The modern paradigm for the development of the system of management of the quality and safety of medical activities (literature review)

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Abstract

The further development of Russian healthcare system requires a solution to the issue of forming a national system for managing of the quality and safety of medical activities. There is no consolidated opinion on the goals, objectives and indicators characterizing the activities of a high-quality national health system, which requires the study and additional analysis of foreign experience.

Purpose. Analysis of foreign experience in the development of the management system of the quality and safety of medical activities at the present stage.

In the systems PubMed, Web of Science, Science Direct by Elsevier, Research Gate, a systematic search, selection and subsequent analysis of publications reflecting international experience in the development of management system of the quality and safety of medical activities were carried out.

The modern paradigm of the development of management system of the quality and safety of medical activities consists in the harmonious implementation of scientifically based and generally recognized tools at the national level.

Modern healthcare faces challenges in four main areas: increasing the cost of medical services; dependence on technology; the need to reduce costs while continuously improving quality indicators; patients’ needs meeting. Most countries go through the professional model of quality management in health care, through the administrative model, to the formation of an industrial model, when solving these problems.

The industrial model completely corresponds to modern scientific ideas about management quality of medical care. Necessary condition for its implementation is a preliminary assessment of the industry’s readiness for innovations and a consistent policy in this area.

Contribution of the authors:
Kuchin N.E. — research concept and design, collection and processing of material, writing the text, compilation of the list of literature.
Tyukov Yu.A. — editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest. 

Received: April 27, 2021
Accepted: May 19, 2021
Published: August 30, 2022

About the authors

Nikita E. Kuchin

Federal Service on Surveillance in Healthcare in the Chelyabinsk Region; South-Ural State Medical University

Author for correspondence.
Email: kuchinne@gmail.com
ORCID iD: 0000-0002-3206-0214

MD, PhD, Deputy Head of the Control and Supervision for Medical Activities Department, Federal Service on Surveillance in Healthcare in the Chelyabinsk Region, Chelyabinsk, 454091, Russian Federation.

e-mail: kuchinne@gmail.com 

Russian Federation

Yuriy A. Tyukov

South-Ural State Medical University

Email: noemail@neicon.ru
ORCID iD: 0000-0003-3230-3244
Russian Federation

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