Saratov JOURNAL of Medical and Scientific Research

Shigaev N. N.

Saratov Regional Children Clinical Hospital, Statistician-analyst physician

Criteria of medical care evaluation in daily in-patient department in pediatrics

Year: 2011, volume 7 Issue: №2 Pages: 361-368
Heading: Health Service Organization Article type: Original article
Authors: Shigaev N.N., Grozdova T.U.
Organization: Saratov Socio-Economic Institute of Plekhanov Russian University of Economics
Summary:

The research goal is to work out criteria for the evaluation of medical care quality. Materials included 386 medical cards of daily in-patients, 216 medical cards of in-patients; 602 cards of analysis of case histories; 4 computer data bases. Methods of mathematical statistics were successfully used in the study. The comparative method of data analysis was applied to the research work. Intensity of medical care in values from 0,1 to 0,5 conditional units corresponded to requirements of criterion of estimation of medical care quality. Parameters of medicinal treatment were close to the standards of treatment in interval from 44,4 to 100%, as criterion of quality of medical care. Specific weight of apparatus and instrumental researches constituted an interval from 7, 4% to 22, 6%, forming corresponding criterion. Interval of effectiveness according to standards of consultations is from 0, 26 to 1, 04 conditional units. In conclusion the article stated that the characteristics for criteria to evaluate medical care in daily in-patient departments were worked out on the basis of indices obtained during the research work

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THE SYSTEM APPROACH TO THE ESTIMATION OF MEDICAL CARE QUALITY IN DAY HOSPITAL IN PEDIATRICS

Year: 2008, volume 4 Issue: №2 Pages: 34-39
Heading: Health Service Organization Article type: Original article
Authors: N. N. Shigaev
Organization: Saratov Regional Children Clinical Hospital
Summary:

In the paper the system of criteria for estimation of medical care quality in pediatric hospital is suggested. Itcontains objective and subjective criteria (some of them were used in Russian practice first time), quantitative and qualitative, direct and indirectcriteria. The system was approved for compare five analysis of day and twenty-four-hour hospitals of gastroenterology profile atthe Saratov State Regional Children’s Clinical Hospital. Itwas shown that high quality of medical care to children may be achieved at the less financial expenses in day hospital. The implemented set of instruments allows to characterize the results of economic, medical, and administrative decision making in sphere of health care and to evaluate their social consequences.

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