ppharmПедиатрическая фармакологияPediatric pharmacology1727-57762500-3089Издательство «ПедиатрЪ»10.15690/pf.v14i3.1744ppharm-1522Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWПОДДЕРЖИВАЮЩИЙ МОНИТОРИНГ БОЛЬНИЦ КАК ТЕХНОЛОГИЯ ПОВЫШЕНИЯ КАЧЕСТВА СТАЦИОНАРНОЙ МЕДИЦИНСКОЙ ПОМОЩИSUPPORTIVE SUPERVISION AS A TECHNOLOGY OF IMPROVING THE QUALITY OF HOSPITAL CARE DELIVERYМухортоваС. А.MukhortovaSvetlana A.

Москва

Moscow

https://orcid.org/0000-0002-7447-0625КуличенкоТ. В.KulichenkoTatiana V.

Куличенко Татьяна Владимировна - доктор медицинских наук, профессор РАН, заведующая отделением неотложной педиатрии ФГАУ «ННПЦЗД» Минздрава России

119991, Москва, Ломоносовский проспект, д. 2, стр. 1, тел.: +7 (499) 134-08-39

Moscow

Tkulichenko@yandex.ruhttps://orcid.org/0000-0002-2209-7531Намазова-БарановаЛ. С.Namazova-BaranovaLeyla S.

Москва

Moscow

ПискуноваС. Г.PiskunovaSvetlana G.

Ростов-на-Дону

Rostov-on-Don

БесединаЕ. А.BesedinaElena A.

Ростов-на-Дону

Rostov-on-Don

ПрометнойД. В.PrometnoyDmytrij V.

Ростов-на-Дону

Rostov-on-Don

Национальный научно-практический центр здоровья детейРоссияNational Scientific Center of Children’s HealthRussian FederationОбластная детская клиническая больница; Ростовский государственный медицинский университетРоссияRegional Children’s Clinical Hospital; Rostov State Medical UniversityRussian FederationРостовский государственный медицинский университетРоссияRostov State Medical UniversityRussian FederationНаучно-исследовательский институт акушерства и педиатрии ФГБОУ ВО «Ростовский государственный медицинский университет»РоссияNational Scientific Center of maternity and pediatrics Rostov State Medical UniversityRussian Federation201703082017143192197Copyright © Мухортова С.А., Куличенко Т.В., Намазова-Баранова Л.С., Пискунова С.Г., Беседина Е.А., Прометной Д.В., 20172017Мухортова С.А., Куличенко Т.В., Намазова-Баранова Л.С., Пискунова С.Г., Беседина Е.А., Прометной Д.В.Mukhortova S.A., Kulichenko T.V., Namazova-Baranova L.S., Piskunova S.G., Besedina E.A., Prometnoy D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.pedpharma.ru/jour/article/view/1522

Повышение качества медицинской помощи является приоритетной задачей как в странах с развитой, так и с развивающейся системой здравоохранения.  Существуют различные  подходы к улучшению качества и безопасности стационарной помощи, а также  различные  стратегии стимулирования  больниц  к действиям в этом направлении. Целью данного обзора литературы явился анализ существующего опыта использования технологии поддерживающего мониторинга в медицинских организациях для улучшения качества стационарной помощи. В качестве источников использованы  публикации из различных медицинских баз данных — PubMed, Cochrane Library, Medscape, eLIBRARY, а также монографии экспертов по теме обзора. В статье обсуждаются результаты научных исследований, демонстрирующие  успехи  и неудачи  применения поддерживающего  мониторинга.  Внедрение  поддерживающего мониторинга  медицинских  организаций  на основании  обобщенного опыта  различных  стран  представляется перспективным направлением  в улучшении качества оказания медицинской помощи. Эта технология  открывает широкие возможности для повышения квалификации и качества работы персонала педиатрических стационаров в Российской Федерации.

Improving the quality of medical care is a priority in countries with developed and developing health care system. There are various approaches to improve the quality and safety of patient’s care, as well as various strategies to encourage hospitals to achieve this goal. The purpose of the presented literature review was to analyze existing experience of the implementation of technology of supportive supervision in health care facilities to improve the quality of hospital care delivery. The data sources for publication were obtained from the following medical databases: PubMed, Cochrane Library, Medscape, e-library, and books on the topic of the review written by experts. The article discusses the results of the research studies demonstrating the successes and failures of supportive supervision technology application. Implementation of supportive supervision in medical facilities based on generalized experience of different countries is a promising direction in improving the quality of medical care delivery. This technology opens up opportunities to improve skills and work quality of the staff at pediatric hospitals in the Russian Federation.

качество медицинской помощиподдерживающий мониторингаудит качествадетистационарная помощьquality of caresupportive supervisionauditchildreninpatient careПоисково-аналитическая работа и подготовка статьи проведены за счет личных средств авторов.ReferencesJakab Z, Tsouros AD. Health 2020 — achieving health and development in today’s Europe. Cent Eur J Public Health. 2014;22(2):133–138. doi: 10.21101/cejph.a4045.Jakab Z, Tsouros AD. Health 2020 — achieving health and development in today’s Europe. Cent Eur J Public Health. 2014;22(2):133–138. doi: 10.21101/cejph.a4045.Баранов А.А., Альбицкий В.Ю., Устинова Н.В. Состояние, проблемы и перспективы организации медико-социальной помощи детям // Российский педиатрический журнал. — 2013.— №3 — С. 4–6. [Baranov AA, Albitsky VYu, Ustinova NV. STtatus, problems and prospects of the organization of medical and social care for children. Russian journal of pediatrics. 2013;(3):4–6. (In Russ).]Баранов А.А., Альбицкий В.Ю., Устинова Н.В. Состояние, проблемы и перспективы организации медико-социальной помощи детям // Российский педиатрический журнал. — 2013.— №3 — С. 4–6. [Baranov AA, Albitsky VYu, Ustinova NV. STtatus, problems and prospects of the organization of medical and social care for children. Russian journal of pediatrics. 2013;(3):4–6. (In Russ).]Duke T, Keshishiyan E, Kuttumuratova A, et al. Quality of hospital care for children in Kazakhstan, Republic of Moldova, and Russia: systematic observational assessment. Lancet. 2006;367(9514):919–925. doi: 10.1016/S0140-6736(06)68382-7.Duke T, Keshishiyan E, Kuttumuratova A, et al. Quality of hospital care for children in Kazakhstan, Republic of Moldova, and Russia: systematic observational assessment. Lancet. 2006;367(9514):919–925. doi: 10.1016/S0140-6736(06)68382-7.Дмитриев В.А. Современное состояние и оценка эффективности стационарзамещающих технологий в педиатрической практике // Саратовский научно-медицинский журнал. — 2010. — Т.6. — №1 — С. 128–130. [Dmitriyev VA. Current state and efficiency estimation of stationary substituting technologies in pediatric practice. Saratov journal of medical scientific research. 2010;6(1):128–130. (In Russ).]Дмитриев В.А. Современное состояние и оценка эффективности стационарзамещающих технологий в педиатрической практике // Саратовский научно-медицинский журнал. — 2010. — Т.6. — №1 — С. 128–130. [Dmitriyev VA. Current state and efficiency estimation of stationary substituting technologies in pediatric practice. Saratov journal of medical scientific research. 2010;6(1):128–130. (In Russ).]Чичерин Л.П. Актуальные проблемы социальной педиатрии России // Вопросы современной педиатрии. — 2006. — Т.5. — №6 — С. 13–17. [Chicherin LP. Urgent issues of social pediatry in Russia. Current pediatrics. 2006;5(6):13–17. (In Russ).]Чичерин Л.П. Актуальные проблемы социальной педиатрии России // Вопросы современной педиатрии. — 2006. — Т.5. — №6 — С. 13–17. [Chicherin LP. Urgent issues of social pediatry in Russia. Current pediatrics. 2006;5(6):13–17. (In Russ).]Приказ от 16 апреля 2012 г. № 366н «Об утверждении Порядка оказания педиатрической помощи» // Педиатрическая фармакология. — 2012. — Т.9. — №3 — С. 114–133. [Order № 366N on April 16, 2012 «On approval of procedure of pediatric care providing». Pediatric pharmacology. 2012;9(3):114–133. (In Russ).]Приказ от 16 апреля 2012 г. № 366н «Об утверждении Порядка оказания педиатрической помощи» // Педиатрическая фармакология. — 2012. — Т.9. — №3 — С. 114–133. [Order № 366N on April 16, 2012 «On approval of procedure of pediatric care providing». Pediatric pharmacology. 2012;9(3):114–133. (In Russ).]Воробьева Е.Е., Купрюшин A.C., Воробьев В.П. Анализ медикоправовых и социально-психологических аспектов в определении качества педиатрической помощи // Международный журнал прикладных и фундаментальных исследований. — 2015. — №3–3 — С. 354–358. [Vorobeva EE, Kupryushin AS, Vorobev VP. Analysis of medical and legal and social-psychological aspects in determining the quality of pediatric care. Mezhdunarodnyi zhurnal prikladnykh i fundamental’nykh issledovanii. 2015;(3–3):354–358. (In Russ).]Воробьева Е.Е., Купрюшин A.C., Воробьев В.П. Анализ медикоправовых и социально-психологических аспектов в определении качества педиатрической помощи // Международный журнал прикладных и фундаментальных исследований. — 2015. — №3–3 — С. 354–358. [Vorobeva EE, Kupryushin AS, Vorobev VP. Analysis of medical and legal and social-psychological aspects in determining the quality of pediatric care. Mezhdunarodnyi zhurnal prikladnykh i fundamental’nykh issledovanii. 2015;(3–3):354–358. (In Russ).]Купрюшин А.С., Воробьева Е.Е. Правовые и психологические аспекты оказания педиатрической помощи // Известия высших учебных заведений. Поволжский регион. Медицинские науки. — 2014.— №1 — С. 13–20. [Kupryushin AC, Vorob’eva EE. Legal and psychological aspects of pediatric care rendering. Izvestiya vysshikh uchebnykh zavedenii. Povolzhskii region. Meditsinskie nauki. 2014;(1):13–20. (In Russ).]Купрюшин А.С., Воробьева Е.Е. Правовые и психологические аспекты оказания педиатрической помощи // Известия высших учебных заведений. Поволжский регион. Медицинские науки. — 2014.— №1 — С. 13–20. [Kupryushin AC, Vorob’eva EE. Legal and psychological aspects of pediatric care rendering. Izvestiya vysshikh uchebnykh zavedenii. Povolzhskii region. Meditsinskie nauki. 2014;(1):13–20. (In Russ).]Ovretveit J. What are the best strategies for ensuring quality in hospitals? [Internet]. Copenhagen: WHO; 2003 [cited 2017 Jul 9]. Available from: http://www.euro.who.int/data/assets/pdf_file/0006/74706/E82995.pdf.Ovretveit J. What are the best strategies for ensuring quality in hospitals? [Internet]. Copenhagen: WHO; 2003 [cited 2017 Jul 9]. Available from: http://www.euro.who.int/data/assets/pdf_file/0006/74706/E82995.pdf.Хаируллин И.И., Курылев В.А., Капустина И.О. Организация внутреннего аудита медицинской организации как инструмент повышения ее результативности и эффективности // Вестник Росздравнадзора. — 2015. — №3 — С. 33–38. [Khayrullin II, Kurylev VA, Kapustina IO. Organization of internal audit medical organizations as a tool to improve the effectiveness and efficiency. Vestnik roszdravnadzora. 2015;(3):33–38. (In Russ).]Хаируллин И.И., Курылев В.А., Капустина И.О. Организация внутреннего аудита медицинской организации как инструмент повышения ее результативности и эффективности // Вестник Росздравнадзора. — 2015. — №3 — С. 33–38. [Khayrullin II, Kurylev VA, Kapustina IO. Organization of internal audit medical organizations as a tool to improve the effectiveness and efficiency. Vestnik roszdravnadzora. 2015;(3):33–38. (In Russ).]who.int [Internet]. Hospital care for children: quality assessment and improvement tool (2015) [cited 2017 Jul 9]. Available from: http://www.euro.who.int/en/health-topics/Life-stages/child-andadolescent-health/publications/2015/hospital-care-for-childrenquality-assessment-and-improvement-tool.who.int [Internet]. Hospital care for children: quality assessment and improvement tool (2015) [cited 2017 Jul 9]. Available from: http://www.euro.who.int/en/health-topics/Life-stages/child-andadolescent-health/publications/2015/hospital-care-for-childrenquality-assessment-and-improvement-tool.Children’s Vaccine Program at PATH. Guidelines for Implementing Supportive Supervision: а step-by-step guide with tools to support immunization. Seattle: PATH; 2003.Children’s Vaccine Program at PATH. Guidelines for Implementing Supportive Supervision: а step-by-step guide with tools to support immunization. Seattle: PATH; 2003.Bailey C, Blake C, Schriver M, et al. A systematic review of supportive supervision as a strategy to improve primary healthcare services in Sub-Saharan Africa. Int J Gynaecol Obstet. 2016;132(1):117–125. doi: 10.1016/j.ijgo.2015.10.004.Bailey C, Blake C, Schriver M, et al. A systematic review of supportive supervision as a strategy to improve primary healthcare services in Sub-Saharan Africa. Int J Gynaecol Obstet. 