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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">REMEDIUM</journal-id><journal-title-group><journal-title>REMEDIUM</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1925</article-id><article-id pub-id-type="doi">10.32687/1561-5936-2026-30-2-190-195</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Results of external control measures (audits) as a basis for making management decisions in healthcare</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Budarin</surname><given-names>Sergey S.</given-names></name><bio></bio><email>BudarinSS@zdrav.mos.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Research Institute for Healthcare Organization and Medical Management, Moscow, Russia</aff><pub-date date-type="epub" iso-8601-date="2026-07-04" publication-format="electronic"><day>04</day><month>07</month><year>2026</year></pub-date><issue>2</issue><fpage>190</fpage><lpage>195</lpage><history><pub-date date-type="received" iso-8601-date="2026-07-07"><day>07</day><month>07</month><year>2026</year></pub-date></history><permissions><copyright-statement>Copyright © 2026,</copyright-statement><copyright-year>2026</copyright-year></permissions><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.</abstract><kwd-group xml:lang="en"><kwd>external control</kwd><kwd>audit</kwd><kwd>healthcare</kwd><kwd>management decisions</kwd><kwd>efficiency</kwd><kwd>quality of medical care</kwd><kwd>budgetary funds</kwd><kwd>financial reporting</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>внешний контроль</kwd><kwd>аудит</kwd><kwd>здравоохранение</kwd><kwd>управленческие решения</kwd><kwd>эффективность</kwd><kwd>качество медицинской помощи</kwd><kwd>бюджетные средства</kwd><kwd>финансовая отчётность</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Shalygina N. 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