Quality of medical services as a guarantee of the right to health care.
Notice bibliographique
Résumé
The article provides a comprehensive understanding of the legal regulation of the quality of medical care: in the public-legal sphere as a guarantee of ensuring the constitutional right to health care and from the point of view of the private-legal understanding of the proper quality of the service provided to meet public needs. The author states that the recognition of human life and health as the highest social value makes the choice in favor of human-centrism and patient-orientation in the process of providing medical care absolutely unalternative. This also applies to the reform of the health care system. However, the existing shortcomings and gaps in legal regulation do not allow us to convincingly assess the quality of medical services at the current stage as high or at least sufficient. The criteria for the quality of medical services are summarized, namely: effectiveness (evidencebased); accessibility (both territorially and in terms of the availability of the necessary competent medical personnel, equipment, medicines); patient-orientation (compliance, the Calgary-Cambridge model of medical consultation); safety (proven profile of effectiveness and safety of all prescriptions). It is emphasized that there are some problems in ensuring the quality of medical services, especially in terms of safety and evidence. A set of measures is proposed to reform the health care system, in particular, the introduction of such indicators of the quality of medical care as the assessment of the rational use of antibiotics and the fight against antibiotic resistance and the assessment of the balanced appointment of invasive treatment methods in the presence of alternative methods (in particular, intravenous and oral administration of drugs). The article summarizes that high-quality medical care should be based on evidence-based data. Evidence-based is the primary criterion for assessing the balance and validity of decisions of medical professionals, and this principle has already been enshrined in organic legislation and at the level of medical care standards, but there is a lack of effective tools for assessing the quality of medical technologies from the point of view of their evidence-based. It is necessary to popularize evidence-based medicine, raise public awareness of the essence of evidence-based methods, and also increase the legal awareness of medical personnel. Key words: quality of medical services, evidence-based medicine, indicators of quality of medical care, antibiotic resistance, legal awareness of medical professionals.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,001 | 0,006 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,005 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».