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Зарубежный опыт выбора показателей качества медицинской помощи для построения рейтингов медицинских организаций: уроки для России
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.
Priority areas:
state and public administration
Language:
Russian
Keywords: управление качествомкачество медицинской помощиranking of healthcare organizationsquality of medical careclinical and nonclinical quality indicatorsDonabedian’s triadinformation and marketing tool for quality management of medical careрейтинг медицинских организацийклинические и неклинические показатели качестватриада Донабедианаинформационно-маркетинговые инструменты
Moshkin A., Fedorov M., Arlazarov V. et al., Algorithms 2026 Vol. 19 No. 7 Article 523
Artificial intelligence (AI) technologies, which are being actively developed in modern medicine today, increase the speed and quality of patient care. This article mainly seeks to demonstrate the use of various options of computer analysis of clinical images to solve practical problems of increasing the efficiency of routine diagnostics using retrospective analysis, as well as ...
Added: August 17, 2026
Shartova N., Mironova E., Geo Journal 2026 Vol. 91 P. 1–17
The historical timeline of urban development profoundly shapes the contemporary form and functionality of cities. Traditionally, cities were planned with limited consideration for the promotion of a healthy urban environment. Using Nizhny Novgorod, Russia, a city that has evolved from a medieval market town to an industrial centre and later into a multifunctional city with ...
Added: August 9, 2026
Vlassov V., JAMA - Journal of the American Medical Association 2026 P. 1–6
Importance Elevated low-density lipoprotein cholesterol (LDL-C) is a modifiable risk factor for cardiovascular disease, the leading cause of premature death worldwide. Assessing the LDL-C–related burden is critical for guiding prevention and treatment strategies.
Objectives To estimate the global, regional, and national burden of ischemic heart disease and ischemic stroke attributable to elevated LDL-C (relative to 35-54 mg/dL) from ...
Added: August 4, 2026
Maghsoohi A., Pavlov V., Rouse P. et al., Health Care Management Science 2026 Vol. 29 No. 37
As the numbers of older people (65 +) rise globally, the pressure on acute hospitals to provide efficient and effective care while addressing resource inequities increases. In this study we introduce Recognising Episodes of Acute Complexity in Health (REACH), a novel Automatic Machine Learning (AutoML)-based predictive model that prioritises older patients and assigns them to complex ...
Added: July 30, 2026
Vlassov V., van der Lubbe S. C., Moberg M. E. et al., The Lancet Public Health 2026 P. 1–6
Background
Road injuries are a leading cause of mortality and morbidity worldwide. Years of international efforts have aimed to strengthen policy engagement, including the 2020 UN General Assembly's proclamation of the Second Decade of Action for Road Safety (2021–30), targeting a 50% reduction in road traffic deaths and serious injuries by 2030. The aim of this ...
Added: July 25, 2026
Авксентьева М. В., Ашихмин Я. И., Ашихмина О. В. et al., М.: ФГБУ "Издательство "Наука", 2023.
Предложены основные направления совершенствования планирования, организации и оплаты медицинской помощи, лекарственного обеспечения, информатизации и оценки технологий здравоохранения. Рекомендованы такие мероприятия, как конкретизация программы государственных гарантий бесплатного оказания гражданам медицинской помощи, создание системы общедоступного лекарственного обеспечения, использование клинико-статистических групп для оплаты медицинской помощи при ряде хронических неинфекционных заболеваний в амбулаторных условиях, формирование механизма привлечения соплатежей при ...
Added: July 16, 2026
Хайлова Ж. В., Омельяновский В. В., Терян Р. А. et al., Опухоли женской репродуктивной системы 2025 Т. 21 № 1 С. 86–105
Цель исследования – определить наиболее целесообразную стратегию скрининга и ранней диагностики рака шейки матки (РШМ) в Российской Федерации с точки зрения клинической (диагностической) и экономической эффективности.
Материалы и методы. Для оценки клинической (диагностической) эффективности различных стратегий скрининга проведен систематический обзор публикаций об исследованиях, оценивающих эффективность применения цитологического исследования и тестирования на вирус папилломы человека (ВПЧ) с целью диагностики ...
