QUALITY MANAGEMENT PRINCIPLES OF CLINICAL AND LABORATORY ACTIVITIES

2018 ◽  
Vol 28 (2) ◽  
pp. 689-693
Author(s):  
Nikola Sabev
Keyword(s):  
Evaluation System ◽  
Quality Of Healthcare ◽  
Laboratory Analysis ◽  
Medical Services ◽  
Administrative Authority ◽  
Specific Level ◽  
Goods And Services ◽  
Laboratory Activities ◽  
Analytical Accuracy

Providing a specific level of healthcare quality is an important and a complex issue, determined by the extent of influence of number of interrelated and predetermined factors that act at different stages throughout the continuum of healthcare activities. A final healthcare product is a complex conglomerate of goods and services being heterogeneous with a time-varying result and a pronounced individuality. Thus, healthcare managers are required to put its supporting and continuous upgrading at the core of their efforts, which in turn will result in cost reduction, good collaboration between individual professionals, improved financial performance and, ultimately, patients will be optimally serviced and their needs and expectations will be satisfied.Indicators to measure quality of medical services give an idea of their characteristics, conditions and requirements for implementation. In this respect, quality assurance in clinical laboratories is an important process involving a complex system of planned actions at all stages of laboratory analysis in order to achieve the most accurate results with the aim of achieving the most accurate result, of monitoring the effect of the treatment and prognosis of the disease in question. The high quality of laboratory medical services helps modern clinicians in their practical activities and is a guarantor of achieving an adequate healthcare outcome. The ‘Quality in Laboratory Medicine’ concept evolves over time, focusing not only on analytical accuracy but also on a broader and more comprehensive basis that takes into account all the steps of clinical and laboratory analysis, providing valuable information in the process of making clinical decisions that are subordinated entirely to the cares of the patient.All healthcare professionals under the administrative authority of the medical institution, that should guarantee the necessary resources for this process, should participate in providing and improving the quality of services. It is necessary to cover the entire organizational structure, by paying attention to the optimization of the relations between staff and patients. Healthcare managers should provide permanent monitoring and a process evaluation system at each stage, allowing options for choosing alternatives for a solution and precise selectivity, aimed at improving the quality of healthcare, in particular, clinical and laboratory activities and services.

scholarly journals Approach to Evaluation of Quality of Medical Services

2019 ◽  
pp. 41-45
Author(s):  
M. Burichenko ◽  
O. Ivanets
Keyword(s):  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Medical Institution ◽  
Medical Services ◽  
Regression Equations ◽  
Healthcare Provision ◽  
Quality Of Health Services ◽  
Model Equations ◽  
Fisher’S Criterion

The method of estimation of quality of medical services on the basis of qualimetry depending on subjects of estimation is offered. Subjects evaluated are divided into three groups. For each group, quality indicators are defined that characterize the needs of each group. The evaluators comprise the needs of patients, the management of the medical institution and the state authorities. For each subject, a mathematical equation based on multiparametric regression is developed. The peculiarity of each equation is to take into account the factors influencing the quality of medical services of this particular group. Qualimetric method is used for quantitative assessment of the quality of medical services. The method is based on a set of multiparameter linear regression equations that allow to take into account and analyze the influence of various factors on the quality of medical services, depending on the subjects of evaluation. On the basis of processed statistics, the coefficients for each group were determined. We have checked each regression model for Fisher’s criterion adequacy. Proposed and tested model equations have become the basis for developing a methodology for assessing the quality of medical services. The proposed approach to the assessment of the quality of health services provides an opportunity to quantify the quality of the provision of medical services to consumers in a specific medical institution for different groups of subjects. But it can serve as a means of regulating the quality of healthcare provision by healthcare providers. The proposed approach allows identifying the risks that affect the quality of services. In the case of unsatisfactory quality of these services, based on the proposed approach, identify a group that does not meet the quality requirements and develop measures to address identified deficiencies as required by the international standard.

The Public Procurement and the Quality of Services: The Case of Moscow Hospitals

2020 ◽  
pp. 118-131
Author(s):  
Margarita  V. Kravtsova
Keyword(s):  
Public Procurement ◽  
Medical Services ◽  
Key Factors ◽  
High Quality ◽  
Factors Affecting ◽  
The Public ◽  
Goods And Services ◽  
The Difference ◽  
Positive Effect

