Ways of development of processes of standardization and informatization of the field of healthcare

Abstract

This article is devoted to the analysis of standardization of informatization of medical care projects. In particular, the task of improving the quality and accessibility of medical services on the basis of a scientifically based methodology of portfolio-oriented management is set. To solve this problem, subtasks have been identified, such as the development of methods for estimating the cost of projects in the field of medical services; the creation of a model for financing healthcare based on the introduction of a system of compulsory state medical insurance; the development of a quality management system for healthcare projects, which includes models and methods for planning, ensuring and controlling the quality of medical services; the development of the foundations of state programs for standardization and informatization of healthcare as the basis of a quality management system. Improving the quality of healthcare is recognized as the main goal of reforming the industry at the present stage. The quality of healthcare is defined as the totality of the results of prevention, diagnosis and treatment of diseases determined by the established requirements based on the achievements of medical science and practice. In the work, based on the analysis of the best world experience, it is shown that the use of the principles of standardization in healthcare provides a high level of medical care, regardless of the patient's place of residence, the level of knowledge of a particular doctor or recommendations of a particular scientific school. The paper proposes the main approaches, methods and components of the standardization system. Using the practical experience of private medical centers an algorithm for creating an electronic medical record, its main functions and possible areas of use are proposed. It is shown that the main difficulty in implementing the standardization of medical care is that this work at the level of public and private clinics is controlled not only by the principle of general standardization and modification, but also by a specific project goal for each medical industry, which should be achieved in a comprehensive and balanced manner.