2016;132(1):117–125. doi: 10.1016/j.ijgo.2015.10.004.Clements CJ, Streefland PH, Malau C. Supervision in primary health care can it be carried out effectively in developing countries? Curr Drug Saf. 2007;2(1):19–23. doi: 10.2174/157488607779315435.Clements CJ, Streefland PH, Malau C. Supervision in primary health care can it be carried out effectively in developing countries? Curr Drug Saf. 2007;2(1):19–23. doi: 10.2174/157488607779315435.Hill Z, Dumbaugh M, Benton L, et al. Supervising community health workers in low-income countries — a review of impact and implementation issues. Glob Health Action. 2014;7(1):24085. doi: 10.3402/gha.v7.24085.Hill Z, Dumbaugh M, Benton L, et al. Supervising community health workers in low-income countries — a review of impact and implementation issues. Glob Health Action. 2014;7(1):24085. doi: 10.3402/gha.v7.24085.who.int [Internet]. Training for mid-level managers (MLM). Module 4: supportive supervision [cited 2017 Jul 9]. Available from: http://www.who.int/immunization/documents/mlm/en.who.int [Internet]. Training for mid-level managers (MLM). Module 4: supportive supervision [cited 2017 Jul 9]. Available from: http://www.who.int/immunization/documents/mlm/en.Rowe AK, Onikpo F, Lama M, et al. A multifaceted intervention to improve health worker adherence to integrated management of childhood illness guidelines in Benin. Am J Public Health. 2009;99(5):837–846. doi: 10.2105/AJPH.2008.134411.Rowe AK, Onikpo F, Lama M, et al. A multifaceted intervention to improve health worker adherence to integrated management of childhood illness guidelines in Benin. Am J Public Health. 2009;99(5):837–846. doi: 10.2105/AJPH.2008.134411.Rowe AK, Onikpo F, Lama M, Deming MS. The rise and fall of supervision in a project designed to strengthen supervision of Integrated Management of Childhood Illness in Benin. Health Policy Plan. 2010;25(2):125–134. doi: 10.1093/heapol/czp054.Rowe AK, Onikpo F, Lama M, Deming MS. The rise and fall of supervision in a project designed to strengthen supervision of Integrated Management of Childhood Illness in Benin. Health Policy Plan. 2010;25(2):125–134. doi: 10.1093/heapol/czp054.Suraratdecha C, Ramana V, Kaipilyawar S, et al. Cost and effectiveness analysis of immunization service delivery support in Andhra Pradesh, India. Bull World Health Organ. 2008;86(3):221–228. doi: 10.2471/blt.06.039495.Suraratdecha C, Ramana V, Kaipilyawar S, et al. Cost and effectiveness analysis of immunization service delivery support in Andhra Pradesh, India. Bull World Health Organ. 2008;86(3):221–228. doi: 10.2471/blt.06.039495.Серёгина И.Ф., Мартыненко В.Ф. Системные основы организации мониторинга доступности и качества медицинской помощи // Вестник Росздравнадзора. — 2010. — №S1 — С. 38–43. [Seregina IF, Martynenko VF. Sistemnye osnovy organizatsii monitoringa dostupnosti i kachestva meditsinskoi pomoshchi. Vestnik roszdravnadzora. 2010;(S1):38–43. (In Russ).]Серёгина И.Ф., Мартыненко В.Ф. Системные основы организации мониторинга доступности и качества медицинской помощи // Вестник Росздравнадзора. — 2010. — №S1 — С. 38–43. [Seregina IF, Martynenko VF. Sistemnye osnovy organizatsii monitoringa dostupnosti i kachestva meditsinskoi pomoshchi. Vestnik roszdravnadzora. 2010;(S1):38–43. (In Russ).]Hadi A. Management of acute respiratory infections by community health volunteers: experience of Bangladesh Rural Advancement Committee (BRAC). Bull World Health Organ. 2003;81(3):183–189. doi: 10.1590/S0042-96862003000300008.Hadi A. Management of acute respiratory infections by community health volunteers: experience of Bangladesh Rural Advancement Committee (BRAC). Bull World Health Organ. 2003;81(3):183–189. doi: 10.1590/S0042-96862003000300008.Osterholt D, Onikpo F, Lama M, et al. Improving pneumonia casemanagement in Benin: a randomized trial of a multi-faceted intervention to support health worker adherence to Integrated Management of Childhood Illness guidelines. Hum Resour Health. 