THE USE OF INDUSTRIAL ASSESSMENTS TO DETERMINE THE QUALITY OF CARE IN PUBLIC-PRIVATE PARTNERSHIP
Keywords:quality of medical care, quantitative assessments of medical care, industrial assessments of the quality of medical care, risk of adverse outcome, public-private partnership, Pareto efficiency theory, Taguchi loss function, risk management in the practice of a medical institution
Background. The issues of application of some industrial assessments for the quantitative determination of the quality of care for patients at the rehabilitation stage of treatment are considered.
Results. At the same time, these assessments were compared in the structures of public and private sectors. It is emphasized that if the financial and administrative issues of such interaction have been studied to a certain extent, then a quantitative assessment of the quality of medical care in a public-private partnership (PPP) still raises questions. They are especially evident in the analysis of the effectiveness of cooperation in the rehabilitation of patients. The aspects of using the Pareto efficiency theory application and the Taguchi loss function are considered. The theoretical approaches to the use of scientific and technological tools for the implementation of PPPs in medical institutions, in particular in a rehabilitation center, were discussed. They are based on instrumental approaches to assessing the quality of medical care. It is shown that the use of Pareto assessment methods and the Taguchi loss function allows us to quantitatively characterize the improvement in the quality of care provided for PPPs. It is also shown that the indicators of clinical work and the average results of rehabilitation are close. However, the repeatability of results in PPP was significantly higher, and the number of medical errors decreased by 42%±3%. The integral evaluation by the Pareto and Taguchi methods turned out to be shifted towards PPP. The distance VA was 1.7 conventional units, which can be considered a quantitative proof of the effectiveness of the new format of the sanatorium's activities.
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