Рейтинги учреждений здравоохранения как инструмент независимой оценки качества медицинских услуг
The main purpose of public health is quality improvement of medical care. Ranking of healthcare organizations is rather effective information and marketing tool for external quality management of medical care. The author reviewed international experience in selecting quality measures of medical care to rank healthcare organizations that could be used as a methodological framework for designing rankings of healthcare organizations in Russia. The aim of the study was to identify methodological basis of international rankings of health care facilities: major indicators and criteria for evaluating quality of medical care. The author analyzed methods for developing rankings of international healthcare organizations through the analysis of international scientific sources and information made public by state organizations working in the area of health management as well as through four expert interviews with experts in health management. The author attempts to structure indicators and criteria for quality evaluation of medical care based on Donabedian’s triad as well as identify definitions, content and balance between clinical and non-clinical indicators.
One of the most important indicators of company's success is the increase of its value. The article investigates traditional methods of company's value assessment and the evidence that the application of these methods is incorrect in the new stage of economy. So it is necessary to create a new method of valuation based on the new main sources of company's success that is its intellectual capital.
Smoking is a problem, bringing signifi cant social and economic costs to Russiansociety. However, ratifi cation of the World health organization Framework conventionon tobacco control makes it possible to improve Russian legislation accordingto the international standards. So, I describe some measures that should be taken bythe Russian authorities in the nearest future, and I examine their effi ciency. By studyingthe international evidence I analyze the impact of the smoke-free areas, advertisementand sponsorship bans, tax increases, etc. on the prevalence of smoking, cigaretteconsumption and some other indicators. I also investigate the obstacles confrontingthe Russian authorities when they introduce new policy measures and the public attitudetowards these measures. I conclude that there is a number of easy-to-implementanti-smoking activities that need no fi nancial resources but only a political will.
We address the external effects on public sector efficiency measures acquired using Data Envelopment Analysis. We use the health care system in Russian regions in 2011 to evaluate modern approaches to accounting for external effects. We propose a promising method of correcting DEA efficiency measures. Despite the multiple advantages DEA offers, the usage of this approach carries with it a number of methodological difficulties. Accounting for multiple factors of efficiency calls for more complex methods, among which the most promising are DMU clustering and calculating local production possibility frontiers. Using regression models for estimate correction requires further study due to possible systematic errors during estimation. A mixture of data correction and DMU clustering together with multi-stage DEA seems most promising at the moment. Analyzing several stages of transforming society’s resources into social welfare will allow for picking out the weak points in a state agency’s work.