Methods for assessing the quality of medical care in Russia and abroad: formation and modern aspects

The study presents the results of the analysis of available literary sources covering the historical and modern aspects of assessing the quality of medical care in the healthcare systems of the Russian Federation and some foreign countries and shows the relevance and feasibility of improving the methodology for assessing the quality of medical care in the Armed Forces of the Russian Federation. At present, many methods are used for assessing the quality of medical care in the healthcare system of the Russian Federation; however, none of them contains an exhaustive set of criteria that would allow assessing the quality of medical care provided in full. In the Armed Forces of the Russian Federation, the methods used to assess the quality of medical care are also not perfect, which leads to a decrease in the effectiveness of management decisions and thereby a decrease in the effectiveness of military medical organizations and units. To this end, active development of assessment indicators and criteria for the quality of medical care, introduction of new assessment methods, including the use of automated data accounting and analysis tools, and improvement of the procedures and standards of medical care are necessary. The most promising area is the use of comprehensive methods for assessing the effectiveness and quality of medical care, which have recently become widespread. Their application provides comprehensive control over compliance with medical care requirements and allows us to investigate the conditions wherein it is indicated, assess the degree of patient satisfaction, and helps optimize the assessment procedure. In addition, to improve the effectiveness, continuity in the implementation of control measures performed at various levels both within the medical organization and with the participation of departmental and state control bodies must be ensured. To do this, close interaction of all control bodies must be organized, and their activities must be integrated into a single quality management system for medical care. The results of the assessment of the quality of medical care can help determine the main directions of the development of the medical and diagnostic process and optimize the work of medical personnel, which increases the importance of work aimed at improving the assessment methodology. In addition, the quality control of medical care in the Armed Forces of the Russian Federation must be further improved.