Methodological approaches to the expert appraisal of therapeutic care quality in chronic cholecystitis


Aim: to develop a technology for assessing the quality and consequences of medical care in chronic noncalculous cholecystitis by an expert - a therapist, a gastroenterologist.
Materials and methods. One hundred and ninety-three cases of expert appraisal of medical care quality in chronic noncalculous cholecystitis were analyzed. The expert appraisal of the quality of medical care was carried out by comparing with that of the reference - the standard for the diagnosis and treatment of chronic noncalculous cholecystitis. To detect the defects correlated with the negative consequences of medical care, the authors calculated statistical criteria for assessing an association between the indices of accumulated informative value and the consequences of rendered medical care.
Results. According to the assessed quality of medical care, the patients were divided into two groups: 1) 163 patients with negative consequences of delivered medical care; 2) 30 patients with its positive consequences (a control group). The identified drawbacks that significantly determined negative outcomes had a certain distribution in the groups by their frequency. The analysis provided calculations of the accumulated informative value index for each case individually for the processes of diagnosis and treatment, by drawing up the boundaries of proper and improper medical care delivered to patients with chronic noncalculous cholecystitis.
Conclusion. The formulated criteria of positive consequences of medical care are oriented to the differential diagnosis of biliary tract pathology, to differentiated approaches to treatment analysis, and to the likely outcomes of exposure to medical and diagnostic actions on the pathological process, which allows an expert to predict its further dynamics and consequences of rendered medical care. The algorithmized expert appraisal of cases of medical care delivery makes it possible to objectivize the opinion and conclusions of an expert.

About the authors

Galina Ivanovna Nechaeva

Vadim Adil'evich Akhmedov


Aleksey Vasil'evich Bereznikov

Vladimir Pavlovich Konev

G I Nechayeva

Omsk State Medical Academy

Omsk State Medical Academy

V A Akhmedov

Omsk State Medical Academy

Omsk State Medical Academy

A V Bereznikov

Omsk State Medical Academy

Omsk State Medical Academy

V P Konev

Omsk State Medical Academy

Omsk State Medical Academy


  1. Эльштейн Н. В. Ошибки в гастроэнтерологической практике М.: МИА; 1998.
  2. Григорьев П. Я., Яковенко Э. П. Стандарты диагностики и лечения заболеваний органов пищеварения: Метод. рекомендации для врачей. М.; 2005.
  3. Ивашкин В. Т. Рациональная фармакотерапия заболеваний органов пищеварения. М.: Литтерра; 2003.
  4. Ивашкин В. Т., Лапина Т. Л. Схемы лечения. Гастроэнтерология. М.: Литтерра; 2006.
  5. Бояджан В. А., Семенов Ю. Н. Проблема стандартизации оценки деятельности учреждений здравоохранения. Бюл. НИИ им. Н. А. Семашко 1992; 1: 9-31.
  6. Радул В. В. Экспертиза качества медицинской помощи терапевтическим больным: методология, уровни оценок, клинико-анатомические параллели: Автореф. дис. ... канд. мед. наук. Омск; 2004.



Abstract - 107


Article Metrics

Metrics Loading ...


  • There are currently no refbacks.

Copyright (c) 2010 Nechaeva G.I., Akhmedov V.A., Bereznikov A.V., Konev V.P., Nechayeva G.I., Akhmedov V.A., Bereznikov A.V., Konev V.P.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Address of the Editorial Office:

  • Novij Zykovskij proezd, 3, 40, Moscow, 125167

Correspondence address:

  • Novoslobodskaya str 31c4., Moscow, 127005, Russian Federation

Managing Editor:


© 2018 "Consilium Medicum" Publishing house

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies