Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot169310.32687/0869-866X-2025-33-3-432-439Научная статьяTHE ANALYSIS OF ACTIVITIES ON INCREASING EFFICIENCY OF ANTITUMORAL MEDICINAL THERAPY, SURGICAL AND RADIATION TREATMENT OF PATIENTS WITH ONCOLOGICAL DISEASESKhailovaZh. V.OmelyanovskyV. V.MikhailovI. A.KomarovYu. I.TomilinaT. A.OlkovI. G.IvanovS. A.KaprinA. D.The Federal State Budget Institution “The National Medical Research Center of Radiology” of Minzdrav of Russia, 249031, Obninsk, RussiaThe Federal State Budget Educational Institution of Additional Professional Education “The Russian Medical Academy of Continuous Professional Education” of Minzdrav of Russia, 125445, Moscow, RussiaThe Federal State Budget Institution “The Center of Expertise and Control of Quality of Medical Care” of Minzdrav of Russia, 109028, Moscow, RussiaN. A. Semashko National Research Institute of Public Health, 105064, Moscow, RussiaThe Federal State Budget Institution “The Research Financial Institute of the Ministry of Finances of Russia”, 127006, Moscow, RussiaThe Federal State Budget Institution “The N. N. Petrov National Medical Research Center of Oncology of Minzdrav of Russia”, 197758, St. Petersburg, RussiaThe Federal State Autonomous Educational Institution of Higher Education “ITMO University”, 197101, St. Petersburg, RussiaThe Charitable Foundation for the Development of Social Programs, 119049, Moscow, RussiaThe Federal State Autonomous Educational Institution of Higher Education “The Patrice Lumumba Peoples' Friendship University of Russia” of the Minobrnauka of Russia (RUDN University), 117198, Moscow, Russia2906202533343243930062025Copyright © 2025,2025The article considers system of measures improving efficiency of anti-tumor medicinal therapy, surgical and radiation treatment of patients with oncological diseases, including development of proposals for their improvement. The sampling included 485 experts (practicing oncologists). The expert survey was carried out using expert questionnaire to develop proposals improving organization of medical care of patients with oncological diseases. The Kendall's concordance coefficient (W) was calculated to quantify degree of concordance of answers of experts. The significance of differences was assessed by non-parametric Friedman criterion. The reliability and validity of questionnaire scale was carried out by calculating the Cronbach's alpha coefficient. The results demonstrated that in order to formulate proposals improving organization of oncological medical care management, current indicators and implemented measures of organization of medical care of oncological patients are be taken into account, including percentage of patients with oncological diseases, who underwent examination and/or treatment during current year out of those under dispensary observation, the percentage of malignant neoplasms detected at stages I-II and organization of reference centers that use histological, immunohistochemical, pathomorphological and Xray methods of research. The following indicators are recommended to apply for improving organization of cancer medical care: control compliance of drug therapy with clinical recommendations; increasing surgical activity and availability of surgical interventions by increasing volume of medical care; adding new results and outputs targeted to increase the number of molecular researches when prescribing targeted anticancer drugs; centralization of the cancer medical service. The indicators, that can be used to formulate and prioritize proposals for improving organization of cancer medical care, and to form Federal projects or departmental special-purpose program, were selected. The results of the study can be used in development of system to monitor efficiency of implementation of these projects and programs.health care managementoncological diseaseFederal projectanti-tumor medicinal therapyexpert assessmentуправление здравоохранениемонкологические заболеванияфедеральные проектыпротивоопухолевая лекарственная терапияэкспертная оценка1.Каприн А. Д., Старинский В. В., Шахзадова А. О. Состояние онкологической помощи населению России в 2022 году. М.: МНИОИ им. П. А. Герцена; 2023. 239 с.2.Хайлова Ж. В., Каприн А. Д., Омельяновский В. В., Пустовалов Д. Н., Агафонова Ю. А., Кусакина В. О. Анализ потерянных лет жизни в результате преждевременной смертности от злокачественных новообразований в Российской Федерации. Сибирский онкологический журнал. 2023;22(5):14—27.3.Самойлова А. В., Дзеранова Н. Г. Контроль за реализацией федерального проекта «Борьба с онкологическими заболеваниями». Вестник Росздравнадзора. 2019;(4):28—34.4.Куприн С. А., Белова Е. А. 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Д., Михайлов И. А., Омельяновский В. В., Комаров Ю. И., Иванов С. А. Разработка экспертной анкеты для формирования предложений по совершенствованию организации оказания медицинской помощи пациентам с онкологическими заболеваниями. Медицинские технологии. Оценка и выбор. 2024;(3):33—42. doi: 10.17116/medtech20244603133