RESUMO
The article deals with the data related to the establishment in Russia of public associations of maternal support of breast feeding initiated by the WHO/UNISEF international initiative "Baby friendly hospital". The breast feeding is mostly a concern of medicine and medical institutions of obstetrics and pediatrics and corresponding specialists such as obstetrician-gynecologist, neonatologist and pediatrician. Hence the issue of appropriateness of existence of such groups, their competence and relationship with medical personnel and forms of activity has to be considered From historical point of view, in Soviet health care accumulated very rich experience of effective cooperation of public activists of Russian Red Cross with public health bodies in implementation of preventive and health improving activities, including health education of population groups. The conclusion is made that to provide effective activities of voluntary mothers? Associations to support breast feeding their interaction is needed with medical personnel, the development of scientific-grounded programs of training of mothers-consultants and informational methodical and health education materials.
Assuntos
Aleitamento Materno/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Maternidades/normas , Avaliação de Resultados em Cuidados de Saúde , Assistência Perinatal/métodos , Feminino , Fidelidade a Diretrizes , Humanos , Lactente , Recém-Nascido , Mães/psicologia , Federação Russa , Nações Unidas , Organização Mundial da SaúdeRESUMO
The paper provides data on health status of children and adult population, and medico-demographic situation in the country. An account is also given of organizational and financial issues of medical care in foreign countries. The issues related to the organization of medical care, management of public health financing of the branch under new conditions are dealt with. On the basis of the experiment a new system of health services financing based on the principles of insurance medicine is proposed for introduction. The new system envisages such new organizational structures as health protection funds and insurance organizations. Functions of the existing managerial organizational public health structures at different levels are being changed, the status of medical institutions would also change and their responsibility for the quality of work would increase.
Assuntos
Administração Financeira/economia , Financiamento Governamental , Custos de Cuidados de Saúde , Administração em Saúde Pública/economia , Adulto , Criança , Administração Financeira/normas , Humanos , Seguro Saúde/economia , Seguro Saúde/normas , Administração em Saúde Pública/normas , U.R.S.S.RESUMO
The article is devoted to the problem of improving the methods of data collection and processing in solving the question of evaluating the health effect of environmental factors. Circumstances are pointed out which hamper the acquisition of reliable and operative data. The ways of improving the effectiveness of computer use are considered.
Assuntos
Meio Ambiente , Nível de Saúde , Absenteísmo , Adulto , Humanos , Modelos Estatísticos , SoftwareRESUMO
The study data on the evaluation of future trends in research on social hygiene and public health organization are provided. It was an expert method that was used to study the opinion of leading scientists in social hygiene and of a large number of experts-managers of public health bodies and institutions. The computerised data permitted to determine the present and future priority problems in the field of social hygiene which could be used by research workers as a social goal for practical application.