2009;7:77. doi: 10.1186/1478-4491-7-77.Osterholt D, Onikpo F, Lama M, et al. Improving pneumonia casemanagement in Benin: a randomized trial of a multi-faceted intervention to support health worker adherence to Integrated Management of Childhood Illness guidelines. Hum Resour Health. 2009;7:77. doi: 10.1186/1478-4491-7-77.Bradley J, Igras S. Improving the quality of child health services: participatory action by providers. Int J Qual Health Care. 2005;17(5):391–399. doi: 10.1093/intqhc/mzi057.Bradley J, Igras S. Improving the quality of child health services: participatory action by providers. Int J Qual Health Care. 2005;17(5):391–399. doi: 10.1093/intqhc/mzi057.Ramsey K, Hingora A, Kante M, et al. The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system. BMC Health Serv Res. 2013;13 Suppl 2:S6. doi: 10.1186/1472-6963-13-S2-S6.Ramsey K, Hingora A, Kante M, et al. The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system. BMC Health Serv Res. 2013;13 Suppl 2:S6. doi: 10.1186/1472-6963-13-S2-S6.Suh S, Moreira P, Ly M. Improving quality of reproductive health care in Senegal through formative supervision: results from four districts. Hum Resour Health. 2007;5:26. doi: 10.1186/1478-4491-5-26.Suh S, Moreira P, Ly M. Improving quality of reproductive health care in Senegal through formative supervision: results from four districts. Hum Resour Health. 2007;5:26. doi: 10.1186/1478-4491-5-26.Bosch-Capblanch X, Liaqat S, Garner P. Managerial supervision to improve primary health care in lowand middle-income countries. Cochrane Database Syst Rev. 2011;(9):CD006413. doi:10.1002/14651858.CD006413.pub2.Bosch-Capblanch X, Liaqat S, Garner P. Managerial supervision to improve primary health care in lowand middle-income countries. Cochrane Database Syst Rev. 2011;(9):CD006413. doi:10.1002/14651858.CD006413.pub2.Perez F, Ba H, Dastagire SG, Altmann M. The role of community health workers in improving child health programmes in Mali. BMC Int Health Hum Rights. 2009;9:28. doi: 10.1186/1472-698X-9-28.Perez F, Ba H, Dastagire SG, Altmann M. The role of community health workers in improving child health programmes in Mali. BMC Int Health Hum Rights. 2009;9:28. doi: 10.1186/1472-698X-9-28.Dettrick Z, Firth S, Jimenez Soto E. Do strategies to improve quality of maternal and child health care in lower and middle income countries lead to improved outcomes? A review of the evidence. PLoS One. 2013;8(12):e83070. doi: 10.1371/journal.pone.0083070.Dettrick Z, Firth S, Jimenez Soto E. Do strategies to improve quality of maternal and child health care in lower and middle income countries lead to improved outcomes? A review of the evidence. PLoS One. 2013;8(12):e83070. doi: 10.1371/journal.pone.0083070.Duke T, Tamburlini G, Silimperi D. Improving the quality of paediatric care in peripheral hospitals in developing countries. Arch Dis Child. 2003;88(7):563–565. doi: 10.1136/adc.88.7.563.Duke T, Tamburlini G, Silimperi D. Improving the quality of paediatric care in peripheral hospitals in developing countries. Arch Dis Child. 2003;88(7):563–565. doi: 10.1136/adc.88.7.563.Frimpong JA, Helleringer S, Awoonor-Williams JK, et al. Does supervision improve health worker productivity? Evidence from the Upper East Region of Ghana. Trop Med Int Health. 2011;16(10):1225–1233. doi: 10.1111/j.1365-3156.2011.02824.x.Frimpong JA, Helleringer S, Awoonor-Williams JK, et al. Does supervision improve health worker productivity? Evidence from the Upper East Region of Ghana. Trop Med Int Health. 2011;16(10):1225–1233. doi: 10.1111/j.1365-3156.2011.02824.x.Stanback J, Griffey S, Lynam P, et al. Improving adherence to family planning guidelines in Kenya: an experiment. Int J Qual Health Care. 2007;19(2):68–73. doi: 10.1093/intqhc/mzl072.Stanback J, Griffey S, Lynam P, et al. Improving adherence to family planning guidelines in Kenya: an experiment. Int J Qual Health Care. 2007;19(2):68–73. doi: 10.1093/intqhc/mzl072.Magge H, Anatole M, Cyamatare FR, et al. Mentoring and quality improvement strengthen integrated management of childhood illness implementation in rural Rwanda. Arch Dis Child. 