L.A. DORONINA¹, E.A. BAKIROVA²

¹ Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

² National Scientific-research Institute for Public Health named after N.A. Semashko, Moscow

 Contact:

Doronina L.A. — PhD (medicine), Associate Professor of the Department of Public Health, Economy and Management of Healthcare

Address: 36 Butlerov Str., 420012, Kazan, Russian Federation, tel.: (843) 291-77-41, e-mail: mila.doronina.1962@mail.ru

 Objective. To estimate the quality medical assistance to patients with arterial hypertension, diabetes mellitus, and COLD, in rural hospitals of the Central Republic Hospital and the succession between out-patient and in-hospital stages of medical assistance.

Material and methods. Expertise was carried out of 263 cases of in-hospital medical assistance in three rural hospitals of the Central Republic Hospital, based on criteria of quality medical assistance adopted by the order of the Russian Ministry of Healthcare of 10.05.2017 No. 203n. Adequacy of treatment and out-patient recommendations was assessed.

Results. Analysis showed a high frequency of unaccomplished quality criteria, especially for patients with diabetes mellitus. We identified cases of defects in treatment, incorrect recommendations for dispensary observation, and insufficient succession between out-patient and in-hospital institutions.

Conclusion. Research results show that patients with socially prioritized diseases are subject to life-long observation, which can be carried out with information technologies through distant consultations. Low succession between out-patient and in-hospital institutions results in short-term clinical effect after in-hospital treatment. To increase the quality of dispensary observation, modern information technologies should be implemented. Within the unified state informational system of healthcare (USISH), it is necessary to create a resource with a “history of applying for medical assistance”, including out-patient and in-hospital stages. Distant consultations of medical specialists may be paid for through obligatory medical insurance. A condition for introducing such practice is creation of universal digital medical records within the unified state informational system of healthcare (USISH).

Key words: noninfectious diseases, criteria of quality medical assistance, universal digital medical record.

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