Monitoring of organizational processes aimed at improving the quality of cancer care

Objective. Analysis of monitoring quality and volume of cancer care, focusing on three key aspects: quality of health services, organizational measures, and patient perceptions of quality.Methods. The studies are descriptive and questionnaires were conducted for those who underwent inpatient treatment. We studied reporting forms on defective cases and control data on volume and quality from 36 medical organizations.Results. In the provision of medical care, defects were found in 7631 cases (2.6%), the most common violation is "unreasonable deviation of treatment and diagnostic measures and the provision of services from standards and rules in the field of health care/clinical protocols" - 53%. In second place is "incorrect registration of accounting and reporting documentation and data entry into the information system" - 8%, and in third - "unreasonable overestimation of the volume of treatment" - 12.6%. The psychosocial aspect of treatment is practically absent, since the proportion of consultations with a psychologist and a sociologist among the treated cases does not exceed 1%. The results of the survey showed that patients highly appreciate the behavior and professionalism of medical personnel, as well as the quality of treatment provided. The least positive aspects are: information on side effects, rehabilitation services, continuity between sectors and professional qualifications in primary care.Conclusion. Monitoring is a necessary but insufficient condition to ensure high quality patient care. Achieving this goal requires management attention, professional engagement and the allocation of resources to the implementation of modern technologies, including artificial intelligence, machine learning and other innovative approaches.Keywords: oncology, organization of care, public health, quality of care, monitoring.