Ensuring the quality of medical service is one of the main priorities of the state policy of the Russian Federation in the field of citizens’ health protecting.
OBJECTIVE
To explore the subjective and objective assessment of the relevance of telemedicine consultation/counseling (TMC) conducted in 2020 as well as subjective assessment of job satisfaction of the experts and staff of the Centre for telemedicine (CTM) of the National Medical Research Centre for Therapy and Preventive Medicine and compare the results with the data of 2019.
MATERIALS AND METHODS
It was used a questionnaire (feedback form) developed by the experts of the National Medical Research Centre for Therapy and Preventive Medicine on the basis of the methodology A.V. Vladzimirsky. The questionnaire contained three sections assessing the objective relevance of TMC, the subjective relevance of TMC and the respondent’s satisfaction with the work of the CTM.
RESULTS
In 2020, the CTM of the National Medical Research Centre for Therapy and Preventive Medicine completed 1031 TMC; at 69.6% (718 answers), respondents (consult medical organization) completed the survey. After analyzing the quality control of TMC for 2019 and performing a number of organizational and management measures in 2020, it was possible to achieve an increase in indicators characterizing the quality of medical care using the telemedicine technologies. So, it was increase by 5% the share of high objective relevance (2020 — 89%); by 3.8% the share of high subjective relevance (2020 — 98.5%). Also, on average, by 9% improvement the share of the subjective assessment «excellent» regarding satisfy the work of consultants and employees of the CTM of the National Medical Research Centre for Therapy and Preventive Medicine (2020 — 93.7% and 93.6%, respectively) has been detected. The relevance of the telemedicine system was equal to one, which indicates its high efficiency
CONCLUSION
Organization of internal quality control of medical care using the telemedicine technology implemented in the National Medical Research Centre for Therapy and Preventive Medicine and analysis of the indicators and measures’ implementation aimed at their correction allowed in the shortest time to achieve improvement in quantitative and qualitative criteria for the medical care service on the example of the subjective and objective relevance of TMC.
