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1.
Artículo en Ruso | MEDLINE | ID: mdl-34719910

RESUMEN

OBJECTIVE: To analyze the normative and regulatory support of the state policy of development of health resort business in Russia and organizational and methodological aspects of its implementation, including those in emergency and coronavirus pandemic. MATERIAL AND METHODS: The following current methods of community hygienic and medical-organizational research were applied: analytical, statistical, best practice study, monographic, etc. Data from state and departmental official sources, statistical books, scientific publications, and other sources were studied. RESULTS: The main normative, regulatory, organizational and methodological aspects of the strategy implementation, developed in accordance with the order of the Government of the Russian Federation «On approval of the development strategy of the health-resort complex of the Russian Federation¼ dated 26.11.18 №2581-p were analyzed. Some discrepancies in the state and departmental statistics of health-resort organizations were found. The nomenclature of the health-resort area was reviewed, and the used term «health-resort treatment¼ was criticized, which does not correspond to the parts of this type of daily practice medical care, unlike the concepts «health-resort care¼ or «health-resort business¼. The article presents the author's vision of the issue of normative and organizational support of health-resort organizations in an emergency such as COVID-19 pandemic since 2020. CONCLUSIONS: It is shown that the national and local experience of coronavirus infection control contributed to the development of a considerable number of federal regulatory documents in a short time frame. The publication describes an analysis and systematic review of the most important documents, including those related to the spa resorts. Addressing the demanding challenges of further development of the country's health-resort complex largely relies on the state of its facilities and resources. However, its objective analysis is hindered by the identified significant discrepancies in the state and departmental statistic data concerning the number of functioning health-resort organizations and its change over time. As opposed to the concept of «health-resort treatment¼, the term «health-resort care¼ most accurately describes its complexity.


Asunto(s)
COVID-19 , Pandemias , Humanos , Políticas , Federación de Rusia , SARS-CoV-2
2.
Artículo en Ruso | MEDLINE | ID: mdl-34665555

RESUMEN

The article analyzes modern approaches to the rating of medical organizations based on national and foreign publications. The study identified groups of indices that are responsible for effectiveness of health care organizations from the point of view of consumers of medical services and state boards of public health management. According analyzed publications, rating values consider effectiveness of particular processes, rather than organization as a whole. This became the basis for scientific search for assessment system that can reflect the performance of medical organization contributing into its sustainable development. In 2012-2018, the Novosibirsk State Medical University carried out the study of potential of sustainable development of health care organizations. On the basis of normative legal analysis, sociological and expert survey of opinions of managers, the key areas of activities that contributed to improving efficiency of medical organizations were identified. The article presents the original approach to comparative assessment of health care organizations that provide various types of care of population based on concept of sustainable development using the T. L. Saati hierarchy analysis methodology. The strategy of sustainable development presumes achievement of long-term goals of medical organization, including not only indices of patient satisfaction with quality of medical care and organization of safe environment for their stay in health care institution, but also optimization of all processes, rational resource support, monitoring and analysis of internal environment of organization for continuous development of functioning, personnel training, implementation of organizational innovations. The medical organizations implementing strategy of sustainable development demonstrated the best results in such areas as resource management, increasing consumer satisfaction with quality and safety of medical care, optimization of processes of increasing number of treated patients. Thus, health care organizations having clear-cut plan of actions and set of management practices to achieve long-term goals acquire ability to improve both medical social indices and population health indices.


Asunto(s)
Organizaciones , Desarrollo Sostenible , Instituciones de Salud , Humanos , Satisfacción del Paciente
3.
Artículo en Ruso | MEDLINE | ID: mdl-34486852

RESUMEN

The purpose of the study was to analyze normative legal documents and their modifications in order to determine the labor standards of medical personnel in case of rendering and planning obstetric gynecological care in the Russian Federation, including standards of number of medical personnel in medical organizations and modes of operation of various types. The materials of the study were normative legal documents presented at the WEB-portal "garant.ru". The comparative analysis of actual normative legal set of documents concerning labor standards in the profile of "obstetrics and gynecology" demonstrated that the new order of Minzdrav of Russia № 1130n of 20.10.2020 introduced significant changes as compared with the current one. Its provisions contribute to reducing staffing by obstetricians-gynecologists of medical organizations providing primary health care, and to decreasing significantly the number of nurses for all types of considered medical organizations. The main drawback of the new order and the erroneousness of the orders on Procedures of Minzdrav of Russia in terms of staff support of round-the-clock functioning are demonstrated. The methodology of calculating the number of positions under different modes of operation of medical organizations are presented. The dynamics of general population morbidity in classes "Pregnancy, childbirth and complications of the postpartum period" and "Diseases of the genitourinary system" was analyzed.The corresponding trends were prognosticated for the period up to 2024. The results of the study testify the necessity to amend actual normative legal documents governing labor standards of medical personnel in case of providing obstetric gynecological and other types of medical care in the Russian Federation.