2015;100(6):565–570. doi: 10.1136/archdischild-2013-305863.Magge H, Anatole M, Cyamatare FR, et al. Mentoring and quality improvement strengthen integrated management of childhood illness implementation in rural Rwanda. Arch Dis Child. 2015;100(6):565–570. doi: 10.1136/archdischild-2013-305863.Workneh G, Scherzer L, Kirk B, et al. Evaluation of the effectiveness of an outreach clinical mentoring programme in support of paediatric HIV care scale-up in Botswana. AIDS Care. 2013;25(1):11–19. doi: 10.1080/09540121.2012.674096.Workneh G, Scherzer L, Kirk B, et al. Evaluation of the effectiveness of an outreach clinical mentoring programme in support of paediatric HIV care scale-up in Botswana. AIDS Care. 2013;25(1):11–19. doi: 10.1080/09540121.2012.674096.Reynolds HW, Toroitich-Ruto C, Nasution M, et al. Effectiveness of training supervisors to improve reproductive health quality of care: a cluster-randomized trial in Kenya. Health Policy Plan. 2008;23(1):56–66. doi: 10.1093/heapol/czm037.Reynolds HW, Toroitich-Ruto C, Nasution M, et al. Effectiveness of training supervisors to improve reproductive health quality of care: a cluster-randomized trial in Kenya. Health Policy Plan. 2008;23(1):56–66. doi: 10.1093/heapol/czm037.Manzi A, Magge H, Hedt-Gauthier BL, et al. Clinical mentorship to improve pediatric quality of care at the health centers in rural Rwanda: a qualitative study of perceptions and acceptability of health care workers. BMC Health Serv Res. 2014;14:275. doi: 10.1186/1472-6963-14-275.Manzi A, Magge H, Hedt-Gauthier BL, et al. Clinical mentorship to improve pediatric quality of care at the health centers in rural Rwanda: a qualitative study of perceptions and acceptability of health care workers. BMC Health Serv Res. 2014;14:275. doi: 10.1186/1472-6963-14-275.Uys LR, Minnaar A, Reid S, Naidoo JR. The perceptions of nurses in a district health system in KwaZulu-Natal of their supervision, self-esteem and job satisfaction. Curationis. 2004;27(2):50–56. doi: 10.4102/curationis.v27i2.976.Uys LR, Minnaar A, Reid S, Naidoo JR. The perceptions of nurses in a district health system in KwaZulu-Natal of their supervision, self-esteem and job satisfaction. Curationis. 2004;27(2):50–56. doi: 10.4102/curationis.v27i2.976.McAuliffe E, Daly M, Kamwendo F, et al. The critical role of supervision in retaining staff in obstetric services: a three country study. PLoS One. 2013;8(3):e58415. doi: 10.1371/journal.pone.0058415.McAuliffe E, Daly M, Kamwendo F, et al. The critical role of supervision in retaining staff in obstetric services: a three country study. PLoS One. 2013;8(3):e58415. doi: 10.1371/journal.pone.0058415.Agha S. The impact of a quality-improvement package on reproductive health services delivered by private providers in Uganda. Stud Fam Plann. 2010;41(3):205–215. doi: 10.1111/j.1728-4465.2010.00244.x.Agha S. The impact of a quality-improvement package on reproductive health services delivered by private providers in Uganda. Stud Fam Plann. 2010;41(3):205–215. doi: 10.1111/j.1728-4465.2010.00244.x.Tavrow P, Kim YM, Malianga L. Measuring the quality of supervisorprovider interactions in health care facilities in Zimbabwe. Int J Qual Health Care. 2002;14 Suppl 1:57–66. doi: 10.1093/intqhc/14.suppl_1.57.Tavrow P, Kim YM, Malianga L. Measuring the quality of supervisorprovider interactions in health care facilities in Zimbabwe. Int J Qual Health Care. 2002;14 Suppl 1:57–66. doi: 10.1093/intqhc/14.suppl_1.57.Panda B, Pati S, Nallala S, et al. How supportive supervision influences immunization session site practices: a quasi-experimental study in Odisha, India. Glob Health Action. 2015;8(1):25772. doi: 10.3402/gha.v8.25772.Panda B, Pati S, Nallala S, et al. How supportive supervision influences immunization session site practices: a quasi-experimental study in Odisha, India. Glob Health Action. 