[Quality of health care of the urban population].

A study was carried out in 3 outpatient clinics in the city of Makhachkala (Daghestan Republic), aimed at working out recommendations to enhance the quality of medical aid. The latter was studied through expert inspection of clinical records of 568 outpatients. The expert inspection showed an inadequate level of therapeutic aid in municipal outpatient clinics. There was an irregular and insufficient examination, on the average, in 2/3 of patients, deficient treatment in every fourth patient, discrepant diagnoses in 8.3% of cases, groundless sick leaves in every 8th case. There was a succession in examinations and patients' treatment between outpatient clinics and hospitals. The results of the study provided the basis for working out a system of measures to assure and manage the quality of therapeutic aid in municipal clinics.