Legal basis and current problems of objective assessment of the quality of medical care

Abstract Relevance. The problem of objective assessment of the quality of medical care is relevant not only for the Russian health care system, but also for other national health care systems, and negatively affects the satisfaction of the population with its effectiveness. The purpose of this study was to disclose the concept of "examination of the quality of medical care" and analyze the organizational and legal problems of the current practice of assessing the quality of medical services in order to develop ways to resolve them. Materials and methods of research. The work uses formal legal methods and content analysis of reviews of judicial practice on assessing the quality of services provided by medical organizations. Results and discussions. The analysis has shown that the current system for assessing the quality of medical care is subject to change. The established evaluation criteria are fragmentary and contradictory, and the technology of expert evaluation does not correspond to the legislative triad of characteristics of the quality of medical care. This gives rise to medical disputes involving patients and insurers under compulsory medical insurance, and in some cases, forensic experts. Conclusions. The conducted analysis allowed the authors to group by significance the most significant problems that medical organizations face in their relationships with patients, insurers and supervisory authorities regarding the assessment of the quality of medical services rendered. Resolving them by legal methods will solve the problem of objectifying the expert evaluation and will have a positive effect on the satisfaction of the population with the effectiveness of medical care.