Оказание качественной медицинской помощи: опыт Тверской областной клинической больницы
Qualitative and affordable medicine is a guideline in the healthcare strategy. Few hospitals provide quality medicine. A Russian citizen has the right to get quality medicine according to the law 323 and the Presidential decree 204. The study is devoted to the analysis of the hospitals on the example of Tver Regional Clinical Hospital. Material and methods. The study was conducted in this hospital in 2019 using comparison and statistical analysis, systematization and modeling. Results. The hospital place in the healthcare in connection with the provision of medicine is indicated. The hospital work is analyzed using standards and an independent quality assessment where this hospital has a high medical level in patient conditions. The criteria of «affordability», «quality» and «timeliness» are defined. The QMS and the hospital structure are considered that way specialized high-tech medicine is provided. The interaction algorithm with patients is presented. The management methods, the organization structure, the quality criteria and the head physician’s tasks are identified. The factors and the public procurement role affecting the quality are established. The oligopoly model was built reflecting the market impact on the quality hospital services in competitive environment. Discussion. To provide quality medicine the hospital must use quality standards with a strategy. The quality treatment depends on the factors of influence and the environment. Conclusion. The results were conducted for authorities and hospitals in the regulations development and the choice of methods to provide quality medicine while making decisions for quality standards.
The article deals with the semantic structure of the verb and its correlation with quality.
The article presents results of the research of methods of quantitative analysis of conflicts, arising during information technology project realization and evaluation of their use for appraisal according to Capability Maturity Model Integration.
Today there are the real importance in global management of quality for light production`s enterprises. The article describes the way of installation of the composite indicator of enterprise` s operation`s effectiveness in situation of concrete organization, where the way of production activity and specific types of defects are observed. At the end of researches the recommendations of economic results improvements and promoting competitiveness are published. It can be used for all light production`s enterprises for optimization of product quality`s controlling system
This issue reveals problems and contradictions standing from the technical legislation reform in Russia. System of technical reglaments, new to Russia, excludes most, but not all standards from the sphere of public protection provided by the State. As a result, standards provided by the Technical Legislation Law are freewill standards and standards provided by other acts are compulsory. It disrupts the system of standards and increases risks and expenses of producers, customers and the State.
Quality Innovation: Knowledge, Theory, and Practices presents a compilation of recent theoretical frameworks, case studies, and empirical research findings in the area of quality innovation. It highlights the theories, strategies, and potential concerns for organizations engaged in change management designed to address stakeholders’ needs. This reference volume serves as a valuable resource for researchers, business professionals, and students in a variety of fields and disciplines.
Data management and analysis is one of the fastest growing and most challenging areas of research and development in both academia and industry. Numerous types of applications and services have been studied and re-examined in this field resulting in this edited volume which includes chapters on effective approaches for dealing with the inherent complexity within data management and analysis. This edited volume contains practical case studies, and will appeal to students, researchers and professionals working in data management and analysis in the business, education, healthcare, and bioinformatics areas.
This prototype development explains the challenges encountered during the ISO/IEEE 11073 standard implementation process. The complexity of the standard and the consequent heavy requirements, which have not encouraged software engineers to adopt the standard. The developing complexity evaluation drives us to propose two possible implementation strategies that cover almost all possible use cases and eases handling the standard by non-expert users. The first one is focused on medical devices (MD) and proposes a low-memory and low-processor usage technique. It is based on message patterns that allow simple functions to generate ISO/IEEE 11073 messages and to process them easily. MD act as X73 agent. Second one is focused on more powerful device X73 manager, which do not have the MDs' memory and processor usage constraints. The protocol between Agent and Manager is point-to-point and we can distribute the functionality between devices.
Developed both implementation X73 Agent and Manager will cut developing time for applications based on ISO/EEE 11073.
In the internal medicine wide spectrum the gastroenterology is one of the chapters, less enlightened by the scientific evidence. It does not mean that the practice of the grasntroenterology may ot be improved by the systematic use of the approaches of the evidence based medicine