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THE ANALYSIS OF ACTIVITIES ON INCREASING EFFICIENCY OF ANTITUMORAL MEDICINAL THERAPY, SURGICAL AND RADIATION TREATMENT OF PATIENTS WITH ONCOLOGICAL DISEASES
- Authors: Khailova Z.V.1,2,3, Omelyanovsky V.V.4,2,3,5,6, Mikhailov I.A.4,2,3,5,6, Komarov Y.I.7,2,8, Tomilina T.A.4,2, Olkov I.G.9,2, Ivanov S.A.1,2, Kaprin A.D.1,2,10
- Affiliations:
- The Federal State Budget Institution “The National Medical Research Center of Radiology” of Minzdrav of Russia, 249031, Obninsk, Russia
- The Federal State Budget Educational Institution of Additional Professional Education “The Russian Medical Academy of Continuous Professional Education” of Minzdrav of Russia, 125445, Moscow, Russia
- The Federal State Budget Institution “The Center of Expertise and Control of Quality of Medical Care” of Minzdrav of Russia, 109028, Moscow, Russia
- N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia
- The Federal State Budget Institution “The Research Financial Institute of the Ministry of Finances of Russia”, 127006, Moscow, Russia
- The Federal State Budget Institution “The N. N. Petrov National Medical Research Center of Oncology of Minzdrav of Russia”, 197758, St. Petersburg, Russia
- The Federal State Autonomous Educational Institution of Higher Education “ITMO University”, 197101, St. Petersburg, Russia
- The Charitable Foundation for the Development of Social Programs, 119049, Moscow, Russia
- The 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, Russia
- Issue: Vol 33, No 3 (2025)
- Pages: 432-439
- Section: Articles
- URL: https://journal-nriph.ru/journal/article/view/1693
- DOI: https://doi.org/10.32687/0869-866X-2025-33-3-432-439
- Cite item
Abstract
The 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.
About the authors
Zh. V. Khailova
The Federal State Budget Institution “The National Medical Research Center of Radiology” of Minzdrav of Russia, 249031, Obninsk, Russia; ;The Federal State Budget Educational Institution of Additional Professional Education “The Russian Medical Academy of Continuous Professional Education” of Minzdrav of Russia, 125445, Moscow, Russia;
V. V. Omelyanovsky
The Federal State Budget Institution “The Center of Expertise and Control of Quality of Medical Care” of Minzdrav of Russia, 109028, Moscow, Russia; ;The Federal State Budget Educational Institution of Additional Professional Education “The Russian Medical Academy of Continuous Professional Education” of Minzdrav of Russia, 125445, Moscow, Russia; ;N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia; ;The Federal State Budget Institution “The Research Financial Institute of the Ministry of Finances of Russia”, 127006, Moscow, Russia;
I. A. Mikhailov
The Federal State Budget Institution “The Center of Expertise and Control of Quality of Medical Care” of Minzdrav of Russia, 109028, Moscow, Russia; ;The Federal State Budget Educational Institution of Additional Professional Education “The Russian Medical Academy of Continuous Professional Education” of Minzdrav of Russia, 125445, Moscow, Russia; ;N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia; ;The Federal State Budget Institution “The Research Financial Institute of the Ministry of Finances of Russia”, 127006, Moscow, Russia;
Yu. I. Komarov
The Federal State Budget Institution “The N. N. Petrov National Medical Research Center of Oncology of Minzdrav of Russia”, 197758, St. Petersburg, Russia; ;The Federal State Autonomous Educational Institution of Higher Education “ITMO University”, 197101, St. Petersburg, Russia;
T. A. Tomilina
The Federal State Budget Institution “The Center of Expertise and Control of Quality of Medical Care” of Minzdrav of Russia, 109028, Moscow, Russia;
I. G. Olkov
The Charitable Foundation for the Development of Social Programs, 119049, Moscow, Russia;
S. A. Ivanov
The Federal State Budget Institution “The National Medical Research Center of Radiology” of Minzdrav of Russia, 249031, Obninsk, Russia;
A. D. Kaprin
The Federal State Budget Institution “The National Medical Research Center of Radiology” of Minzdrav of Russia, 249031, Obninsk, Russia; ;The 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, Russia
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