Finchenko E A, Tsytsorina I A, Shalygina L S, Ivaninskii O I, Sharapov I V
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2014 Nov-Dec(6):45-8.
The development of the system of informational analytical support based on expertise data is one of most important stage of increasing of effectiveness of management of regional health care. The study was organized to substantiate formation of the system of informational analytical support of management of regional health care on the basis of expertise data. The study was carried out on the basis of expertise data from subjects involved in informational analytical support of management of regional health care (health care management executives, chief specialists and directors of medical organizations in the subjects of the Russian Federation situated in the Siberian federal okrug). The study established that alongside with statistical information the expertise is enough important, objective and informative information to be applied in developing of managerial decisions. The highest integral estimated value of importance, objectiveness and informativeness has the information concerning competence of medical personnel, proportions of medical care of population and conditions of material technical base of health institutions. The most foreground issues concerning expertise are population health condition, pharmaceutical and medical equipment support of medical institutions, level and quality of population medical care. The degree of impact of expertise information on managerial decision making is highest in such directions as support of population with medical care, increasing of availability of medical care and degree of organization of medical care rendering. The probability of increasing of degree of impact of expertise information on managerial decision making is the highest in such directions as population provision with medical care, competence of medical personnel, level and quality of medical care, level of organization of medical care support, that is to be considered during implementation of expertise. The study data was used in developing the major principles of elaboration of system of informational analytical support of management of regional health care. The unified expertise questionnaire was developed to be used as a document basis of expertise system. The study results can be implemented in practical activities of regional health administration and medical organizations. The results of study made it possible to substantiate the development of the system of informational analytical support of regional health care and to determine priority directions of its formation.
基于专业数据的信息分析支持系统的开发是提高区域医疗保健管理效率最重要的阶段之一。组织该研究是为了论证基于专业数据的区域医疗保健管理信息分析支持系统的形成。该研究基于参与区域医疗保健管理信息分析支持的主体（位于西伯利亚联邦区的俄罗斯联邦各主体中的医疗保健管理人员、首席专家和医疗机构主任）的专业数据开展。研究表明，除统计信息外，专业知识是在制定管理决策时应用的足够重要、客观且信息丰富的信息。关于医务人员资质、人群医疗保健比例以及卫生机构物质技术基础条件的信息具有最高的重要性、客观性和信息丰富性的综合评估价值。与专业知识最相关的前沿问题是人群健康状况、医疗机构的药品和医疗设备支持、人群医疗保健的水平和质量。专业知识信息对管理决策的影响程度在诸如为人群提供医疗保健支持、提高医疗保健可及性和医疗服务提供的组织程度等方面最高。专业知识信息对管理决策影响程度提高的可能性在诸如人群医疗保健供应、医务人员资质、医疗保健水平和质量、医疗保健支持组织水平等方面最高，在实施专业知识时应予以考虑。研究数据被用于制定区域医疗保健管理信息分析支持系统制定的主要原则。开发了统一的专业知识调查问卷作为专业知识系统的文件基础。研究结果可应用于区域卫生行政管理和医疗机构的实际活动中。研究结果使得论证区域医疗保健信息分析支持系统的开发并确定其形成的优先方向成为可能。
