Population Assessment Of Health Care Quality: The Problems Of Research Methodology

Abstract

The paper raises the problem of the population’s assessment of the quality of services provided by medical organizations in the Russian Federation. As a foreign experience, current methods of research on the quality of services in medical institutions in the United States and Western Europe are mentioned. In the United States, the methodology for examining a patient’s satisfaction in inpatient care is standardized and mandatory. In the Russian Federation, the system of independent evaluation of the quality of the provision of services by medical organizations was introduced by normative documents in 2014. The results are public and are posted on a specially created official portal on the Internet. In addition, there are other methodological approaches to assessing the quality of services provided by medical organizations in Russian regions. The article confirms the diversity of existing methods and procedures for assessing the quality of services provided by medical organizations in Russia. The authors have been established that most of the methods used in the questionnaires focus on ascertaining a patient’s satisfaction with the medical care. The results of the assessment of patient satisfaction with medical care in Russian subjects (the Samara Region, the Tula Region, the Tyumen Region and the Chuvash Republic) were presented. Problems of independent assessment in the Russian Federation related to the organization of interactive interviewing of patients and the quality of the methodological support were identified.