All-Russian rating of radiology departments: 2020 competition results

Abstract

The issues of quality medical care management and organization of the work of the department of radiation diagnostics are always relevant and require constant monitoring and analytical expertise. Since 2018, the Moscow regional branch of the Russian Society of Radiologists and Radiologists (MRO PORR) has been conducting an independent assessment of the departments of radiation diagnostics in all the regions of Russia. The rating aimed to identify industry leaders and spread the best practices throughout the country. The survey results identified the positive trends in the development of diagnostic care services throughout the country and critical points that affect the quality of work of medical organizations.
 This study presents an analysis of the functioning of 123 departments of radiation diagnostics in 2020. After meeting the inclusion criteria, a list of 163 medical organizations in 15 cities of 7 federal districts was formed. The evaluation procedure was divided into three stages. The first stage consisted of an online survey, wherein each of the participating organizations was asked to answer questions about the departments work arrangement, equipment, list, and features of performing diagnostic tests, as well as working with patients. The second stage consisted of a clinical and technical audit of a set of anonymized studies with conclusions. Special attention was paid to technical audits since several medical organizations violated the methodology of conducting research. The third stage included checking the information about medical organizations in open sources. During the first and second stages, points were awarded, based on which the finalists, leaders, and rating winners were selected.
 According to the evaluation results of all stages,31 organizations reached the final stage,6 were in the group of leaders, and 5 were winners, whereas 45% of the finalists belonged to the Central Federal District. Greater interest was found in the auditing work in municipal and private medical institutions than in departmental and federal ones. Some database has been collected, in addition to the list of winners, which may represent a cross-section of the state of the radiation diagnostics service in the Russian Federation.
 Conducting such competitions is primarily aimed at improving the quality and safety of X-ray examinations. The methodology of the competition is improved every year.