DESCRIPTIVE DESIGN OF QUALITY MANAGEMENT OF MEDICAL HELP FOR PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENTS IN TERMS OF PHARMACOTHERAPY
DOI:
https://doi.org/10.11603/2312-0967.2020.4.11645Keywords:
acute cerebrovascular accidents, pharmacotherapy, concept of quality management by A. Feigenbaum, modelingAbstract
The aim of the work. To carry out modeling of the quality management system of medical help (MH) for patients with acute cerebrovascular accidents (ACVA) associated with the use of drugs.
Materials and methods. The materials of the study were theoretical issues of quality management of MH in patients with ACVA in terms of pharmacotherapy. The concept of quality management by A. Feigenbaum, methods of system approach, information search, generalization, modeling have been used.
Results and discussion. A model of quality management of MH for patients with ACVA has been processed, the implementation of which through the integration of 5 management levels and 17 vertical functions according to the concept of quality management by A. Feigenbaum's and directing the main efforts to complex quality control of MH will enable patients with ACVA to have access to rational pharmacotherapy (FT).
Conclusion. Based on the concept of quality management by A. Feigenbaum, a model of quality management of MH for patients with ACVA has been processed, the implementation of which, hypothetically, will ensure that patients receive rational FT with complex quality control of this process, which ultimately will have a positive impact on quality of life of patients with ACVA.
References
Wafa HA, Wolfe ChDA, Emmett E, Roth GA, Johnson CO, Wang Y. Burden of Stroke in Europe. Thirty-Year Projections of Incidence, Prevalence, Deaths, and Disability-Adjusted Life Years. Stroke. 2020;51(8): 2418–2427. Available from: https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.029606 [Accessed August 2020].
Voronenko YuV, Gorachuk VV, Kryshtopa BP. Historical stages of quality management: experience to modern health care. Ukraine. Nation's Health. 2012;2 (22):70–73. Ukrainian.
Order of the Minisrty of Health of Ukraine "On the procedure for quality control of medical care" from August 28, 2012, No 752. [Electronic resource]. Available from: https://zakon.rada.gov.ua/laws/show/z1996-12#Text [Accessed August 2020]. Ukrainian.
Order of the Minisrty of Health of Ukraine "Regulations on the pharmacotherapeutic commission of the health care institution" from June 26, 2014, No 529. [Electronic resource]. Available from: https://zakon.rada.gov.ua/laws/show/z0824-14#Text [Accessed August 2020]. Ukrainian.
Voronenko YuV, Goida NG, Decyk OZ, Zimenkovsky AB, Kryshtopa BP. et al. Guidelines: “Organization of quality control of medical care in health care facilities” [Методичні рекомендації "Організація контролю якості медичної допомоги в закладах охорони здоров’я"]. K.: 2014; Ukrainian.
Order of the Ministry of Health of Ukraine "On the organization of clinical and expert assessment of the quality of medical care and medical care" from February 05, 2016, No 69. [Electronic resource]. Available from: https://zakon.rada.gov.ua/laws/main/z0286-16 [Accessed August 2020]. Ukrainian.
Order of the Ministry of Health of Ukraine " On approval of the Concept of quality management of medical care in the field of health care in Ukraine for the period up to 2020" from August 01, 2011, No 454. [Electronic resource]. Available from: http://www.moz.gov.ua/ua/portal/dn_20110801_454.html [Accessed August 2020]. Ukrainian.
Order of the Ministry of Health of Ukraine "Methods of developing a system of indicators of quality of medical care" from September 28, 2012, No 751. [Electronic resource]. Available from: http://zakon.rada.gov.ua/laws/show/z2002-12 [Accessed August 2020]. Ukrainian.
Order of the Ministry of Health of Ukraine "Handbook of qualification characteristics of employees' professions. Issue 78. Health care" from March 29, 2002, No 117. [Electronic resource]. Available from: https://zakon.rada.gov.ua/rada/show/va117282-02. [Accessed August 2020]. Ukrainian.
Order of the Ministry of Health of Ukraine "On amendments to the Rules of storage and quality control of medicines in medical and preventive institutions" from April 03, 2018, No 610. [Electronic resource]. Available from: https://zakon.rada.gov.ua/laws/main/z0522-18 [Accessed August 2020]. Ukrainian.
Guidelines for the development of quality management system documentation: DSTU ISO / TR 10013: 2003. К.: Ukrainian Derzhspozhyvstandart, 2004. Ukrainian.
Vuori HV. Quality assurance of health services: concepts and methodology. Copenhagen: Regional Office for Europe, World Health Organization. 1982. 127 p.
Stepanenko A. Quality control of medical care in Ukraine - a naked king? Your health, 2017. [Electronic resource]. Available from: http://www.vz.kiev.ua/kontrol-yakosti-medychnoyi-dopomogy-v-ukrayini-golyj-korol/ [Accessed August 2020]. Ukrainian.
Hromovyk BP., Levytska OR. Guidelines: “Methods of analysis of prices for medicines purchased for budget funds, in comparison with international recommended prices” [Методичні рекомендації “Методика аналізу цін на лікарські засоби, які закупляються за бюджетні кошти, у порівнянні з міжнародними рекомендованими цінами”]. K.: 2012; Ukrainian.
Levytska OR., Hromovyk BP. Scientific and methodical recommendations “Multifactorial analysis of the consumption of drugs in acute disorders of cerebral circulation” [Науково-методичні рекомендації “Мультифакторний аналіз споживання лікарських засобів при гострих порушеннях мозкового кровообігу”]. Lviv. Danylo Halytsky Lviv National Medical University. 2017; Ukrainian.
Levytska OR., Hromovyk BP., Yavorska NP. Scientific and methodical recommendations “Indicators of quality of medical care at an ischemic stroke connected with use of medicines [Науково-методичні рекомендації “Індикатори якості медичної допомоги при ішемічному інсульті, пов'язані з використанням лікарських засобів”]. Lviv: Liha-Pres. 2019; Ukrainian.
The concept of health care informatization in Ukraine. [Electronic resource]. Available from: http://vikisoft.kiev.ua/%d0%bd%d0%be%d0%b2%d0%b8%d0%bd%d0%b8/%d0%ba%d0%be%d0%bd%d1%86%d0%b5%d0%bf%d1%86%d1%96%d1%8f- [Accessed August 2020]. Ukrainian.
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