Medical standard as a historical component on the way of clinical audit

Abstract

Aim - the search, analysis and systematization of historical facts concerning the formation and evo-lution of the world medical standartization; severance of its certain long-standing models for the optimization of settling and introduction of the existing, and future analogs, particularly, in the clinical audit format. Material and Methods. In order to study the medical standard as a historical component the fol-lowing methods were used: bibliographic, historical, analytical and methods of systematization and comparison. Results and Discussion. As a result of the conducted research the main historical events in the world development of the medical standartization starting from 1500 up till nowadays were col-lected. In order to study the evolution of the medical standartization, the analysis of the normative documents that have regulated the process of standartization, especially the Doctor's statute(s) in Russia, Minimal standard of the medical equipment and works of the American college of surgeons, was carried out. The scientific works that initiated the introduction of the clinical audit in the Health Care system in Ukraine, Turkey, the USA and Great Britain were throroughly analyzed. Conclusions. The improvement of quality as to rendering the medical aid is a job priority in the health care systems in many countries. For that reason, the search for its optimization was and is still retrieved for many centuries. The territorial formation of medical standartization is associated with England, Russia and the USA, but the occurrence of clinical audit is connected with Ukraine, Turkey, the USA and Great Britain. The foundations of the medical standardization was lauched in 1500 year, while the clinical audit - in 1854 year. The medical standartization is a reflection of the history of development of the organization of health care system, that's why the expertness (knowl-edge) of historical stages concerning the setting and the introduction of medical standartization may give a new impulse in its improvement and development under present-day conditions of reforma-tion in the medical sphere in Ukraine. The earlier beginning of implementation of the medical stan-dartization in the health care system in different countries makes it possible to actualize its introduc-tion into the clinical audit format, that, in its turn, allows to improve the quality of rendering the medical aid. Key words: medical standartization, clinical audit, quality of medical aid

Results of the First Stage of Clinical Audit in the Urology Departments of Health Care Facilities in Lviv

“…types of resources, consequences of medical interventions and influence of MA on life quality of patients [1,2,6,10].The core value of an audit is in its ability to define good practice, suboptimal care rate and possibilities for improvement.…”

“…Ñàìå öþ ïðîáëåìó ÎÇ, íà íàøó äóìêó, ìîaeå âèð³øèòè êë³í³÷íèé àóäèò (ÊÀ). Êë³í³÷íèé àóäèò -öå ïðîöåñ âïðîâàäaeåííÿ é ìîí³òîðèíãó çì³í ç ìåòîþ ï³äâèùåííÿ ÿêîñò³ îáñëóãîâóâàííÿ ïàö³ºíò³â, ùî çä³éñíþºòüñÿ çà äîïîìîãîþ öèêë³÷íîãî àíà-ë³çó ÿêîñò³ òà åôåêòèâíîñò³ ÌÄ [1,2,9,10]. Ïðè öüîìó âàaeëèâèì º âðàõîâóâàòè òàê³ àñïåêòè íàäàííÿ ÌÄ, ÿê äîñòóïí³ñòü, ïðîôåñ³éíà ìàéñòåðí³ñòü òà åôåêòèâíå âèêîðèñòàííÿ ðåñóðñ³â, ùî â êîìïëåêñ³ äîçâîëèòü ï³äâèùè- of respondents' satisfaction with inpatient treatment showed that, in total, that the number of dissatisfied among the interviewed were 7.16±1.28 % persons.…”

“…The clinical audit is the process of implementation and monitoring of changes aiming to rise the quality of service of patients what is done through cyclic analysis of quality and efficiency of HC [1,2,9,10]. Wherein, it is important to take into account such aspects of HC service as accessibility, skill and efficient use of resources, which in combination will increase the positive results of MA for patients [5,9].…”