Asunto(s)
Obstetricia , Femenino , Personal de Salud , Humanos , Embarazo , Atención Primaria de Salud , Federación de Rusia , Recursos Humanos
4.
Artículo en Ruso | MEDLINE | ID: mdl-34190470

RESUMEN

The article analyzes the achievement of the prognostic indices of the Concept of the federal system of training citizens for military service for the period up to 2020 (to reduce the number of citizens who do not meet the requirements of military service due to health and physical conditions; to increase the rate of fitness for military service of citizens who have arrived at draft commissions; to ensure the availability of the first sports category or sports rank for citizens who are subject to military service draft). The causes and factors preventing the achievement of the target values of the Concept are considered. The set of measures targeting to improve medical support of the youth of military draft age is proposed.


Asunto(s)
Personal Militar , Adolescente , Ejercicio Físico , Humanos , Pronóstico
5.
Artículo en Ruso | MEDLINE | ID: mdl-33901352

RESUMEN

To preserve the country's population is among one of the most vital tasks over the period of existence of the new Russia and constitutes the subject of national security. The article presents the results of analysis of population mortality rate of the Russian Federation, the Central Federal Okrug and City of Moscow during the first eight months of 2020 towards to concurrent period of 2019. In January-March 2020, the population total mortality rate, retaining prevalent trends of number of preceding years, decreased in the Russian Federation by 3.8%, in the Central Federal Okrug by 3.0% and in City of Moscow by 3.9%. However, since April-May the situation has changed dramatically and, according to the results of January-August, mortality by this time has increased, and its growth made up to 6.5% in the Russian Federation, 7.8% in the Central Federal Okrug and 15.6% in the City of Moscow. In May 2020, the gain of absolute number of the deceased in the Russian Federation by months (towards to concurrent month of 2019) made up to 11.9%, in June to 18.6%, in July to 19.7% and in August to 9.6%. In Moscow, the peak values of this increase were noted in May - 57.2% and in June - 41.6% In the conditions of new coronavirus infection pandemic, the share of COVID-19, as main cause of death (ICD-10 codes U07.1 and U07.2), in the structure of total mortality in April-August consisted 3.2% and in the structure of excess deaths in May-August - 28.6%. The increase of mortality and continued decrease of birth rate resulted in increasing of natural population loss by 1.5 times and more and reached such values as -3.6 in the Russian Federation, -4.9 in the Central Federal Okrug and -1.6 in the City of Moscow (per 1000 of population). The process of depopulation of the Russian nation not only retained, but significantly has become significantly aggravated.


Asunto(s)
COVID-19 , Humanos , Morbilidad , Mortalidad , Moscú/epidemiología , Federación de Rusia/epidemiología , SARS-CoV-2
6.
Artículo en Ruso | MEDLINE | ID: mdl-33901372

RESUMEN

The study established that in the Chelyabinsk Oblast remains high percentage of violent deaths because of presence of ethyl alcohol and narcotic substances detected in blood of the perished. The increase of concentration of ethanol in blood of the dead testifies the need for inter-sectorial measures, including toughening of legal responsibility for alcohol and drugs consumption. Actually,there is no regulatory documents of the Russian Federation that fix the issue of both progression of toughening this responsibility depending on concentration of ethyl alcohol in organism of offender and responsibility scale depending on specific drug or other substance.


