A critical view of the healthcare control system

Abstract

The Russian state acts not only as the governing regulator, but also as the owner of an immense medical system called the healthcare industry. With bitterness, we have to admit that from year to year the administrative legislation is only growing. Just a few years ago, it was difficult to imagine that the state would want to go so far and thoroughly in tightening quality control of medical care. Nevertheless, in the existing regulatory framework there are many defects, contradictions and collisions regarding the quality of medical care. In the modern era of artificial intelligence and «digital Russia», there is an urgent need to create a new management system in the healthcare sector, which could provide a true, and not declared by officials’ reports, economic interest in the results of treatment, the possibility of using advanced technologies that guarantee the most effective methods of healing the sick. The purpose of our article was to define the place of the system of quality control and safety of medical activities in the management of healthcare institutions and the main shortcomings of its organization now. The authors believe that the core approaches to the organization of effective control should be borrowed from management theory. The control regulations should reflect its main characteristics: overall, comprehensive, timely, easy to realize, ensuring the continuous repetition of the management process in a new phase, with scientifically sound methods of implementation from both negative and positive perspectives.