RESULTS OF EVALUATION OF QUALITY OF MEDICAL CARE FOR PATIENTS WITH GYNECOLOGICAL DISEASES
Evaluation of quality of medical care as an important measure of medical establishment could be provided on intra-/extra-establishment basis. In the system of obligatory medical care, it is the medical insurance companies that provide extra-establishment evaluation. Results of evaluation of quality of medical care for patients with gynecological diseases by the experts of medical insurance companies are presented here in comparison with the results of such intra-establishment evaluation. Treatment outcomes, diagnostic investigations selected, quality of diagnosis-making and of medical care were assessed through the experts analysis for 819 inpatients. 94.9% inpatients did not overpass the age of implied capacity for work. Experts verified 94.2% of the diagnoses. 94.5% of inpatients had been released on convalescence grounds. The analysis of release registry revealed that (along the medical economic standards) 84.5% of inpatients received timely release, 11.5% - premature, 4% - delayed. Prescribed diagnostic measures were not performed in 28.8% of cases. Evaluations of experts of medical insurance companies decreased the measure of controlled medical care quality by 6% on the motive of wrong diagnoses. To improve the expertise for the evaluation of quality of medical care, certain scales to evaluate sets of diagnostic investigations, diagnostic adequacy, efficiency of sets of actions for therapy, rehabilitation, disease prevention, sanitation, and screening should be properly elaborated.