Reform of control and supervisory activities and inspection of medical organizations: myths and reality.

The analysis presented in the article convincingly shows that all changes occurring in recent years in the implementation of federal state control of the quality and safety of medical activities are implemented in strict accordance with the program “Reform of control and supervisory activities”, and at the same time these changes do not allow any – weakening in terms of the need to comply with mandatory requirements for this type of control (supervision). The reform of control and supervisory activities does not imply the abolition of all inspections of medical organizations, but the replacement of certain traditional control (supervisory) activities, first of all, this concerns scheduled inspections, with new types of control (supervisory) activities, i. e. for new types of inspections, and for preventive measures. Currently, priority areas of work in the state control (supervision) system are expanding the number and more precise adjustment of risk indicators, including with the aim of increasing the share of unscheduled control (supervisory) activities, i. e. unscheduled inspections conducted based on risk indicators. Medical organizations need to constantly ensure thorough preparation for carrying out preventive measures within the framework of federal state control of the quality and safety of medical activities as measures that are the most important part of the modern system of control (supervisory) activities; control (supervisory) activities without interaction with controlled persons; a wide range of unscheduled control (supervisory) activities, including unscheduled inspections carried out on the basis of risk indicators.