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  1. Can Western Quality Improvement Methods Transform the Russian Health Care System ?

    Article - En anglais

    Background :

    The Russian health care system largely remains the same system that was in place during the existence of the Soviet Union.

    It is almost entirely state owned and operated, although ownership and management have devolved from the central government to the oblast (province).

    The ZdravReform (Health Reform) Program (ZRP) in Russia, which began in 1993, included the goal of improving the quality and cost-effectiveness of the health care system.

    Work on introducing continuous quality improvement (CQI), evidence-based practice guidelines, and indicators of quality was conducted in 1995-1996.

    Introducing evidence-based medicine : As a result of the poor quality of Russian-language medical journals and the inability to gain access to the knowledge available in Western medical literature, Russian medical practices have not kept up with the rapid evolution of evidence-based medical practice that has begun transforming Western medicine.

    A number of evidence based clinical practice guidelines were translated and disseminated to Russian-speaking physicians working in facilities participating in ZRP in Russia and Central Asia.

    Developing indicators of quality of care : Given the limitations of existing measures of the quality of care, indicators were developed for participating ambulatory polyclinics in several oblasts in Siberia.

    Russian physicians responsible for quality of care for their respective oblasts formed a working group to develop the indicators. (...)

    Mots-clés Pascal : Soin, Europe, Monde, Indicateur, Evaluation, Méthodologie, Densité, Médecin, Démographie, Protection sociale, Qualité, Europe Est, Aspect politique, Géographie, Offre, Système santé

    Mots-clés Pascal anglais : Care, Europe, World, Indicator, Evaluation, Methodology, Density, Physician, Demography, Welfare aids, Quality, Eastern Europe, Political aspect, Geography, Offer, Health system

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 11/09/1998.