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[俄罗斯联邦主体实验室诊断可及性的标准与指标体系]

[The system of criteria and indicators of accessibility of laboratory diagnostic in the Subject of The Russian Federation].

作者信息

Goldberg A S, Aleksandrova O Yu, Zudin A B, Shegai M M

机构信息

The Federal State Budget Educational Institution of Additional Professional Education The Russian Medical Academy of Continuous Professional Education of Minzdrav of Russia, 125445, Moscow, Russia,

N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia.

出版信息

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2024 Jan;32(1):11-15. doi: 10.32687/0869-866X-2024-32-1-11-15.

Abstract

The modern health care is characterized by constant increasing need in laboratory tests. The quality and accessibility of laboratory diagnostics becomes one of key determinants of social well-being in aspect of maintaining population health. The purpose of the study is in developing system of criteria and indicators of accessibility of laboratory diagnostics applicable in organization of health care at the level of the Subject of the Russian Federation. The methods. The study was carried out based on principles of system approach. The methodological approach developed by Professor O. Yu. Alexandrova was applied. The analytical research methods (analysis, synthesis) were implemented. The results and discussion. The set of criteria, including three groups of measurable indicators, applicable in the field of laboratory diagnostics was developed. The original approach to determine time indicators of laboratory tests accessibility was proposed. The system can be applied as organizational technology permitting to establish specific requirements for laboratory diagnostics accessibility at the level of the Subject of the Russian Federation. These requirements can be included in local normative legal acts. The conclusions. The developed system of criteria and indicators of laboratory diagnostics accessibility can be used in development of medical care system that meets the best of characteristics and needs of particular Subject of the Russian Federation.

摘要

现代医疗保健的特点是对实验室检测的需求不断增加。在维护民众健康方面,实验室诊断的质量和可及性成为社会福祉的关键决定因素之一。本研究的目的是开发适用于俄罗斯联邦主体层面医疗保健组织的实验室诊断可及性标准和指标体系。方法。本研究基于系统方法原则开展。采用了O. Yu. 亚历山德罗娃教授开发的方法学方法。实施了分析研究方法(分析、综合)。结果与讨论。制定了一套适用于实验室诊断领域的标准,包括三组可衡量指标。提出了确定实验室检测可及性时间指标的原始方法。该系统可作为组织技术应用,用于在俄罗斯联邦主体层面为实验室诊断可及性确立具体要求。这些要求可纳入地方规范性法律文件。结论。所开发的实验室诊断可及性标准和指标体系可用于开发符合俄罗斯联邦特定主体最佳特征和需求的医疗保健系统。

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