2015;8(1):25772. doi: 10.3402/gha.v8.25772.Som M, Panda B, Pati S, et al. Effect of supportive supervision on routine immunization service delivery-a randomized posttest study in Odisha. Glob J Health Sci. 2014;6(6):61–67. doi: 10.5539/gjhs.v6n6p61.Som M, Panda B, Pati S, et al. Effect of supportive supervision on routine immunization service delivery-a randomized posttest study in Odisha. Glob J Health Sci. 2014;6(6):61–67. doi: 10.5539/gjhs.v6n6p61.Ameha A, Karim AM, Erbo A, et al. Effectiveness of supportive supervision on the consistency of integrated community cases management skills of the health extension workers in 113 districts of Ethiopia. Ethiop Med J. 2014;52 Suppl 3:65–71.Ameha A, Karim AM, Erbo A, et al. Effectiveness of supportive supervision on the consistency of integrated community cases management skills of the health extension workers in 113 districts of Ethiopia. Ethiop Med J. 2014;52 Suppl 3:65–71.Austin A, Gulema H, Belizan M, et al. Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: Healthcare providers’ perspectives on training, referrals and supervision, a mixed methods study. BMC Pregnancy Childbirth. 2015;15:74. doi: 10.1186/s12884-015-0493-4.Austin A, Gulema H, Belizan M, et al. Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: Healthcare providers’ perspectives on training, referrals and supervision, a mixed methods study. BMC Pregnancy Childbirth. 2015;15:74. doi: 10.1186/s12884-015-0493-4.Rath RS, Singh M, Rizwan SA, et al. Evaluation of state-run STI/RTI clinics in the state of Haryana, India through a supportive supervision approach. Indian Dermatol Online J. 2014;5(4):446–448. doi: 10.4103/2229-5178.142489.Rath RS, Singh M, Rizwan SA, et al. Evaluation of state-run STI/RTI clinics in the state of Haryana, India through a supportive supervision approach. Indian Dermatol Online J. 2014;5(4):446–448. doi: 10.4103/2229-5178.142489.Ndima SD, Sidat M, Give C, et al. Supervision of community health workers in Mozambique: a qualitative study of factors influencing motivation and programme implementation. Hum Resour Health. 2015;13:63. doi: 10.1186/s12960-015-0063-x.Ndima SD, Sidat M, Give C, et al. Supervision of community health workers in Mozambique: a qualitative study of factors influencing motivation and programme implementation. Hum Resour Health. 2015;13:63. doi: 10.1186/s12960-015-0063-x.Tomlinson J. Using clinical supervision to improve the quality and safety of patient care: a response to Berwick and Francis. BMC Med Educ. 2015;15:103. doi: 10.1186/s12909-015-0324-3.Tomlinson J. Using clinical supervision to improve the quality and safety of patient care: a response to Berwick and Francis. BMC Med Educ. 2015;15:103. doi: 10.1186/s12909-015-0324-3.Tamburlini G, Yadgarova K, Kamilov A, Bacci A. Improving the quality of maternal and neonatal care: the role of standard based participatory assessments. PLoS One. 2013;8(10):e78282. doi: 10.1371/journal.pone.0078282.Tamburlini G, Yadgarova K, Kamilov A, Bacci A. Improving the quality of maternal and neonatal care: the role of standard based participatory assessments. PLoS One. 2013;8(10):e78282. doi: 10.1371/journal.pone.0078282.Ледяева Н.П., Гайдаров Г.М., Сафонова Н.Г., Алексеева Н.Ю. Основные подходы к совершенствованию управления и организации контроля качества медицинской помощи в многопрофильном ЛПУ // Вестник Росздравнадзора. — 2013. —№1 — С. 43–54. [Ledyaeva NP, Gaidarov GM, Safonova NG, Alekseeva NY. Key approaches to improvement of management and regulation of med-ical care quality in a multidisciplinary clinic. Vestnik roszdravnadzora. 2013;(1):43–54. (In Russ).]Ледяева Н.П., Гайдаров Г.М., Сафонова Н.Г., Алексеева Н.Ю. Основные подходы к совершенствованию управления и организации контроля качества медицинской помощи в многопрофильном ЛПУ // Вестник Росздравнадзора. — 2013. —№1 — С. 43–54. [Ledyaeva NP, Gaidarov GM, Safonova NG, Alekseeva NY. Key approaches to improvement of management and regulation of med-ical care quality in a multidisciplinary clinic. Vestnik roszdravnadzora. 2013;(1):43–54. (In Russ).]Мухин Ю.