Nemenov A Ia
Sov Zdravookhr. 1989(2):27-31.
According to the decision of the CPSU Central Committee and the Council of Ministers of the USSR, the transition to planning and assessing the work of health bodies and facilities by qualitative characteristics has been approved. The latter included the level of general and communicable morbidity, temporary disability, invalidism, mortality, sanitary and epidemiologic well-being. The existing documents on the medical network and manpower contain no evidence on such qualitative characteristics. Numerous institutions are engaged in the collection of basic medical, vital, sanitary and ecologic data. They have no uniform technique of collecting the information, carrying out calculations and comparison of a number of indices, providing the information to the bodies and facilities concerned, especially at the city and regional levels. Thus, health statistics had the similar shortcomings as those stated in the Party and government document "On the measures on radical improvement of the science of statistics in the country". Proceeding from the long-term applied studies the examples of such shortcomings hindering the assessment of health care by qualitative characteristics under new conditions of economic management are given. The proposals aimed at raising reliability and analytical value of health statistics as an important instrument of management are set forth.
根据苏联共产党中央委员会和苏联部长会议的决定,向按质量特性规划和评估卫生机构及设施工作的转变已获批准。后者包括总体发病率和传染病发病率、临时残疾率、残疾率、死亡率、卫生和流行病学状况。现有的关于医疗网络和人力的文件没有此类质量特性的证据。许多机构从事基础医疗、生命、卫生和生态数据的收集工作。它们没有统一的信息收集、进行多项指标计算和比较以及向相关机构和设施(特别是城市和地区层面)提供信息的技术。因此,卫生统计存在与党和政府文件《关于根本改进国家统计科学的措施》中所述类似的缺点。基于长期应用研究,给出了在新的经济管理条件下此类缺点阻碍按质量特性评估医疗保健的例子。提出了旨在提高卫生统计作为重要管理工具的可靠性和分析价值的建议。