The work is devoted to the search for answers to the question: “Are there any differences in the public procurement of customers who provide services of different quality?”. The article identifies the stages of the hospital procurement process in the contract system and highlights the main customer strategies used in the auction. The results of an independent quality assessment are examined and comparative hospital characteristics with low and high quality rating are conducted. The hospital needs according to the types of purchases and their annual volumes of contracts are analyzed. The advantages of competitive procedures are determined and the key factors affecting the level of competition with possible risks of unreliable execution of contracts are identified. The empirical study is based on the database which includes 5390 contracts of 2 hospitals in Moscow for years of 2011–2017. Using the methods of econometric analysis, in particular, the method of least squares and the difference in the average, the hypothesis is tested the high competition has a positive effect on the quality of medical services. The constructed regression models show that the customer providing high quality services has low competition and small rebates at the auction. At the same time there are more contract terms, delays in the supply of goods and services as compared with the customer providing low quality services. Thus it was found that the underestimation of competition at the auction indicates the desire of the hospital to guarantee a higher quality of medical services to patients while as aggressive bids of participants lead to the supply of poor purchases. The results of the study may be useful for the competent authorities in the development of legal acts for the participants of the contract system in the field of health procurement.

scholarly journals Problems and prospect of development of health insurance system in China

2020 ◽  
pp. 11-16
Author(s):  
Khentsze Lyu
Keyword(s):  
Health Insurance ◽  
Insurance Coverage ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Medical Services ◽  
Health Insurance System ◽  
Insurance System ◽  
Guaranteed Service ◽  
State Subsidies

This article examines the current health insurance system in China. Emphasis is made on determination of the key features and peculiarities of Chinese health insurance system, as well as its flaws and ways for overcoming them. The author believes that resolution of major issues in Chinese health insurance system requires increased state involvement thereof, since the marked-based approach that has been in effect for the past 30 years lead to inequality and deterioration of the quality of healthcare. The following recommendations are made on the improvement of health insurance system: launch the targeted financing projects that would allow the citizens with especially dangerous diseases, such as cardiovascular, oncological, digestive and nervous system, diabetes, to be paid in full by insurance and state subsidies in receiving medical services and medications; forgo the principle of “annual limit” for medical services and medications under insurance coverage; unify insurance payment systems in different regions in order to improve the quality of rendering healthcare services in poor areas. The author also offers to consider the possibility of implementation of the universal guaranteed service standards that would ensure equal level of the quality of basic services regardless the type of insurance.

Reaction times as indicators of the quality of expert work of belgrade municipal institutions for emergency medical services

Open Medicine ◽  
2013 ◽  
Vol 8 (1) ◽  
pp. 90-95
Author(s):  
Slađana Anđelic ◽  
Nenad Ivančević ◽  
Snežana Bogunović
Keyword(s):  
Emergency Medical Services ◽  
Reaction Times ◽  
Objective Evaluation ◽  
Quality Of Healthcare ◽  
Medical Services ◽  
Time Interval ◽  
Call Centre ◽  
Emergency Calls ◽  
Emergency Medical

AbstractIntroduction. Methodological Instructions for Procedures of Healthcare Institution Reports on the Indicators of the Quality of Healthcare from 2007 also involve reaction times (RTs) I, II, I+II, III and IV, as the obligatory indicator of the quality of expert work of Emergency Medical Services (EMS). Objective. Evaluation of the quality of expert work of Belgrade EMS based on RTs. Methods. A retrospective analysis of priority 1 emergency calls in September 2009 vs September 2010, and RTs from I to IV as the recommended indicators of the quality of expert work of Belgrade EMS. Results. As detected, in 2010 there has been decrease in the total number of calls for physicians, and the total number of priority 1 emergency calls. By comparing RTs, the obtained data showed that in 2010 the time elapsed from when a priority 1 call was received until it was handed to the EMS team for implementation (RT I) was on average faster by 0.1 min (p<0.01), that the time elapsed from the dispatcher’s receipt of the call until the EMS team arrived to the patient (RT II) was faster on average by 0.42 min (p<0.05), and that the time for the team to reach the patient after the received call through the call centre (RT I+II) was faster by 0.15 min. Also, in 2010, RT III was shortened by 1.27 min and RT IV by 1.00 min. By summing RTs I, II and III, independently resolved level I emergency calls at the scene are obtained. In 2009, this time interval was, on average 38.02 min, and in 2010 it was an average of 36.23 min. By summing RTs I, II and IV, the time elapsed from the call received through the call centre until the patient’s hospital admission is obtained. In 2009 this time was average 31.08 min, and in 2010 it was average 29.16 min. Conclusion. One of the major advances in emergency medicine is providing assistance to a request for emergency medical care where this is produced. Therefore, the indicator of RTs may measure the quality of care provided by pre-hospital services.

scholarly journals PERCEPTION OF PATIENTS REGARDING QUALITY OF HEALTHCARE SERVICES AT PUBLIC AND PRIVATE TERTIARY CARE HOSPITALS

2021 ◽  
pp. 24-27
Author(s):  
FARRUKH ANSAR ◽  
HIRA NAVEED ◽  
ALMAS KHATTAK ◽  
MUHAMMAD SAAD
Keyword(s):  
Patient Satisfaction ◽  
Public Sector ◽  
Private Sector ◽  
Tertiary Care ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Medical Services ◽  
The Public ◽  
Tertiary Care Hospitals

