Современные проблемы качества медицинской помощи (кмп) (обзор литературы)

Abstract

High quality of medical care is the primary goal of a health system. At the moment it cann’t be considered high. The results of sociological surveys presented that quite a large proportion of patients isn’t satisfied with the care provided by medical assistance. The causes of this are: absence of funding for health care (and related problems of material and technical base, staffing, staff interest and other), as well as the absence of commonly agreed (and unified with the world) approaches to the definition criteria (indicators), means of verification and a unified system of quality assurance. The moral and ideological factors (destructive changes in the medical profession, the divergence of moral and professional principles, a dominance of the economic aspects of rela-tions, reduced social activity and responsibility) are important. In addition, managers of medical institutions are the following problems of theoretical and methodological nature: the need for a clear distinction between the concepts of "quality of care", "quality of medical services", "quality organization" (including accessibility, ethi-cal aspects, sanitary conditions, which significantly affect the level of subjective assessment). In the context of globalization and international cooperation, it is very important to bring domestic approaches to understanding, assessing, managing the quality of health care in the world.