Added: July 16, 2026
Иванова А. А., Коган С. А., Горбунова Т. В. et al., Менеджер здравоохранения 2026 № 3 С. 96–105
The research r elev anc e is determined by the demand for telemedicine consultations (TMC) as one of health care digitalization pathways in Russian Federation. Telemedicine, regardless of the field, continues to prove its significant role, saving health resources without losing medical care quality. The TMC is regulated by federal level framework. Each year the ...
Added: July 16, 2026
Sun Z., Khvostikov A., Krylov A. et al., Machine Learning and Knowledge Extraction 2026 Vol. 8 No. 1 Article 8
Whole-slide histology images (WSIs) can exceed 100 k × 100 k pixels, making direct pixel-level segmentation infeasible and requiring patch-level classification as a practical alternative for downstream WSI segmentation. However, most approaches either treat patches independently, ignoring spatial and biological context, or rely on deep graph models prone to oversmoothing and loss of local tissue ...
Added: July 16, 2026
Хайлова Ж. В., Омельяновский В. В., Михайлов И. А. et al., Менеджер здравоохранения 2026 № 4 С. 41–52
The urgency of the problem of organizing effective medical care for cancer patients is determined by the steady trend of increasing incidence of malignant neoplasms, the high proportion of this pathology in the structure of overall mortality, as well as significant medical, demographic and socio-economic losses for society.Purpose of the st udy is to conduct ...
Added: July 16, 2026
Габриелян А. Р., Александрова О. Ю., Михайлов И. А., Здоровье мегаполиса 2026 Т. 7 № 2 С. 7–16
Objective. To evaluate the impact of a series of organizational measures for implementing innovative medical technology in a multidisciplinary hospital on patient quality of life based on patient self-assessments. Results. Patients who received care using innovative medical technology within a systemic organizational approach demonstrated a significantly higher level of overall satisfaction with the quality of care. ...
Added: July 16, 2026
Ахапкина Е. С., Омельяновский В. В., Тулупова О. Н. et al., Медицинские технологии. Оценка и выбор 2026 Т. 48 № 2 С. 70–77
OBJECTIVE
To analyze international approaches to assessing the labor complexity for different specialists with higher medical education (physicians).
MATERIAL AND METHODS
We performed a systematic searching and content analysis of foreign and national studies and documents devoted to labor complexity of different specialists with higher medical education (doctors). A group of experts among the authors of this study discussed and identified significant factors in assessing complexity.
RESULTS
There are 2 main systems to assess physician workload complexity in foreign countries. The first approach is based ...
Added: July 16, 2026
Turkina A., Vinogradova O., Lomaia E. et al., Annals of Hematology 2025 Vol. 104 P. 2707–2715
Vamotinib (PF-114) is a 3rd -generation, ATP-competitive oral tyrosine kinase inhibitor (TKI) active against wild-type and mutated BCR::ABL1 isoforms including BCR::ABL1T315I. We present final results of a phase-1 vamotinib dose-escalation study to identify maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) followed by expansion cohorts. 51 subjects with chronic myeloid leukaemia (CML) failing ≥ 1 2nd generation TKI or with BCR::ABL1T315I were ...
Added: July 16, 2026
Arina Bukina, Eritsyan K., Antonova N. et al., Frontiers in Psychology 2026 Vol. 17 Article 1824428
Background:
Numerous studies have shown that indigenous populations experience poorer health outcomes compared to people with other backgrounds. However, the interpretation of these disparities remains challenging due to differences in living conditions and social environments, as well as by potential measurement-related biases. Little is known about whether the underlying mechanisms of mental health outcomes differ between ...
Added: July 15, 2026
Ledesma J. R., Zhang M., Liew M. F. et al., The Lancet Infectious Diseases 2026 P. 1–12
Background
Tuberculosis (TB) is the leading global cause of death from a single infectious agent. Recent reductions in global health funding have threatened TB control, making comprehensive assessment of TB, HIV-related TB, and drug-resistant TB burdens before these disruptions essential for shaping effective responses. The WHO End TB Strategy sets targets of a 95% reduction in ...
