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A Discrete Approach to the Quality of Medical Care Assessment Using an Automated Information System at Inpatient Hospitals of the Volgograd Region

The aim of this work is the evaluation of the quality of medical care provided in the hospitals of the V olgograd region for 2014–2016. A unified formalized expert questionnaire for assessing the quality of medical care which includes different groups of procedural indicators and an integrated indicator had been developed. On this plat-form, an automated information system for evaluating the care quality was implemented demonstrating the effectiveness of its use in hospitals. A database was formed, containing the results of expertise which was carried out in the context of individual institutions and the Volgograd region as a whole. Analysis was done of changes in integrated care quality indicator for 2014 – 2016 in different clinical situations which became the reason for expertize. The quality of medical care was improved for all indicators in the dynamics as a result of monitoring, analysis of information received, development and adoption of management decisions.