Email this article 
Results of external control measures (audits) as a basis for making management decisions in healthcare
- Authors: Budarin S.S.1
- Affiliations:
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russia
- Issue: No 2 (2026)
- Pages: 190-195
- Section: Articles
- URL: https://remedium-journal.ru/journal/article/view/1925
- DOI: https://doi.org/10.32687/1561-5936-2026-30-2-190-195
- Cite item
Abstract
This article analyzes the results of external control (audit) used as a basis for management decision-making in the healthcare system. The authors emphasize that the true value of control activities lies not only in identifying violations but in transforming them into effective management actions aimed at improving the system. The article examines two key aspects influenced by audit results: economic (resource management, financial reporting, investment attractiveness) and medical and social (quality, safety, and accessibility of medical care). Using examples from the Accounts Chamber of the Russian Federation and international experience (the United Kingdom, Germany, and Norway), it demonstrates how the recommendations of audit and control bodies are transformed into specific regulatory changes, organizational and clinical improvements, increased accessibility and quality of medical care, and improved utilization of healthcare system resources.
About the authors
Sergey S. Budarin
Research Institute for Healthcare Organization and Medical Management, Moscow, Russia
Email: BudarinSS@zdrav.mos.ru
References
- Shalygina N. P., Selyukov M. V., Korneva Yu. A. On the role of state audit in the system of strategic management of healthcare development in Russia. Fundam. Issled. 2015;(10—1):209—213. (In Russ.)
- Smyshlyaev A. V., Melnikov Yu. Yu., Zherelina O. N. Current problems of state audit and efficiency of internal control in healthcare in the Russian Federation. Probl. Ekon. Jurid. Prakt. 2019;15(1):219—223. (In Russ.)
- Andreeva O. V., Budarin S. S. Use of modern forms of performance audit in healthcare. Vestn. Roszdravnadzora. 2014;(6):37—43. (In Russ.)
- Vasilenko M. A. Internal audit of medical institutions. Priorit. Nauchn. Napravl. Ot Teor. K Prakt. 2016;(32—2):55—59. (In Russ.)
- Bedoreva I. Yu., Grigorkina Z. B., Gubina E. V., Kirilova I. A. Methodological approaches to organizing internal quality and safety control of medical activity in a medical organization. Acta Biomed. Sci. 2022;7(1):198—207. doi: 10.29413/ABS.2022—7.1.23 (In Russ.)
- Shvabskiy O. R., Minulin I. B., Taut D. F., Shcheblykina A. A. Practical recommendations of Roszdravnadzor. Second version. New approaches to ensuring quality and safety of medical activity. Menedzh. Kachestva Med. 2022;(2):2—7. (In Russ.)
- Morozov S. Yu., Kamynina N. N., Vorykhanov A. V. et al. Evaluation of the effectiveness of internal quality control of medical care during supervisory activities in medical organizations. Zdorove Megapolisa. 2021;2(3):6—16. doi: 10.47619/2713—2617.zm.2021.v2i3;6—16 (In Russ.)
- Uspenskaya I. V., Manukhina E. V., Yurina S. V. Implementation of internal quality and safety control of medical activity in a medical organization. Nauka Molodykh (Eruditio Juvenium). 2017;5(4):427—439. doi: 10.23888/HMJ20174427-439 (In Russ.)
- Bashkueva E. Yu. External audit of outpatient medical organizations in handling citizens' appeals as an effective way to improve the quality of medical activity. Obshchestvo: Sotsiologiya, Psikhologiya, Pedagogika. 2021;(11):48—53. doi: 10.24158/spp.2021.11.6 (In Russ.)
- Budarin S. S., Elbek Yu. V. Efficiency of healthcare systems as an object of state financial control: review of Russian and foreign experience. Probl. Sotsialnoi Gig. Zdravookhranenniiai Istor. Med. 2022;30(S1):976—982. doi: 10.32687/0869-866X-2022-30-s1-976-982 (In Russ.)
- Erne R., Stan S., Golden D. et al. EU Governance of Healthcare and Its Discontents. Cambridge: Cambridge University Press; 2024:231—266. doi: 10.1017/9781009053433.013
- Grote H., Toma K., Crosby L. et al. Outliers from national audits: their analysis and use by the Care Quality Commission in quality assurance and regulation of healthcare services in England. Clin. Med. (Lond.). 2021;21(5):e511—e516. doi: 10.7861/clinmed.2020—0695
- Kontekakis A., Burgstaller B. Rechnungsprüfungen im Krankenhaus — Eine relevante Herausforderung nach Marktzugang. In: Schubert T., Vogelmann T., editors. Market Access in der Medizintechnik. Wiesbaden: Springer Gabler; 2019:147—162. doi: 10.1007/978-3-658-23476-8_8
- Hovlid E., Husabø G., Teig I. L. et al. Contextual factors of external inspections and mechanisms for improvement in healthcare organizations: A realist evaluation. Soc. Sci. Med. 2022;298:114872. doi: 10.1016/j.socscimed.2022.114872
- Bostan P., Asaloş N., Bostan I. Funding public health action programs: allocations, budget execution and post-audit results at the level of the first pandemic year. Ovidius Univ. Ann. Econ. Sci. Ser. 2022;12(1):793—802. doi: 10.18662/lumenss/12.2/90
- Mannion R., Freeman T., Millar R. et al. Effective board governance of safe care: a theoretically informed cross-sectional study of the breadth and depth of relationships through national quantitative surveys and in-depth qualitative case studies. Health Serv. Deliv. Res. 2016;4(4). doi: 10.3310/hsdr04040
- Smithson R., Richardson E., Roberts J., Walshe K. The impact of the Care Quality Commission on provider performance: still miles to go? London; 2018.
