Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot78910.32687/0869-866X-2021-29-6-1588-1595Научная статьяThe evaluation of compliance of medical activity to established requirements: organizational and technological supportZapevalinP. V.zapevalin_pv@igmapo.ruKitsulI. S.-VinokurovaA. M.-The Irkutsk State Medical Academy of Postgraduate Education - the Branch of the Federal State Budget Educational Institution of Additional Professional Education The Russian Medical Academy of Continuous Professional Education of Minzdrav of Russia101220212961588159511122021Copyright © 2021,2021The ongoing process of reforming national health care system determines associated search for systems of adequate decision-making based on comprehensive and objective analysis of activities of sector objects. The results of many years research demonstrate that one of the most effective such systems is system of assessing compliance of medical activities with established requirements. It is a methodology that permits to implement systematic comprehensive analysis of health care objects and make necessary decisions on its basis. This approach is extremely important for improving control and authorization-based mechanisms, justifying necessary resource support and developing comprehensive programs of development of isolated institutions, services and industry as whole.The term “conformity assessment” was introduced for the first time in the Federal Law № 184 of 27.12.2002 “On Technical Regulation”. The given law defines concept of conformity assessment as direct or indirect compliance with requirements imposed on the object. The concept presented in this law regulates industrial activity to objects and subjects of technical regulation. It is this ideology that became a basis of actual study, in which methodology and organizational technology was developed and experimentally tested to assess compliance of medical organizations and individual health services with requirements established by current legislation.Within study framework, development and experimental testing of system of assessing compliance of medical activities with requirements of regulatory documents was carried out. The object of the study was medical organizations and their structural divisions.The significant increase was established in specially developed integral compliance coefficients for studied objects for 2016-2020: from 76.5% to 82.0% for a number of medical profiles selected for the study and from 72.0% to 78.0% for medical organizations. The data obtained indicate that on the basis of a set of balanced indices, administration of monitoring objects made adequate management decisions.compliance assessment systemevaluation criteriatechnological mapequipmentmedical organizationsproceduresmedical careplanning of medical activitiesсистема оценки соответствияоценочные критериитехнологическая картаоснащенность медицинских организацийпорядки оказания медицинской помощипланирование медицинской деятельности1.Выписка из протокола № 5 коллегии Госстандарта от 03.03.1999 г. «Об итогах деятельности Госстандарта России в 1998 г. и задачах на 1999 г.». Постановление Правительства РФ № 113 от 02.02.1998 г. «О некоторых мерах, направленных на совершенствование систем обеспечения качества продукции и услуг».2.Стародубов В. И., Сидоров К. В., Зарубина Т. В., Швырев С. Л, Королева Ю. И., Раузина С. Е. Методика оценки уровня информатизации медицинской организации. Менеджер здравоохранения. 2017;(8):39-52.3.Кицул И. С., Пивень Д. В. Новые критерии оценки качества медицинской помощи: комментарии экспертов. Заместитель главного врача. 2016;(11):22-7.4.Smits H., Supachutikul A., Mate K. S. Hospital accreditation: lessons from low- and middle-income countries. Global Health. 2014;10:65-72.5.WHO 2000. Режим доступа: https://www.who.int/whr/2000/en/whr00_ru.pdf?ua=16.Старченко А. А. Диалектическое взаимодействие стандартов медицинской помощи и клинических рекомендаций. Менеджер здравоохранения. 2014;(12):44-7.7.Запевалин П. В., Таевский Б. В., Кицул И. С. Оценка соответствия порядку оказания медицинской помощи по профилю «нейрохирургия» на примере Иркутской области. Международный научный журнал. 2017;202(56):23-6.8.Запевалин П. В., Кицул И. С. Методические подходы к оценке соответствия деятельности медицинских организаций порядкам оказания медицинской помощи. Менеджер здравоохранения. 2019;(1):15-23.9.Кендэл М. Ранговые корреляции. М.: Статистика; 1975. 216 с.10.Кицул И. С., Пивень Д. В. Порядки оказания медицинской помощи в контексте соблюдения новых требований к качеству и безопасности медицинской деятельности. Заместитель главного врача. 2013;5(84):58-65.11.Запевалин П. В., Кицул И. С. Технологическая карта оценки соответствия порядку оказания медицинской помощи по профилю «нейрохирургия»: Свидетельство о регистрации программы для ЭВМ RU 2020610153 от 10.01.2020 г.