Objectives: Patient satisfaction is a significant marker for estimating the quality of medical services being provided at a clinical facility. It also influences the opportune, proficient, and patient-focused provision of quality medical services. Methods: Data from 768 outdoor patients were collected from four tertiary care hospitals in Islamabad, Pakistan. Half of the patients were from public sector hospitals, while others were from private hospitals. A self-administered questionnaire (Cronbach’s alpha=0.896) was structured for data collection. Using SPSS, descriptive statistics, independent t-test, and Chi-square test were used to analyze data. Results: Overall, 51.4% of patients were satisfied with the services provided to them at hospital Outpatient department. Patients who experienced private sector hospitals (74%) were significantly more satisfied than those who visited the public sector hospitals (29%) (p<0.001). Gender-wise, female patients were more satisfied (58%) than male patients (47%). Insufficient attention of the doctor, the behavior of the supporting staff and inadequate management of disease record were the red flags highlighted by the patients. Conclusion: The current investigation has shown that quality healthcare is significantly associated with economic conditions; patients’ perspective have expressed that the private sector provides satisfactory medical services at a high expense, whereas the public sector is a less expensive alternative but it lags in the provision of high-quality services and patient satisfaction.

scholarly journals Ways of development of processes of standardization and informatization of the field of healthcare

2021 ◽  
Vol 4 (4) ◽  
pp. 368-378
Author(s):  
Viktor D. Gogunskii ◽  
Olga O. Mezentseva ◽  
Anna S. Kolomiiets ◽  
Kateryna V. Kolesnikova ◽  
Victor V. Morozov
Keyword(s):  
Quality Management ◽  
Medical Care ◽  
Management System ◽  
Quality Management System ◽  
Medical Science ◽  
Quality Of Healthcare ◽  
Practical Experience ◽  
Medical Services ◽  
Scientific School

This article is devoted to the analysis of standardization of informatization of medical care projects. In particular, the task of improving the quality and accessibility of medical services on the basis of a scientifically based methodology of portfolio-oriented management is set. To solve this problem, subtasks have been identified, such as the development of methods for estimating the cost of projects in the field of medical services; the creation of a model for financing healthcare based on the introduction of a system of compulsory state medical insurance; the development of a quality management system for healthcare projects, which includes models and methods for planning, ensuring and controlling the quality of medical services; the development of the foundations of state programs for standardization and informatization of healthcare as the basis of a quality management system. Improving the quality of healthcare is recognized as the main goal of reforming the industry at the present stage. The quality of healthcare is defined as the totality of the results of prevention, diagnosis and treatment of diseases determined by the established requirements based on the achievements of medical science and practice. In the work, based on the analysis of the best world experience, it is shown that the use of the principles of standardization in healthcare provides a high level of medical care, regardless of the patient's place of residence, the level of knowledge of a particular doctor or recommendations of a particular scientific school. The paper proposes the main approaches, methods and components of the standardization system. Using the practical experience of private medical centers an algorithm for creating an electronic medical record, its main functions and possible areas of use are proposed. It is shown that the main difficulty in implementing the standardization of medical care is that this work at the level of public and private clinics is controlled not only by the principle of general standardization and modification, but also by a specific project goal for each medical industry, which should be achieved in a comprehensive and balanced manner.

scholarly journals TERRITORIAL HEALTH MAPS AS A TOOL FOR BUILDING A REPUBLICAN HEALTHCARE SYSTEM

2018 ◽  
Vol 2 (2) ◽  
pp. 175-189
Author(s):  
Z Ziganshina
Keyword(s):  
Public Health ◽  
Health Management ◽  
Quality Of Healthcare ◽  
Standard Of Living ◽  
Healthcare Sector ◽  
Medical Services ◽  
Social Investment ◽  
Healthcare Model ◽  
Innovative Potential

The article is dealing with the issues of creating a new method of public health management in the context of realization of innovative potential of the healthcare sector by means of motivating providers of medical services towards creative activity, positive attitude to implemented innovations, and as a result — transformation of consumers of medical services to patients with an “innovative attitude to their own health”. Targeting future incomes, raising the standard of living of the population, increasing accessibility and quality of healthcare provided when investing capital are essential features that distinguish social investment in healthcare. The healthcare model of the future, based on an accurate diagnosis of the health status of people, the prediction of diseases, and taking into account all the factors of the surrounding reality, should be of an investment nature, contributing to the preservation and development of human capital, providing an effective mechanism for managing public health.

A proposed method for assessing the quality of sealants - the CCC Sealant Evaluation System

2001 ◽  
Vol 29 (2) ◽  
pp. 83-91 ◽  
Author(s):  
Christopher Deery ◽  
Hazel E. Fyffe ◽  
Zoann J. Nugent ◽  
Nigel M. Nuttall ◽  
Nigel B. Pitts
Keyword(s):  
Evaluation System
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