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Article

Оказание качественной медицинской помощи: опыт Тверской областной клинической больницы

Кравцова М. В., Козлов С. Е.

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.