Added: July 7, 2026
Liapin G., Vlassov V., DIALOGUES IN HEALTH 2026 Vol. 8 Article 100317
Objectives
Due to the economic growth at the end of the 20th century, people in low-income countries live longer but still spend most of their income on food. These countries, as well as affluent countries, demonstrate a rising prevalence of obesity. The interplay of longevity and obesity at different levels of economic development is not clear.
Methods
We ...
Added: June 29, 2026
Aly Ismailov, Spallone A., Belogurov A. et al., Frontiers in Immunology 2025 Vol. 16 Article 1530305
Glioblastomas are the most prevalent primary brain tumors and are associated with a dramatically poor prognosis. Despite an intensive treatment approach, including maximal surgical tumor removal followed by radio- and chemotherapy, the median survival for glioblastoma patients has remained around 18 months for decades. Glioblastoma is distinguished by its highly complex mechanisms of immune evasion ...
Added: June 17, 2026
Sizov A., Rodionova M., Sedashov E. et al., / NRU Higher School of Economics. Series PS "Political Science". 2026. No. 1.
Rapid development of surveillance technologies is one of the most socially important consequences of the digital age. This paper investigates the factors determining consent to surveillance of various types of personal data and contributes to rapidly growing research on citizens perceptions of surveillance practices. Relying on a comprehensive survey experiment, we study the effects of ...
Added: May 15, 2026
Vasiliy Vlassov, Gabuniya N., Vlasova A., BMJ Open Quality 2026 Vol. 15 Article e003843
Objectives The Russian Federation inherited from the USSR a vast and poor healthcare system. Since 1996, the move to evidence-guided care has been initiated. The objective is to describe the last 10 years’ significant progress in the development of the centralised system of guidelines and quality assurance.
Methods For the narrative review, we searched MEDLINE and the Central ...
Added: February 27, 2026
Borushkina S., Gorodnichev A., / Elsevier. Серия -- "WPS". 2026.
Agglomeration policy has long been a widely accepted approach in spatial development, premised on
the assumption that large, integrated city-regions drive national economic growth through higher
productivity, innovation, and global integration. This paper examines how this paradigm is reworked
under conditions of polycrisis, understood as a durable state of overlapping and mutually reinforcing
economic, geopolitical, and institutional crises. Focusing ...
Added: February 10, 2026
Малахов В. С., Симон М. Е., Летняков Д. Э. et al., / SSRN. Серия Social Science Research Network "Social Science Research Network". 2020.
The notion of “political accommodation” applied to the theory and practice of managing cultural diversity could enrich the Russian academic dictionary. Liberal democratic states invented specific mechanisms for political accommodation of cultural differences. Thanks to these mechanisms, the part of the population of a democratic state that is not ready to dissolve into the ethnocultural ...
Added: September 26, 2025
М.: ООО «Адвансед солюшнз», 2025.
Методические рекомендации предназначены для широкого круга специалистов, работающих в системе охраны материнства и детства и стремящихся улучшить условия оказания медицинской помощи для пациентов и их семей. В рекомендациях изложены основные принципы дизайна детских игровых пространств в медицинских организациях, оказывающих различные виды помощи — от поликлиник до стационаров, где пациенты получают высокотехнологичную медицинскую помощь, требующую длительной ...
Added: August 5, 2025
Sheiman I., Степанов И. М., Shishkin S. et al., / Высшая школа экономики. Серия WP8 "Государственное и муниципальное управление". 2025.
Анализируются новые факторы, диктующие необходимость планирования кадров здравоохранения на среднесрочную и долгосрочную перспективу. Предложена концепция такого планирования с выделением модулей спроса и предложения кадров. Представлены параметры этих модулей, а также алгоритмы расчетов. Специальные разделы работы посвящены детализации планирования – по отдельным секторам здравоохранения, профессионально-квалификационным группам, врачебным специальностям, с учетом территориальной специфики формирования потребности в кадрах. ...
Added: July 16, 2025
Sokolov B., / Series OSF "SocArXiv". 2025.
This paper reviews various estimands used in modern scientific and applied research to operationalize causal inquiries within the Rubin Causal Model framework. I first introduce the most widely utilized average treatment effects, such as ATE, ATT, and ATC. I then describe their popular extensions, including those targeting local and conditional treatment effects; causal interactions and mediation; effects ...
Added: May 6, 2025