Otsenka effektivnosti deyatel'nosti protivotuberkuleznykh dispanserov Moskvy

Abstract


The basic parameters of the work of tuberculosis dispensaries (TBD), Healthcare Departments of Moscow administrative districts over 10 years (1997-2006) were analyzed and recommendations on optimal criteria for evaluating its effectiveness elaborated.
The determination of the capacity of the work of a TBD (the number of visits per shift) and the function of a medical post (the number of visits per occupied post of a phthisiatrician) was not ascertained to loose its topicality in the evaluation of the efficiency of the work of the facility. Along with this, since the function of the medical post of a phthisiatrician considerably lags behind the existing standards, the change in the number of patient visits to a polyclinic and medical calls should be estimated as compared with the previous period in percentage (year, quarter, month), which reflects the actual load of a local phthisiatrician and is the basis for assessing where labor remuneration is in accord with the actual volume of performed work. This indicator should be guided as one of the main criteria for assessing the activity of a local phthisiatrician.

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