Asunto(s)
Narcóticos , Federación de Rusia/epidemiología
7.
Artículo en Ruso | MEDLINE | ID: mdl-31765527

RESUMEN

The acute stroke is one of leading causes of mortality and disability both in Russia Federation and worldwide. The specialized vascular centers and units proved to be effective in improving diagnostics, treatment and functional outcome inpatients in various countries. The purpose of article is to evaluate efficacy of regional vascular center (RVC) in Tyumen. The functioning of RVC in 2011-2017 was assessed using purposefully developed and implemented score card of medical care quality assessment in vascular centers. The epidemiological data for 2007-2017 was obtained from statistical materials of the Department of Health of Tyumen oblast. The epidemiological parameters were calculated both in absolute units by simple summing up of cases of illness and in relative units per number of population. It was established that all diagnostic and treatment procedures in RVC were implemented according actual medical standards. The significant increase of the percentage of patients hospitalized during first three hours after the onset of stroke symptoms was established. The patients receiving thrombolytic therapy was observed, with an improvement of functional status of patients upon discharge. The significant improvement of early diagnosis of cerebrovascular diseases (CVD) in the service area of RVC was demonstrated. The development and implementation of the plan of a regional vascular center placement and stroke patient routing enabled optimization of medical care accessibility to this group of patients and increased identification of CVD.


Asunto(s)
Trastornos Cerebrovasculares , Accidente Cerebrovascular , Enfermedad Aguda , Trastornos Cerebrovasculares/diagnóstico , Trastornos Cerebrovasculares/terapia , Humanos , Calidad de la Atención de Salud , Federación de Rusia , Accidente Cerebrovascular/diagnóstico , Accidente Cerebrovascular/terapia
8.
Artículo en Ruso | MEDLINE | ID: mdl-31251851

RESUMEN

The article presents analysis of mortality because of injuries, poisonings and other consequences of impact of external causes in able-bodied population of the Russian Federation. In 2016, the study identified 18 subjects of the Russian Federation, where these causes of death occupied first rank, leaving behind mortality of blood circulatory system diseases. The optimization of medical care of persons injured by external causes should be implemented by three main directions: traumatological orthopedic one with organization of traumatological centers; сombustiological one with organization of burn centers; toxicological one with organization of toxicological centers. The established differences in mortality rates between subjects of the Russian Federation testify the necessity of complex and substantive measures of organizing and developing medical care support of persons injured by external causes, considering climatic geographic features of regions, as well as availability of "endemic" zones within the territories of subjects that will make it possible to propose valid recommendations related to organization of new centers and optimization of routing of patients based on actual operating medical organizations and their structural subdivisions.


Asunto(s)
Enfermedades Cardiovasculares , Mortalidad/tendencias , Ortopedia , Traumatología , Enfermedades Cardiovasculares/mortalidad , Humanos , Federación de Rusia
9.
Artículo en Ruso | MEDLINE | ID: mdl-31251853

RESUMEN

The evaluation of satisfaction of population with medical care has become widespread in practice of medical institutions as an obligatory criterion of assessing quality of their functioning. The study objective is to determine degree of satisfaction of population Russia with health care and role of particular factors in its formation. The study applied questionnaire survey of residents of 9 subjects of the Russian Federation using representative sampling of 1457 observations. The Pearson contingency indicator and the Chuprov-Cramer indicator of association between two nominal variables were determined. The ranking of signs according their influence strength was carried out. The most significant role in evaluation of satisfaction with health system functioning is played by satisfaction with medical care. Among the factors characterizing consumers of medical services, self-assessment of one's health status, social status of respondents, residence demonstrate the most effect. The priority factors in formation of positive public opinion about health care are identified. It is proved that positive opinion about health care depends on quality and accessibility of popular types of medical care, organization of functioning of primary health care medical organizations according expectations of population. The level of satisfaction with health care system is lower than in case of rendered medical services.


Asunto(s)
Satisfacción Personal , Opinión Pública , Atención a la Salud , Humanos , Federación de Rusia , Encuestas y Cuestionarios
10.
Artículo en Ruso | MEDLINE | ID: mdl-30990972

RESUMEN

The Federal program of supplementary preferential pharmaceutical support of particular categories of citizen functions since 2005. During this period, it seriously impacted on quality of pharmaceutical support, accessibility of medications, development of pharmaceutical market in general. The article presents analysis of state of pharmaceutical support of particular categories of citizen during 2017-2018. The established problems requiring solution are discussed too. It is established that in majority of cases the problems with pharmaceutical support have organizational specificity. The health care authorities allow decreasing of volumes including shortcomings in purchase and logistic of deliver, untimely holding of auctions, inconsistent compiling of applications and insufficient control of trade stock management. The problems with accessibility of pharmaceuticals occur because of inefficient application of already bought items. The open access data of official web-site of Minzdrav of Russia and Roszdravnadzor were used for analysis and preparation of article.