Ю. Мониторинг качества и эффективности медицинской помощи. Материалы конференции «Информационные технологии в медицине» 2015 (презентация). [Muhin JuJu. Monitoring kachestva i jeffektivnosti medicinskoj pomoshhi. Materialy konferencii «Informacionnye tehnologii v medicine» (session document)] Доступно по: http://itm.consef.ru/dl/2013/Mukhin-Y-Y-Monitoring-kachestva-i-effektivnosti-meditsinskoypomoschi.pdf. Ссылка активна на 10.07.2017.Мухин Ю.Ю. Мониторинг качества и эффективности медицинской помощи. Материалы конференции «Информационные технологии в медицине» 2015 (презентация). [Muhin JuJu. Monitoring kachestva i jeffektivnosti medicinskoj pomoshhi. Materialy konferencii «Informacionnye tehnologii v medicine» (session document)] Доступно по: http://itm.consef.ru/dl/2013/Mukhin-Y-Y-Monitoring-kachestva-i-effektivnosti-meditsinskoypomoschi.pdf. Ссылка активна на 10.07.2017.Баранов А.А., Таточенко В.К., Намазова Л.С., и др. Рациональная фармакотерапия в педиатрии и российский национальный педиатрический формуляр // Педиатрическая фармакология. — 2006. — Т.3. — №2 — С. 6–8. [Baranov AA, Tatochenko VK, Namazova LS, et al. Rational pharmacotherapy in pediatrics and Russian National Pediatric Medication Guidelines. Pediatric Pharmacology. 2006;3(2):6–8. (In Russ).]Баранов А.А., Таточенко В.К., Намазова Л.С., и др. Рациональная фармакотерапия в педиатрии и российский национальный педиатрический формуляр // Педиатрическая фармакология. — 2006. — Т.3. — №2 — С. 6–8. [Baranov AA, Tatochenko VK, Namazova LS, et al. Rational pharmacotherapy in pediatrics and Russian National Pediatric Medication Guidelines. Pediatric Pharmacology. 2006;3(2):6–8. (In Russ).]Lazzerini M., Shukurova V., Davletbaeva M., Monolbaev K., Kulichenko T., Akoev Y., Bakradze M., Margieva T., Mityushino I., Namazova-Baranova L., Boronbayeva E., Kuttumuratova A., Weber M., Tamburlini G. Improving the quality of hospital care for children by supportive supervision: a cluster randomized trial, Kyrgyzstan. Bull World Health Organ. 2017;95:397–407. doi: http://dx.doi.org/10.2471/BLT.16.176982.Lazzerini M., Shukurova V., Davletbaeva M., Monolbaev K., Kulichenko T., Akoev Y., Bakradze M., Margieva T., Mityushino I., Namazova-Baranova L., Boronbayeva E., Kuttumuratova A., Weber M., Tamburlini G. Improving the quality of hospital care for children by supportive supervision: a cluster randomized trial, Kyrgyzstan. Bull World Health Organ. 2017;95:397–407. doi: http://dx.doi.org/10.2471/BLT.16.176982.nczd.ru [интернет]. НЦЗД. Оценка качества стационарной помощи детям в регионах Российской Федерации [доступ от 9.07.2017]. [NTsZD. Otsenka kachestva statsionarnoi pomoshchi detyam v regionakh Rossiiskoi Federatsii. (In Russ).]. Доступ по ссылке http://nczd.ru/node/1230%20//%202015.nczd.ru [интернет]. НЦЗД. Оценка качества стационарной помощи детям в регионах Российской Федерации [доступ от 9.07.2017]. [NTsZD. Otsenka kachestva statsionarnoi pomoshchi detyam v regionakh Rossiiskoi Federatsii. (In Russ).]. Доступ по ссылке http://nczd.ru/node/1230%20//%202015.Куличенко Т.В., Байбарина Е.Н., Баранов А.А., НамазоваБаранова Л.С., и др. Оценка качества стационарной помощи детям в регионах Российской Федерации // Вестник Российской академии медицинских наук. — 2016. — Т.71. — №3 — С. 214–223. [Baybarina EN, Baranov AA, NamazovaBaranova LS, et al. Pediatric health quality assessment in different regions of Russian Federation. Annals of the Russian academy of medical sciences. 2016;71(3):214–223. (In Russ).] doi: 10.15690/vramn688Куличенко Т.В., Байбарина Е.Н., Баранов А.А., НамазоваБаранова Л.С., и др. Оценка качества стационарной помощи детям в регионах Российской Федерации // Вестник Российской академии медицинских наук. — 2016. — Т.71. — №3 — С. 214–223. [Baybarina EN, Baranov AA, NamazovaBaranova LS, et al. Pediatric health quality assessment in different regions of Russian Federation. Annals of the Russian academy of medical sciences. 2016;71(3):214–223. (In Russ).] doi: 10.15690/vramn688

The authors declare that there are no conflicts of interest present.