ABSTRACT
Actually, there was active development of children palliative care service is expressed in increasing of the number of both corresponding departments in medical organizations and children seeking palliative care. The survey of parents of children with palliative status permitted to identify desired organizational forms of medical care of this contingent, their content and aspects of social care. Such problems as shortcomings in infrastructural and material support of departments, personnel deficiency, low level of inclusion of non-medical specialists in multidisciplinary team, need for additional training of physicians and nurses in specifics of palliative medical care and need for sufficient number of pediatric palliative care centers are identified.
Subject(s)
Palliative Care , Humans , Palliative Care/organization & administration , Palliative Care/methods , Russia , Child , Adolescent , Pediatrics/organization & administrationABSTRACT
In conditions of reformation of health care system, just marketing permits health care to penetrate modern economical mechanism of development of economics. In conditions of market relationships, profound investigation of need in medical care instead of waiting for visits of patient for medical care becomes a new standard for for medical organization. The purpose of the study is to examine technologies of modern marketing in forein health care. The study applied various techniques of searching for foreign publications in such international databases as Scopus, Web of Science, MedLine, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RSCI, eLIBRARY.RU. The search for viable patient flows requires communication skills allowing health care and medical institutions to engage, inform and attract current and potential customers. Ultimately, this gives large number of patients and share of institutional market. There are many ways to reach desired audience, in particular, direct marketing that permits to effectively deliver messages from health care institutions directly to desired audience, due to high measurable performance, ability to transmit significant volumes of information. At the same time, direct marketing, because of its direct interaction property, can violate confidentiality of receivers. There are also problems of database management.
Subject(s)
Marketing , Medicine , Delivery of Health Care , Electronics , HumansABSTRACT
The occurrence of outbreaks of peste des petits ruminants (PPR) in three districts of Tajikistan is described. The causal strain (PPR Tajikistan) was characterized and the sequence of its N gene was compared with that of 43 other strains isolated since 1968 in Africa, the Middle East and Asia. The study demonstrated (1) the value of the N gene as a target in comparing isolates obtained over an extended period of evolution, and (2) that clustering was related to the geographical origin of strains.