THE ANALYSIS OF ACTIVITIES ON INCREASING EFFICIENCY OF ANTITUMORAL MEDICINAL THERAPY, SURGICAL AND RADIATION TREATMENT OF PATIENTS WITH ONCOLOGICAL DISEASES

The article considers system of measures improving efficiency of anti-tumor medicinal therapy, surgical and radiation treatment of patients with oncological diseases, including development of proposals for their improvement. The sampling included 485 experts (practicing oncologists). The expert survey was carried out using expert questionnaire to develop proposals improving organization of medical care of patients with oncological diseases. The Kendall's concordance coefficient (W) was calculated to quantify degree of concordance of answers of experts. The significance of differences was assessed by non-parametric Friedman criterion. The reliability and validity of questionnaire scale was carried out by calculating the Cronbach's alpha coefficient. The results demonstrated that in order to formulate proposals improving organization of oncological medical care management, current indicators and implemented measures of organization of medical care of oncological patients are be taken into account, including percentage of patients with oncological diseases, who underwent examination and/or treatment during current year out of those under dispensary observation, the percentage of malignant neoplasms detected at stages I-II and organization of reference centers that use histological, immunohistochemical, pathomorphological and Xray methods of research. The following indicators are recommended to apply for improving organization of cancer medical care: control compliance of drug therapy with clinical recommendations; increasing surgical activity and availability of surgical interventions by increasing volume of medical care; adding new results and outputs targeted to increase the number of molecular researches when prescribing targeted anticancer drugs; centralization of the cancer medical service. The indicators, that can be used to formulate and prioritize proposals for improving organization of cancer medical care, and to form Federal projects or departmental special-purpose program, were selected. The results of the study can be used in development of system to monitor efficiency of implementation of these projects and programs.