+7 925 966 4690, 9am6pm (GMT+3), Monday – Friday
ИД «Финансы и кредит»

JOURNALS

  

FOR AUTHORS

  

SUBSCRIBE

    
Economic Analysis: Theory and Practice
 

Medical registers as a quality management tool: An analytical review

Vol. 15, Iss. 8, AUGUST 2016

PDF  Article PDF Version

Received: 22 December 2015

Received in revised form: 17 May 2016

Accepted: 20 June 2016

Available online: 31 August 2016

Subject Heading: ANALYSIS OF HUMAN CAPITAL

JEL Classification: I15

Pages: 98-107

Ovchinnikov E.N. Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of Ministry of Healthcare of Russian Federation, Kurgan, Russian Federation
omu00@list.ru

Stogov M.V. Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of Ministry of Healthcare of Russian Federation, Kurgan, Russian Federation
stogo_off@list.ru

Chegurov O.K. Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of Ministry of Healthcare of Russian Federation, Kurgan, Russian Federation
too16@rncvto.ru

Subject The article considers the issue of medical register maintenance.
Objectives The purpose of the study is to evaluate the efficiency of current medical registers, using a case of endoprosthesis replacement register maintenance, as an economical instrument of managing the medical institution, which provides for optimization and improvement of medical services quality.
Methods For analytical estimation purposes, we studied relevant data published in peer-reviewed journals and open registers materials from the Internet.
Results The analysis found out that the content of registers and their functions differ depending on the register level, i.e. national, regional, local, i.e. within one or two clinics. The register maintenance experience showed that regardless of the level, registers enable not only to follow up patient's condition after treatment, predict and monitor the efficiency and safety of the product, but also to assess the volume and structure of expenses during medical treatment. Medical registers provide cooperation in the patient–medical institution–manufacturer system, which helps reducing direct and indirect cost of treatment. Based on the analytical review, we identified main advantages of registers ensuring the said cooperation.
Conclusions Medical registers should be used as an instrument of quality management not only in an individual medical facility, but also in certain branches of the healthcare industry. The project for organization of the national register of endoprosthesis replacement should be initially based on the creation of regional registers, within the subjects of the Russian Federation.

Keywords: quality management, medical services, regional registers

References:

