To the improving of high-tech medical care access for the patients with severe dermatoses

Authors analyzed the normative legal documents that at different stages determined the general procedure for organizing the provision of high-tech medical care and the sources of its financing. Statistical data on the provision of hightech medical care for the population of the Russian Federation on the profile of "dermatovenerology" are presented. The authors have shown in dynamics that since the release of high-tech medical care as a separate type of medical care (1992), there is the change in the number of medical organizations that provide this type of medical care in the Russian Federation. The authors outlined the main problems of low accessibility and provision of the population of certain subjects of the Russian Federation with this type of medical assistance. The list of nosological forms on the profile of "dermatovenerology" remains extremely insufficient for today, the severity of the course and approaches to treatment of which can be attributed to the number of high-tech medical care. The experience of the work of the federal medical organization in the provision of high-tech medical assistance on the profile of "dermatovenerology" is presented. Proposals have been formulated to improve the quality, availability and improvement of the model for providing high-tech medical care to patients with the most severe dermatoses. The analysis of the literature data, normative legal documents and the experience of the medical organization of federal subordination is presented. The review of step-by-step development and increase of accessibility of high-tech medical aid on the profile of "dermatovenerology" was conducted

Organization of internal control of quality of medical care (Faculty Clinics of Irkutsk State Medical University)

Currently, there is no normative document at the federal level that determines the format of the organization of internal control of medical care quality in a medical organization. The system of standardization in the sphere of public health of the Russian Federation remains incomplete. In this regard, in the multidisciplinary medical organization, innovative approaches have been developed and implemented in the management of the medical care quality and ensuring the safety of medical activities: the development of a number of local regulatory documents; strengthening the expert institute (setting up a department for quality control and safety of medical activities); increasing the role of the internal expertise of the quality of medical care; standardization of medical care; improving the organization of work of middle and junior medical links; strict adherence to the three-stage internal quality control with the obligatory presence of self-control when monitoring the quality of work of medical, middle and junior medical personnel. The authors show the dynamics of the main indicators of the quality of care at the stages before and after the introduction of new approaches to improve the internal quality control of medical care. The presented data testify to the effectiveness and expediency of the proposed measures