Improving the quality of medical care in Russia: aspects of digital measurement problem

摘要

The subject of the research is the process of improving the quality of medical care for the Russian population. The relevance of the topic considered in the article is determined by the problems of studying the real state of the medical services quality for the population in Russia in the digital dimension of a social problem, as well as fair compensation to the population of damage suffered during various natural, man-made and other nature emergencies. The national health care system of Russia is taking measures to improve the quality and accessibility of medical care provided to the population. However, the socio-economic reforms carried out in the country require the achievement of a real effect from the measures being implemented to ensure the accessibility and quality of medical care to the population in the country's health care system. Currently, the Russian public health system does not actually conduct a public opinion survey on the responsiveness of the national health system to the expectations of the country's population in improving the quality and accessibility of medical care. The authors identified the need for a digital measurement of this social problem to identify dynamic changes in its condition in terms of the need to regulate legal regulation of ensuring a healthy lifestyle for the population, ensuring accessibility of high-quality medical care for the population, and responsiveness of the Russian health care system to the population's expectations. Data on dynamic changes in the state of these areas should be controlled by monitoring using a single officially adopted methodology for measuring the opinion of the Russian population about the quality of medical care provided in the country's health system. To evaluate in digital terms the quality of medical care, as well as the "cost" of life of the population in Russia, based on the analysis of statistical data to calculate a fair compensation for the damage suffered in various natural, man-made and other emergency situations. To analyze theoretical and methodological approaches for selecting a system of indicators and methods for assessing the quality of medical services for the population, including the "cost" of living for the population in Russia. The empirical level research methodology is based on the application of general scientific research methods: analysis and synthesis, induction and deduction, abstraction and concretization, polling of the population, as well as an interdisciplinary analysis of the target attitudes of the Russian population, associated with the expectation of improving the quality of life in the country, including a fair reimbursement of the "cost" of life. The initial data were the materials of the federal authorities of the Russian Federation; data from academic research institutes; expert evaluations of specialists on the "cost" of living in the country and in economically developed foreign countries; assessing the dynamic changes in the quality of life in the country; periodical materials. Results/conclusions. The analysis of the theoretical and methodological approaches to the study of the quality of medical services for the population, including the "cost" of life of the population in Russia in the context of the growth of the Russian economy and expectations of improving the quality of life in the country, has been carried out. Systems of criteria, indicators, as well as methods for digital assessment of the quality of medical services and methods for determining the "cost" of life for the population in Russia in conditions of moderate socio-economic growth in the short term, have been developed. The use of a single system of indicators and uniform methods for the digital assessment of the quality of medical care and the "cost" of life corresponds to the strategic goal of improving the quality of life of the Russian population. The authors also proposed a number of practical recommendations for improving the quality of