IMPROVING THE QUALITY OF THE ORGANIZATION OF TEMPORARY DISABILITY EXAMINATION IN A CITY HOSPITAL

Aim - improving the quality of the organization of temporary disability examination (TDE) in a city hospital. Materials and methods. The research focuses on the organization of temporary disability examination in Samara City Hospital No. 10 providing services to the population of Kuibyshevsky district of Samara, which amounts to more than 87 thousand people. The study involved the following research methods: statistical, analytical, expert assessment, organizational modeling. Results. We implemented an organizational model of TDE improvement, which is based on organizational and methodological aspects of TDE development, methodological approaches to the quality control of TDE, indices of efficiency of TDE organization system. Conclusion. Development of an organizational model for the improvement of TDE based at the City general hospital contributes to the timely acceptance of instructive and methodological documents, raising the level of personnel qualification, developing information support for TDE, and providing quality control of TDE. The following results of the implementation of the organizational model for improving the organization of TDE from 2010 to 2015 were obtained: an increase in the quality of TDE; a reduction in the number of all defects per 100 cases of temporary disability - from 257.2 to 111.1; a reduction in the proportion of unreasonably issued sick-leaves from 4.8% to 1.9%; an increase in the integrated assessment of the quality of care in the model of the final results of the TDE service performance in the City general hospital from 0.75 in 2010 to 0.85 in 2015.