THE QUALITY OF CARE MANAGEMENT MODEL IMPLEMENTATION AT THE HEALTH CARE FACILITY ON THE BASIS OF THE MEDICO-SOCIAL APPROACH OF THE INTERNAL AUDIT

This article is devoted to show potential of the author’s quality of care management model on the basis of internal audit principles for the patients with arterial hypertension. This model was implemented in the Polyclinic № 5 of Sumy city. We have analyzed 452 patients’ cards. These patients are considered to be the follow-up one as they have arterial hypertension. We assessed registered data from the patients’ cards in compliance with the protocols and accepted system of indicators. We figured out initial ways of improving the health care service for the patients with arterial hypertension. The specialists should consult the patients with arterial hypertension, examine them using laboratory and instrumental methods, provide information about risk stratification to estimate projections and inform about the target-organs damages etc. We monitored if the patients followed preventive and medical recommendations. Unfortunately, we pointed unsatisfied attitude of the patients with arterial hypertension to their own health. Based on the monitoring results, there were developed and implemented ways to raise awareness of the patients with arterial hypertension using information and communication techniques. The medico-social approach of internal audit gave a possibility of considering and realization management decisions to provide permanent quality of care improving for the patients with arterial hypertension at the mentioned health care facilities.