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1.
Artigo em Russo | MEDLINE | ID: mdl-25799752

RESUMO

The development of the system of informational analytical support based on expertise data is one of most important stage of increasing of effectiveness of management of regional health care. The study was organized to substantiate formation of the system of informational analytical support of management of regional health care on the basis of expertise data. The study was carried out on the basis of expertise data from subjects involved in informational analytical support of management of regional health care (health care management executives, chief specialists and directors of medical organizations in the subjects of the Russian Federation situated in the Siberian federal okrug). The study established that alongside with statistical information the expertise is enough important, objective and informative information to be applied in developing of managerial decisions. The highest integral estimated value of importance, objectiveness and informativeness has the information concerning competence of medical personnel, proportions of medical care of population and conditions of material technical base of health institutions. The most foreground issues concerning expertise are population health condition, pharmaceutical and medical equipment support of medical institutions, level and quality of population medical care. The degree of impact of expertise information on managerial decision making is highest in such directions as support of population with medical care, increasing of availability of medical care and degree of organization of medical care rendering. The probability of increasing of degree of impact of expertise information on managerial decision making is the highest in such directions as population provision with medical care, competence of medical personnel, level and quality of medical care, level of organization of medical care support, that is to be considered during implementation of expertise. The study data was used in developing the major principles of elaboration of system of informational analytical support of management of regional health care. The unified expertise questionnaire was developed to be used as a document basis of expertise system. The study results can be implemented in practical activities of regional health administration and medical organizations. The results of study made it possible to substantiate the development of the system of informational analytical support of regional health care and to determine priority directions of its formation.


Assuntos
Atenção à Saúde/normas , Pesquisa sobre Serviços de Saúde/estatística & dados numéricos , Serviços de Saúde/normas , Competência Profissional/normas , Humanos , Federação Russa
2.
Artigo em Russo | MEDLINE | ID: mdl-20967969

RESUMO

The development of population health promotion system in the subject of the Russian Federation permits to increase the effectiveness of activities concerning health promotion, prevention and organization of healthy life-style and provision of medical care.


Assuntos
Atenção à Saúde/normas , Promoção da Saúde/organização & administração , Saúde Pública , Humanos , Qualidade de Vida , Federação Russa
5.
Sov Zdravookhr ; (9): 43-7, 1991.
Artigo em Russo | MEDLINE | ID: mdl-1838444

RESUMO

The procedure of follow-up of patients with chronic socially important diseases within an urban outpatient department is a closed cycle of ++medico-technological processes with constant involvement of new population groups. The study of traditional follow-up procedure revealed its inadequate efficiency. It also revealed a strong association between the dynamics of health status and strict observance of follow-up procedure (K = 0.652; p less than 0.05). The realization of the functional model of follow-up procedure suggested by the authors for patients with chronic socially important diseases would allow its efficiency to be increased under conditions of an urban out-patient department.


Assuntos
Assistência Ambulatorial/organização & administração , Hospitais Urbanos/organização & administração , Assistência de Longa Duração/organização & administração , Ambulatório Hospitalar/organização & administração , Assistência Ambulatorial/métodos , Assistência Ambulatorial/normas , Doença Crônica , Seguimentos , Necessidades e Demandas de Serviços de Saúde , Hospitais Urbanos/normas , Humanos , Cazaquistão , Assistência de Longa Duração/métodos , Assistência de Longa Duração/normas , Ambulatório Hospitalar/normas , População Urbana
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