porozendoОстеопороз и остеопатииOsteoporosis and Bone Diseases2072-26802311-0716Endocrinology Research Centre10.14341/osteo12960porozendo-12960Research ArticleНАУЧНЫЕ ОБЗОРЫREVIEWSКомментарии к использованию Ключевых показателей эффективности в оценке организации работы Служб профилактики повторных переломовComments on the use of Key Performance Indicators in evaluating the Organization of Fracture Liaison Serviceshttps://orcid.org/0000-0002-7856-1567БеловаК. Ю.BelovaK. Y.

Белова Ксения Юрьевна, доктор медицинских наук, доцент кафедры терапии имени профессора Е.Н. Дормидонтова 

150000, Ярославль, ул. Революционная, д. 5

eLibrary SPIN: 4372-8670

Ksenia Y. Belova, MD, PhD

5, Revolutsionnaya street, 15000 Yaroslavl

ksbelova@mail.ruhttps://orcid.org/0000-0002-0143-0614ЛеснякО. М.LesnyakO. M.

Лесняк Ольга Михайловна,  доктор медицинских наук, профессор кафедры семейной медицины ГБОУ ВПО «Северо-Западный государственный медицинский университет имени И.И.Мечникова» Минздрава России; доктор медицинских наук, профессор, ревматолог, президент Российской Ассоциации по остеопорозу

Санкт-Петербург

Researcher ID: 2013-09-12;

Scopus Author ID: 56769681100; 

Olga M. Lesnyak, MD, PhD, professor

Saint-Petersburg

olga.m.lesnyak@yandex.ruhttps://orcid.org/0000-0003-4010-1888ЕвстигнееваЛ. П.EvstigneevaL. P.

Евстигнеева Людмила Петровна, заведующий ревматологическим отделением 

Екатеринбург

Ludmila P. Evstigneeva

Yekaterinburg

levstigneyeva@mail.ruhttps://orcid.org/0000-0002-6689-6941ГладковаЕ. Н.GladkovaE. N.

Гладкова Елена Николаевна, кандидат медицинских наук

190068, Санкт-Петербург, ул. Большая Подъяческая, д. 30

 

Elena N. Gladkova, MD

Saint-Petersburg

gen@krb25.ruhttps://orcid.org/0000-0001-7891-6850ДудинскаяЕ. Н.DudinskayaE. N.

Дудинская Екатерина Наильевна, кандидат медицинских наук, заведующая лабораторией возрастных метаболических эндокринных нарушений, кандидат медицинских наук

Москва

Ekaterina N. Dudinskaya, MD, PhD

Moscow

katharina.gin@gmail.comhttps://orcid.org/0000-0003-2392-6554ГорджеладзеХ. Г.GordzheladzeKh. G.

Горджеладзе Хатиа Геннадиевна, врач-ревматолог

Ярославль

Khatia G. Gordzheladze

Yaroslavl

khatia911@gmail.comФГБОУ ВО «Ярославский государственный медицинский университет» Министерства здравоохраненияРоссияYaroslavl State Medical UniversityRussian FederationФГБОУ ВО «Северо-Западный государственный медицинский университет имени И.И. Мечникова» МинздраваРоссияNorth-Western State Medical University named after I.I. MechnikovRussian FederationГАУЗ СО «Свердловская областная клиническая больница №1»РоссияSverdlovsk Regional Clinical Hospital №1Russian FederationФГБОУ ВО «Северо-Западный государственный медицинский университет имени И.И. Мечникова» Минздрава; СПб ГБУЗ «Клиническая ревматологическая больница №25»РоссияNorth-Western State Medical University named after I.I. Mechnikov; Clinical Rheumatology Hospital №25Russian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииРоссияDepartment of diseases of aging of The Pirogov Russian National Research Medical UniversityRussian FederationГАУЗ ЯО «Клиническая больница скорой медицинской помощи имени Н.В. Соловьева»РоссияYaroslavl Regional Emergency Care Hospital n.a. N.V. SolovyevRussian Federation2022130120232542842Copyright © Белова К.Ю., Лесняк О.М., Евстигнеева Л.П., Гладкова Е.Н., Дудинская Е.Н., Горджеладзе Х.Г., 20232023Белова К.Ю., Лесняк О.М., Евстигнеева Л.П., Гладкова Е.Н., Дудинская Е.Н., Горджеладзе Х.Г.Belova K.Y., Lesnyak O.M., Evstigneeva L.P., Gladkova E.N., Dudinskaya E.N., Gordzheladze K.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.osteo-endojournals.ru/jour/article/view/12960

В последние годы для снижения числа переломов на фоне остеопороза во всем мире создаются Службы профилактики повторных переломов (СППП). В рамках глобальной компании «Не упусти перелом» Международного фонда остеопороза были предложены различные опросники для оценки качества их организации. Для анализа эффективности работы СППП на уровне пациента используются Ключевые показатели эффективности (КПЭ). Благодаря их использованию можно выявлять области, которые нуждаются в улучшении, оценивать результативность вносимых изменений, сравнивать эффективность работы различных СППП на уровне региона или страны. В данной статье обсуждаются подходы к использованию и расчету каждого КПЭ в условиях практического здравоохранения Российской Федерации, с учетом эпидемиологических данных, национальных клинических рекомендаций, особенностей организации системы здравоохранения в нашей стране.

In recent years Fracture Liaison Services (FLS) have been established worldwide to reduce the number of fractures due to osteoporosis. Within the framework of the global campaign «Capture the fracture» by International Osteoporosis Foundation (IOF), some questionnaires have been proposed to assess the quality of FLS’ organization. Key Performance Indicators (KPIs) are used to analyze the effectiveness of the FLS working at the patient level. Thanks to their use, it is possible to identify areas that need improvement, evaluate the effectiveness of the changes being made, and compare the quality of work in various FLS at the regional or country level. This article discusses approaches to the use and calculation of each KPI in practical healthcare in the Russian Federation, taking into account epidemiological data, national clinical guidelines, and the specifics of the organization of the healthcare system in our country.

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