Asunto(s)
Preparaciones Farmacéuticas , Federación de Rusia
11.
Artículo en Ruso | MEDLINE | ID: mdl-30990976

RESUMEN

The article presents the analysis of characteristics of quality of life of citizen of military age in the Moscow oblast and the Primorskiy Krai of the Russian Federation in the light of comprehensive approach to evaluation of the contingent with the regard to regional characteristics and multi-factorial mode of development of mental and physical health. The comparative study was carried out applying the questionnaire MOSSF-36 (physical functioning, role activity, general health condition, live activity, mental health) to contingent of young people of military age. The differences in indices of quality of life are considered depending on regions of Russia and in 5 years dynamics.


Asunto(s)
Personal Militar , Calidad de Vida , Humanos , Moscú , Federación de Rusia , Encuestas y Cuestionarios
12.
Artículo en Ruso | MEDLINE | ID: mdl-30566819

RESUMEN

The article presents the analysis of elicited and systematized indices of morbidity of acutely contagious diseases in the Empire of Russia and the USSR in 1887-1949. The firmly established in scientific literature opinion about stable epidemic well-being set in the USSR in 1930-1940s is disproved. It is established that in the USSR during this period occurred increasing of morbidity of infectious diseases. The main causes of this occurrence are demonstrated.


Asunto(s)
Enfermedades Transmisibles , Morbilidad , Enfermedades Transmisibles/epidemiología , Historia del Siglo XX , Humanos , Federación de Rusia/epidemiología , U.R.S.S./epidemiología
13.
Artículo en Ruso | MEDLINE | ID: mdl-25373294

RESUMEN

The article presents the results of analysis of waiting period of consultation of specialists in Moscow polyclinics exemplified by the ambulatory center of polyclinic No 201 of Moscow health department. The data of comparative analysis of indicators of polyclinics of different administrative okrugs of Moscow was also involved. The material was collected using the unified medical informative analytical system of polyclinic No 201 and included data concerning waiting periods of consultation of specialists with permitted self-appointment--surgeon, urologist, therapist, obstetrician-gynecologist and otorinolaringologist. The results of study demonstrated that the indicators of waiting period of consultation of specialists are highest in the Southern administrative okrug as compared with other okrugs. However, in one of amnulatory associations of this okrug (polyclinic Na 201) waiting period of consultation of obstetrician-gynecologist, ophthalmologist, urologist and surgeon was reliably lower in comparison with corresponding okrug mean indicators. This occurrence is related to high support of association with these categories of specialists. The longest waiting period both in okrug and association was established for otorinolaringologisit (4.4 and 6.3 days correspondingly). This is related to low support of population with these specialists. The presented analysis of waiting period of consultation of specialists of polyclinic section is a foundation for adequate decisior making in health management targeted to increasing of accessibility of medical care to population.


Asunto(s)
Instituciones de Atención Ambulatoria/estadística & datos numéricos , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Listas de Espera , Humanos , Moscú
14.
Artículo en Ruso | MEDLINE | ID: mdl-24175383

RESUMEN

The article presents the model of social hygienic evaluation of prevalence of pathology in population. The main information flows such as population morbidity according medical aid appealability, the results of patient examination in regional diagnostic center and self-assessment of patients of presence of disorders of organs and systems are considered. The stages of analysis of data information to be applied to evaluate prevalence of pathology, social hygienic value of diagnostic techniques and estimation of potential relevance of medical technologies are discussed.


Asunto(s)
Reforma de la Atención de Salud , Estado de Salud , Higiene , Modelos Organizacionales , Vigilancia de la Población/métodos , Adolescente , Adulto , Femenino , Humanos , Masculino , Morbilidad/tendencias , Federación de Rusia/epidemiología , Adulto Joven
15.
Artículo en Ruso | MEDLINE | ID: mdl-24432580

RESUMEN

The article presents the calculation of potential relevance of clinical diagnostic technologies for population of Novosibirsk oblast relating to leading nosology forms of diseases on the basis of the results of diagnostic of population pathology using different techniques in the regional diagnostic center.


Asunto(s)
Atención a la Salud/métodos , Servicios de Diagnóstico/organización & administración , Humanos , Siberia
16.
Artículo en Ruso | MEDLINE | ID: mdl-23373333

RESUMEN

The article presents the results of calculation and analysis of structure and rate of temporary disability morbidity in the Russian Federation in 2007-2010. The quality assessment of the indicators of temporary disability morbidity is given. The financial volumes of work losses and costs of medical care and disease social insurance are established. The significant gender differences in rate and temporary disability duration are demonstrated. The issues demanding a specific approach during the development of activities targeted to prevention and decrease of temporary disability morbidity are discussed.


