The results of study of quality and accessibility of medical care in health care institutions: “Who is guilty and what to do?”

The actual system of evaluation of quality of medical care includes analysis of indices of official statistical reporting, external and internal expertise and significantly more rare analysis of satisfaction of patients as immediate consumers of medical services. The study was carried out to compare opinions of patients and administrators of medical organizations about quality and accessibility of medical care in number of health care organizations in the Tomsk region. The most of the administrators significantly overestimate the level of quality and accessibility of medical care in organizations that permits drawing a conclusion about absence of understanding of real situation. This situation results in restrictions of selecting necessary vectors of amelioration offunctioning of organization and proper managerial decision-making.