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[乌克兰现代医疗保健系统发展背景下放射诊断质量保证的结构与功能模型的理论基础]

[Theoretical grounds of a structural and functional model for quality assurance of radiation diagnostics under conditions of development of the modern health care system in Ukraine].

作者信息

Korop Oleg A, Lenskykh Sergiy V

机构信息

Kharkiv Medical Academy Of Postgraduate Education, Kharkiv, Ukraine.

Chce "Kharkiv Municipal Students' Hospital", Kharkiv, Ukraine.

出版信息

Wiad Lek. 2018;71(3 pt 2):733-737.

Abstract

OBJECTIVE

Introduction: Modern changes in the health care system of Ukraine are focused on financial support in providing medical and diagnostic care to the population and are based on deep and consistent structural and functional transformations. They are aimed at providing adequate quality care, which is the main target function and a principal criterion for operation of health care system. The urgency of this problem is increasing in the context of reforming the health care system and global changes in the governmental financial guarantees for the provision of medical services to the population. The aim of the work is to provide theoretical grounds for a structural and functional model of quality assurance of radiation diagnostics at all levels of medical care given to the population under the current health care reform in Ukraine.

PATIENTS AND METHODS

Materials and methods: The object of the study is organizing the operation of the radiation diagnostic service; the information is based on the actual data on the characteristics of radiation diagnosis at different levels of medical care provision. Methods of systematic approach, system analysis and structural and functional analysis of the operating system of radiation diagnostics are used.

RESULTS

Review: The basis of the quality assurance model is the cyclical process, which includes the stages of the problem identifition, planning of its solution, organization of the system for implementation of decisions, monitoring the quality management process of the radiation diagnostics, and factors influencing the quality of the radiation diagnostics service. These factors include the quality of the structure, process, results, organization of management and control of current processes and the results of radiation diagnostics management.

CONCLUSION

Conclusions: The advantages of the proposed model for ensuring the quality of the radiation diagnostics service are its systemacy and complexity, elimination of identified defects and deficiencies, and achievement of profitability through modern redistribution and use of existing resources of the health care system. The results of adequate service quality management activities in radiation diagnostics are the improvement of organizational and economic principles along with legislative regulation, the implementation of a modern system of radiation diagnostics in the state health care at the national and regional levels, the increase of the accessibility, quality and efficiency of the radiation diagnostics service.

摘要

目的

引言:乌克兰医疗保健系统的现代变革聚焦于为民众提供医疗和诊断服务的资金支持,并基于深刻且连贯的结构和功能转变。这些变革旨在提供足够质量的医疗服务,这是医疗保健系统的主要目标功能和运作的主要标准。在医疗保健系统改革以及政府为民众提供医疗服务的财政保障发生全球变化的背景下,这个问题的紧迫性日益增加。本研究的目的是为乌克兰当前医疗保健改革背景下,为民众提供各级医疗服务时辐射诊断质量保证的结构和功能模型提供理论依据。

患者与方法

材料与方法:本研究的对象是辐射诊断服务的运作组织;信息基于不同医疗服务提供层面辐射诊断特征的实际数据。采用系统方法、系统分析以及辐射诊断操作系统的结构和功能分析方法。

结果

综述:质量保证模型的基础是循环过程,该过程包括问题识别阶段、解决方案规划阶段、决策实施系统组织阶段、辐射诊断质量管理过程监测阶段以及影响辐射诊断服务质量的因素。这些因素包括结构质量、过程质量、结果质量、当前过程管理与控制组织以及辐射诊断管理结果。

结论

结论:所提出的确保辐射诊断服务质量的模型的优点在于其系统性和复杂性,消除已识别的缺陷和不足,并通过现代重新分配和利用医疗保健系统现有资源实现盈利。辐射诊断中充分的服务质量管理活动的结果是组织和经济原则的改进以及立法规范,在国家和地区层面的国家医疗保健中实施现代辐射诊断系统,提高辐射诊断服务的可及性、质量和效率。

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