Asunto(s)
Personas con Discapacidad/estadística & datos numéricos , Enfermedades Profesionales/epidemiología , Femenino , Humanos , Masculino , Morbilidad/tendencias , Enfermedades Profesionales/economía , Estudios Retrospectivos , Federación de Rusia/epidemiología , Seguridad Social
17.
Vestn Ross Akad Med Nauk ; (7): 26-30, 2011.
Artículo en Ruso | MEDLINE | ID: mdl-21899088

RESUMEN

Social and economic disbenifits due to mortality from malignant neoplasms were estimated taking into account the losses of man-years of work, mean life expectancy for the sick, losses from temporary disablement and invalidization caused by malignancies, and the cost of oncological aid. The study was based at an area in Uzbekistan subjected to pollution by industrial wastes from an uranium-extracting enterprise. A special purpose-oriented program has been elaborated for the correction of oncological aid currently provided to the workers of the Navoi mining and metallurgical works and the local population. Its implementation resulted in a 13% reduction of standardized mortality from malignant neoplasm in 2004 compared with 1999 and another 24% in 2009. The disbenefit prevented by the reduction of mortality at active ages is estimated at 60,6 mln rubles.


Asunto(s)
Carcinógenos/normas , Minería/normas , Neoplasias Inducidas por Radiación , Exposición Profesional/prevención & control , Servicios de Salud del Trabajador/métodos , Uranio/normas , Áreas de Influencia de Salud , Humanos , Esperanza de Vida , Oncología Médica/economía , Oncología Médica/métodos , Programas Nacionales de Salud/tendencias , Neoplasias Inducidas por Radiación/etiología , Neoplasias Inducidas por Radiación/mortalidad , Neoplasias Inducidas por Radiación/prevención & control , Exposición Profesional/efectos adversos , Servicios de Salud del Trabajador/economía , Indicadores de Calidad de la Atención de Salud/tendencias , Salud Radiológica/organización & administración , Factores de Riesgo , Vigilancia de Guardia , Uzbekistán/epidemiología
18.
Artículo en Ruso | MEDLINE | ID: mdl-22611984

RESUMEN

The data is discussed concerning the public health normative legal base of in Voronejskaya oblast as related to the processes sector development following the public policy and current legislation. It is emphasized that the adoption of normative legal acts and their implementation permitted not only to legitimate and define concretely the activities of all executive authorities in public health and ambulatory polyclinic institutions but also to achieve factual positive results in decreasing morbidity of managed and feral nidal infection on the territory of Voronejskaya oblast.


Asunto(s)
Administración en Salud Pública/legislación & jurisprudencia , Salud Pública/legislación & jurisprudencia , Política Pública/legislación & jurisprudencia , Humanos , Federación de Rusia
19.
Artículo en Ruso | MEDLINE | ID: mdl-20967973

RESUMEN

The article deals with the issues of providing stomatological care to disabled persons. The organization of stomatological care in the urban stomatological polyclinic is presented. The elder patients who received dental care in the orthopedic department were in sound majority. The conditions and organization of stomatological care to disabled patients dictate the necessity to apply the measures of social implementation as regarded the provision of stomatologic services including preventive, curative, diagnostic, rehabilitative, prosthetic and orthopaedic care.


Asunto(s)
Instituciones de Atención Ambulatoria , Atención Dental para Personas con Discapacidades/organización & administración , Personas con Discapacidad/rehabilitación , Servicios Urbanos de Salud/organización & administración , Población Urbana , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Federación de Rusia , Adulto Joven
20.
Artículo en Ruso | MEDLINE | ID: mdl-19382656

RESUMEN

The article postulates the actuality of developing the concept of the psychological aspects of institution management as projected into health care area where the medical personnel is working in the conditions of higher responsibility, emotional and intellectual overloads under permanent nervous psychological stress. This contingent of medical institutions stuff very often ignore the positive psychological interventions both due to the poor labor management and the corresponding knowledge lacking. The topicality of this research vector is determined by the deficiency of the human resources' management studies in the public health field. The need in searching the investigation prospective directions is ascertained by the unexploredness of personnel management in national health care.


Asunto(s)
Atención a la Salud , Administración de Instituciones de Salud , Fuerza Laboral en Salud/organización & administración , Humanos , Federación de Rusia
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