Разработка алгоритма формирования благоприятной среды в учреждении здравоохранения как необходимое условие внедрения системы непрерывного улучшения качества медицинской помощи

Abstract

The aim of the study was to design the algorithm of formation the environment, favourable to apply the system of continuous health care quality improvement; to analyse the motivating factors of health care quality improvement in the conditions of medical staff. The object of the research is the environment in the healthcare staff; motivation of medical workers of Sumy city’s health care facilities to render qualitative medical care. 334 doctors, who had been working in the inpatient and outpatient departments of health care facilities of Sumy city (Ukraine) during the year 2015, participated in the research. Forming favourable environment in health care facilities is the necessary condition for applying the system of continuous health care quality improvement. But at the level of each health care facility the activities should be corrected with the account of the current “motivating picture”, that is factor system motivating the medical staff to render qualitative medical care. Generally, motivating system would be the most effective if it is developed for each department of health care facility taking into account the peculiarities of medical care rendered there and features of the staff.

Сегодня в большинстве стран эталоном управления качеством в здравоохранении являются индустриальные методы и инструменты. Эффективность применения индустриальной модели связана с повышением клинической результативности лечения и доступности медицинской помощи для населения. В основе индустриальной модели лежит система непрерывного улучшения качества медицинской помощи.