2005. N 5. S. 16–22.
4. Tatarnikov M.A. Menedzhment kachestva meditsinskoy pomoshchi kak nauchno-prakticheskaya distsi-plina. Voprosy ekspertizy i kachestva meditsinskoy pomoshchi. 2010. №1. S. 3–10.
