Continuous improvement of the quality of medical care is the main direction of work of Russian orthopedic traumatologists

Abstract

At present the constant increase of the cost of medical service is observed all over the world but with no adequate improvement of its quality as well as with no adequate safeties of patients. To overcome this tendency it is necessary either to neglect the quality of medical care or to work out the special care which will enable to decrease the cost without the quality loss. The system should be based on the modern technology which quarantees minimum sufficient and maximum effective level of patients treatment. Authors suggest a concrete way for the improvement of medical care on the example of examination and treatment of patients with low back pain. For this purpose the Technologic chart for diagnosis and treatment of patients with spondylogenous low back pain is elaborated. This chart can be used both in out- and inpatients and it regulates the steps of patient's examination and treatment.