  1. Bedoreva I.Yu., Sadovoi M.A., Strygin A.V., Sadovaya T.N., Dobrov P.S. [Results of implementing the quality management system in the Federal health care facility]. Byulleten' Sibirskogo otdeleniya Rossiiskoi akademii meditsinskikh nauk = Bulletin of Siberian Branch of Russian Academy of Medical Sciences, 2008, no. 4, pp. 89–97. (In Russ.)
  2. Emanuel' Yu.V., Khotin A.L. [The implementation of requirements of the quality management system in health care organizations: Measuring products and processes, analysis and improvement]. Kliniko-laboratornyi konsilium = Clinical and Laboratory Consultation, 2013, no. 1, pp. 37–43. (In Russ.)
  3. Potapova M.V., Sabirov L.F. [Features of quality management system formation and risk management in the industry-sponsored healthcare]. Vestnik sovremennoi klinicheskoi meditsiny = Bulletin of Contemporary Clinical Medicine, 2010, no. 3, pp. 8–10. (In Russ.)
  4. Baev V.M., Yudina O.N., Baev I.V., Egorov O.E., Rakhmanov A.V., Lesnikov E.V., Kolosova L.P. [Social aspects in the management of health care quality]. Ekonomika i menedzhment sistem upravleniya = Economics and Management of Control Systems, 2013, no. 4, pp. 4–10. (In Russ.)
  5. Tikhilov R.M., Shubnyakov I.I., Kovalenko A.N., Chernyi A.Zh., Murav'eva Yu.V., Goncharov M.Yu. [Data of the register of hip replacement of Vreden Russian Research Institute of Traumatology and Orthopaedics for 2007–2012]. Travmatologiya i ortopediya Rossii = Traumatology and Orthopaedics of Russia, 2013, no. 3, pp. 167–190. (In Russ.)
  6. Bitton R. The Economic Burden of Osteoarthritis. The American Journal of Managed Care, 2009, vol. 15, no. 8, pp. S230–S235.
  7. Dutka J., Dutka L., Janiszewski M., Hajduk G. Cost Analysis and Sociomedical Aspects of the Conservative and Surgical Treatment of Hip Osteoarthritis. Ortopedia, Traumatologia, Rehabilitacja, 2008, vol. 10, no. 6, pp. 537–546.
  8. Hawker G.A., Badley E.M., Croxford R., Coyte P.C., Glazier R.H., Guan J., Harvey B.J., Williams J.I., Wright J.G. A Population-based Nested Case-Control Study of the Costs of Hip and Knee Replacement Surgery. Medical Care, 2009, vol. 47, no. 7, pp. 732–741.
  9. Andrews G., Simonella L., Lapsley H., Sanderson K., March L. Evidence-based Medicine Is Affordable: The Cost-Effectiveness of Current Compared with Optimal Treatment in Rheumatoid and Osteoarthritis. Journal of Rheumatology, 2006, vol. 33, no. 4, pp. 671–680.
  10. Koenig L., Dall T.M., Ruiz D.Jr., Saavoss J., Tongue J. Can Value-based Insurance Impose Societal Costs? Value Health, 2014, vol. 17, no. 6, pp. 749–751.
  11. Ruiz D.Jr., Koenig L., Dall T.M., Gallo P., Narzikul A., Parvizi J., Tongue J. The Direct and Indirect Costs to Society of Treatment for End-Stage Knee Osteoarthritis. Journal of Bone & Joint Surgery, American Volume, 2013, vol. 95, no. 16, pp. 1473–1480.
  12. Rissanen P., Aro S., Sintonen H., Asikainen K., Slatis P., Paavolainen P. Costs and Cost-Effectiveness in Hip and Knee Replacements. A prospective study. International Journal of Technology Assessment in Health Care, 1997, vol. 13, no. 4, pp. 575–588.
  13. Dall T.M., Gallo P., Koenig L., Gu Q., Ruiz D. Modeling the Indirect Economic Implications of Musculoskeletal Disorders and Treatment. Cost Effectiveness and Resource Allocation, 2013, vol. 11, no. 1. doi: 10.1186/1478-7547-11-5
  14. Higashi H., Barendregt J.J. Cost-Effectiveness of Total Hip and Knee Replacements for the Australian Population with Osteoarthritis: Discrete-event simulation model. PLoS One, 2011, vol. 6, no. 9. doi: 10.1371/journal.pone.0025403
  15. Lavernia C.J., Guzman J.F., Gachupin-Garcia A. Cost Effectiveness and Quality of Life in Knee Arthroplasty. Clinical Orthopaedics and Related Research, 1997, vol. 345, pp. 134–139.
  16. Mobasheri R., Gidwani S., Rosson J.W. The Effect of Total Hip Replacement on the Employment Status of Patients under the Age of 60 Years. Annals of The Royal College of Surgeons of England, 2006, vol. 88, no. 2, pp. 131–133. doi: 10.1308/003588406X95129
  17. Effenberger H., Rehart S., Zumstein M.D., Schuh A. Financing in Knee Arthroplasty: A benchmarking analysis. Archives of Orthopaedic and Traumatic Surgery, 2008, vol. 128, no. 12, pp. 1349–1356.
  18. Zhang Y., Zhang H., Clarke H.D., Hattrup S.J. Analysis of Total Joint Arthroplasty Costs in Chinese Patients. The Journal of Arthroplasty, 2012, vol. 27, no. 8, pp. 1423–1428. doi: 10.1016/j.arth.2012.01.014
  19. Hamilton D.F., Clement N.D., Burnett R., Patton J.T., Moran M., Howie C.R., Simpson A.H., Gaston P. Do Modern Total Knee Replacements Offer Better Value for Money? A health economic analysis. International Orthopaedics, 2013, vol. 37, no. 11, pp. 2147–2152. doi: 10.1007/s00264-013-1992-4
  20. Gorenoi V., Schönermark M.P., Hagen A. Gelenkendoprothesenregister für Deutschland. GMS Health Technology Assessment, 2009, Bd. 92. doi: 10.3205/hta000075L
  21. Tikhilov R.M., Kornilov N.N., Kulyaba T.A., Fil' A.S., Drozdova P.V., Petukhov A.I. [A comparative analysis of registers of knee endoprosthesis replacement (a review of literature)]. Travmatologiya i ortopediya Rossii = Traumatology and Orthopedics of Russia, 2014, no. 2, pp. 114–121. (In Russ.)
  22. Akiyama H., Hoshino A., Iida H., Shindo H. et al. A Pilot Project for the Japan Arthroplasty Register. Journal of Orthopaedic Science, 2012, vol. 17, no. 4, pp. 358–369.
  23. Nečas L., Katina S., Křivánek S., Uhlárová J. Slovakian Arthroplasty Register. Review of the annual report of the Slovakian Arthroplasty Register – 2010. Acta Chirurgiae Orthopaedicae et Traumatologiae Čechoslovaca, 2011, vol. 78, Suppl., pp. 1–59. Available at: Link.
  24. Logvinov N.L., Khoroshkov S.N., Logvinov A.N. [Review of results of using the knee joint prosthesis Genesis II according to the Australian register ANJR AoA for 2012]. Neotlozhnaya meditsinskaya pomoshch' = Sklifosovsky Journal Emergency Medical Care, 2014, no. 3, pp. 11–15. (In Russ.)
  25. Franklin P.D., Harrold L., Ayers D.C. Incorporating Patient-reported Outcomes in Total Joint Arthroplasty Registries: Challenges and Opportunities. Clinical Orthopaedics and Related Research, 2013, vol. 471, no. 11, pp. 3482–3488. doi: 10.1007/s11999-013-3193-2
  26. Rolfson O., Karrholm J., Dahlberg L.E., Garellick G. Patient-reported Outcomes in the Swedish Hip Arthroplasty Register: Results of a nationwide prospective observational study. Journal of Bone and Joint Surgery, British Volume, 2011, vol. 93(7), pp. 867–875. doi: 10.1302/0301-620X.93B7.25737
  27. Rolfson O., Rothwell A., Sedrakyan A., Chenok K.E., Bohm E., Bozic K.J., Garellick G. Use of Patient-reported Outcomes in the context of Different Levels of Data. Journal of Bone & Joint Surgery, American Volume, 2011, vol. 93, pp. 366–371. doi: 10.2106/JBJS.K.01021
  28. Luo R., Brekke A., Noble P.C. The Financial Impact of Joint Registries in Identifying Poorly Performing Implants. The Journal of Arthroplasty, 2012, vol. 27, Suppl. 8, pp. 66–71. doi: 10.1016/j.arth.2012.03.046
  29. Kornilov N.N., Kulyaba T.A., Fil' A.S., Murav'eva Yu.V. [Data of the register of hip replacement of Vreden Russian Research Institute of Traumatology and Orthopaedics for 2011–2013]. Travmatologiya i ortopediya Rossii = Traumatology and Orthopaedics of Russia, 2015, no. 1, pp. 136–151. (In Russ.)

View all articles of issue

 

ISSN 2311-8725 (Online)
ISSN 2073-039X (Print)

Journal current issue

Vol. 23, Iss. 3
March 2024

Archive