QUALITY CONTROL OF THE WORK OF A FAMILY PHYSICIAN IN UKRAINE AS A KEY TO SUCCESSFUL PRACTICE

Abstract

Summary. In the context of the reform of the medical industry in Ukraine, the issue of ensuring effective quality control of the provision of medical care and its proper organization in healthcare institutions, and primarily primary care providers (PCP), has become topical. Today in Ukraine, the control of the work of general practitioners-family doctors (audit) is a continuous process, the purpose of which is to improve the quality of medical care. The audit is characterized by a systematic approach, which makes it possible to identify problems, assess the achieved level of quality, plan, and implement changes aimed at improving the quality of medical care.

The audit of the work of doctors is divided into professional and administrative, as well as internal and external. The audit of the work of general practitioners - family doctors, as a rule, is a combination of all these types.

Internal quality control is carried out by the general/medical director of the PCP provider and the medical boards of the institution, and is divided into audit of the structure, process and result. In addition, there are forms of internal audit of the work of family doctors: self-control and self-assessment of quality, mutual assessment between colleagues, and assessment of the head of the PCP provider.

The external audit of the PCP supplier is represented by non-departmental, public and departmental control. The subjects of control are the authorized bodies outside the medical institution. External quality control of the provision of medical care is carried out by state authorities, clinical expert commissions of the Ministry of Health of Ukraine, public organizations. The financial audit is carried out by the National Health Service of Ukraine and the Department of Audit and Analytics of the Ministry of Health of Ukraine. Administrative audit is carried out by the Department of Audit and Analytics of the Ministry of Health of Ukraine.

Conclusions. In general, control over the activities of general practitioners - family doctors is an ongoing process and involves a systematic approach. Internal audits are conducted by members of the same profession, providing a unique opportunity to identify non-compliance with standards and change tactics before it leads to adverse consequences. External audit is carried out by state institutions. The balanced application of these two forms of audit allows to achieve a high quality of work of doctors. General practitioners - family doctors should strive for quality and regular internal audit as the main corrective factor in the implementation of quality care in family medicine.