妇产科护理质量保证的现代方面

Nataliia M. Mykytenko
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General scientific and theoretical approaches (system-complex, alarm-process, structural-functional) and methods were used: generalization; analysis and synthesis; grouping, comparison, identification and visual reproduction of results, structural and functional. The theoretical basis is the achievements of foreign and domestic scientists in the field of social medicine, Laws of Ukraine on the organization of the quality system, EU Directives and Recommendations of the Council of Europe on the introduction of standards and maintenance of ethical aspects of reproductive medicine. \nResults. 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摘要

导言。社会医学的任务是从医学和社会两个方面深化妇产科医疗保健机构的医疗质量改进机制,建立有效的质量体系,确保人民的生殖健康。目标更新医疗保健机构妇产科医疗质量体系管理有效性的因素,确定为协调其运作而应考虑的影响因素组合,这些因素体现了其发展的具体特点和特征。材料和方法。采用了一般的科学和理论方法(系统--复合、警报--过程、结构--功能)和方法:概括;分析和综合;分组、比较、识别和直观再现结果、结构和功能。理论基础是国内外科学家在社会医学领域取得的成就、乌克兰关于组织质量体系的法律、欧盟指令和欧洲委员会关于引入生殖医学标准和维护伦理方面的建议。结果。通过将 "妇产科医疗机构医疗质量的弹性系统 "概念的本质定义为一个复杂的资源功能结构,发展了社会医学理论的概念和分类装置,该结构:具有十个子系统,在建立时考虑了系统--复合体和警报--过程方法的规定,以确定其目标并优先执行三组任务;考虑了影响因素的组合;旨在确保稳定性和对不断变化的条件的适应性,在其组成中纳入监测、分析和改进医疗护理的系统,确保高质量的医疗护理、安全并满足妇产科领域患者的需求。结论。事实证明,当务之急是:在实践中引入有弹性的医疗质量体系;证明根据单一标准对其进行评估的多层次相对指标体系的合理性;确定优先事项,以便在当地努力消除不足,并实施战略以实现确定的目标。科学和应用研究表明,有必要在妇产科医疗保健机构建立弹性医疗质量体系,为其形成制定管理行动算法,并将其付诸实践,建立多维度的相对指标体系,以评估其实施效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MODERN ASPECTS OF QUALITY ASSURANCE OF OBSTETRICAL AND GYNECOLOGICAL CARE
Introduction. The task of social medicine is to deepen the medical and social aspects of developing mechanisms for improving the quality of medical care in obstetric and gynecological health care institutions and building an effective quality system to ensure the reproductive health of the population. Aim. Update of factors of the effectiveness of the management of the quality system of obstetric and gynecological care in health care institutions and determination of the combinatorics of influencing factors that should be taken into account for the harmonization of its functioning, which characterize the specifics and features of its development. Materials and methods. General scientific and theoretical approaches (system-complex, alarm-process, structural-functional) and methods were used: generalization; analysis and synthesis; grouping, comparison, identification and visual reproduction of results, structural and functional. The theoretical basis is the achievements of foreign and domestic scientists in the field of social medicine, Laws of Ukraine on the organization of the quality system, EU Directives and Recommendations of the Council of Europe on the introduction of standards and maintenance of ethical aspects of reproductive medicine. Results. The conceptual and categorical apparatus of the theory of social medicine was developed by defining the essence of the concept of "resilient system of quality of medical care in health care institutions of the obstetric and gynecological profile" as a complex resource-functional structure, which: has ten subsystems and is built taking into consideration the provisions of the system-complex and the alarm-process approach to determining its goals and prioritizing the performance of three groups of tasks; takes into account the combinatorics of influencing factors; aimed at ensuring stability and adaptability to changing conditions, incorporating into its composition a system of monitoring, analysis and improvement of medical care, ensuring high quality of medical care, safety and meeting the needs of patients in the field of obstetrics and gynecology practice. Conclusions. The urgency has been proven: the introduction into practice of a resilient quality system of medical care; justification of the multi-level system of relative indicators of its evaluation according to a single criterion; determination of priorities for the localization of efforts to eliminate shortcomings and implementation of strategies to achieve the defined goals. Scientific and applied research identified the need for building a resilient quality system of medical care in obstetric and gynecological health care institutions, developing an algorithm of management actions for its formation and putting it into practice with the development of a multidimensional system of relative indicators to assess the effectiveness of its implementation.
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