Assessment and quality management of medical center services: modern approaches, models and methods

The article reveals modern approaches to assessing and managing quality in medical organizations. The necessity of forming a comprehensive methodology for researching quality based on modern methods and technologies in management and marketing of modern organizations is justified. An effective tool for examining and identifying the most significant properties of the provision of medical services is N. Kano's model. In this paper, the authors, relying on numerous experiments and experience in diagnosing the quality of services of medical organizations, present the results of a comprehensive methodology for assessing services in the medical center "Esculap", which includes consumer surveys to compare various quality characteristics with a reference product in comparison with competitors. Constructing a Pareto chart clearly demonstrates customer requests relative to the factors of greatest importance. The conclusions allow management to determine the directions of development and optimization of the most demanded aspects of the service, making it even more valuable in the eyes of the target audience: elimination of queues, development of detailed recommendations of doctors during an appointment, advanced training of employees, expanding the possibility of making an appointment for the next day, purchasing high-tech equipment, etc. The development is directed towards the quality field to ensure the required level of the medical center which lie in the introduction of mapping tools and the 5C system, which allow to identify losses and optimize the office space. Another tool that provides opportunities for improving the quality of a medical center is the deployment (structuring) of quality functions (Quality Function Deployment, QFD). The authors provide the results of automated calculations in the QFD Online program, which allows you to graphically present the results of the analysis and calculate the necessary coefficients. The application of lean manufacturing and QFD methods on a systematic basis ensures timely identification of customer needs and the provision of services that best meet their needs, which ultimately leads to an increase in the efficiency of the medical center.