However, this is not easy, because ...

However, this is not easier, because the price is incorrect assignments is extremely high. Participants in this discussion are confident that the situation should be put into practice to correct our health care system of rational use of medicines and quality control of pharmacotherapy. However, the pace of its implementation leaves much to be desired.

Evaluation of quality of care

Douglas J. Lansky, Arthur J. Harz Department of Neurology, preventive medicine and health, by maintaining an optimal environment, the Center for Aging to them. Sanders, Brown University Medical Center, Neurological Service of the Medical Center of Veterans Affairs, Lexington, Kentucky, Department of Family Medicine, University of Iowa, Iowa, USA. Despite the lack of universally accepted definition of quality health care, has developed and disseminated methods designed to assess its quality. An example of such a technique is described Hinchey et al. [1]. Interest in assessing the quality due to several driving forces. Firstly, as a result of the comparison between the two countries a legitimate question: Does the quality of care in the U.S. a huge cost to it? In the U.S., is made for medical care have increased significantly and 14% of the gross national product - more than any other country, but health indicators (eg frequency of preterm birth, infant mortality, life expectancy) is worse than in other developed countries in which expenditure on health per capita is much lower. Secondly, the marked differences in the use and costs of various services in different states [2-5], the lack of consensus among doctors about the best standards of therapeutic and surgical treatment of many diseases [6,7] and a significant frequency of medical errors [8, 9] suggest that a significant part of medical care, or improper or inadequate and therefore is below the proper standard of quality. Third, the ongoing policy of cost savings (including new forms of cost recovery) has raised fears that the conflict of financial interests of the service provider and the payer in the end lead to a deterioration of medical care. Fourth, with increasing competition mezhtsu providers, healthcare organizations now refer to the quality indicators as to the factors of marketing, that is, as a means of providing competitive advantage and retain part of the market in the sphere of influence. Traditionally, the quality of care was assessed in three general areas: structure, process and outcome [10-12]. The structure includes the characteristics of aid, including: physical resources (eg, fixtures and equipment), personnel (such as its size, professional competence and qualifications) as well as organizational characteristics (eg, the methods return cost evaluation system for doctors in other physicians).