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1.
Artigo em Russo | MEDLINE | ID: mdl-34486860

RESUMO

Currently, the characteristic of dynamics of morbidity of mental disorders of population of the Russian Federation is its increasing simultaneously with changing in structure of contingents in the direction of decreasing number of patients subjected to dispensary monitoring. The study of influence of medical organizational factors on morbidity of mental disorders demonstrated the role of provision with psychiatrists in dynamics of prevalence of mental disorders. The improvement of management of patients with mental disorders should be supported by appropriate resources and adaptation of mental service to actual conditions, in particular, solving the problem of manpower deficiency of psychiatrists.


Assuntos
Transtornos Mentais , Psiquiatria , Humanos , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Morbidade , Prevalência , Recursos Humanos
2.
Artigo em Russo | MEDLINE | ID: mdl-33161675

RESUMO

The personnel policy is one of priority areas of developing national health care. Its effective implementation requires evidence-based development of relevant program documents, the most important of which is the Concept of health care personnel policy that currently exists only in a number of regions of the Russian Federation. In this regard, the purpose of the study was to develop approaches to scientific justification and development of the Concept of health care personnel policy at the level of region of the Russian Federation, as exemplified in the Irkutsk oblast. The article describes progress of this large-scale and lengthy study, its main results included. The developed approaches resulted in comprehensive organizational technology of development corresponding Concept. The results of this experience can be implemented in other regions of the Russian Federation. Therefore, it is of scientific and practical interest for all potential developers of similar program documents and wide range of specialists in health care organization.


Assuntos
Atenção à Saúde , Política de Saúde , Federação Russa , Especialização
3.
Artigo em Russo | MEDLINE | ID: mdl-30790493

RESUMO

On the basis of educational activities in the Irkutsk State Medical University, an assessment of directions and intensity of labor migration of medical graduates, started their professional activities in 2013-2017. The originally developed statistical tool was applied in scientific analysis of various educational and professional trajectories of graduates, from admission to the university to professional employment. It is established that only 34.9% of graduated physicians returned to their area of residence after completion of education, while 65.1% of graduates changed their place of residence after completion of education. These facts make it possible to consider higher medical education as a powerful mobilization factor for young specialists. The main direction of labor migration of University graduates of in 2013-2017 was Irkutsk (21.8%). The migration of graduated physicians reflects impact of urbanization processes. The directions and intensity of labor migration of young specialists graduated from University in the context of municipal formations of the Irkutsk region made it possible to obtain detailed information concerning the role of particular territories of the Oblast in development of human resources potential of the regional health care system.


Assuntos
Educação Médica , Emigração e Imigração , Atenção à Saúde , Humanos , Faculdades de Medicina , Universidades
4.
Artigo em Russo | MEDLINE | ID: mdl-29634865

RESUMO

The specially developed questionnaire on studying opinions of physician-phthisiatrician concerning hospital medical care of patients with tuberculosis was applied to survey sampling of 58 physicians phthisiatricians. The questions of questionnaire related to analysis of efficiency of hospital treatment of patients with tuberculosis, satisfaction with consultative and diagnostic activities, support with pharmaceuticals, discovering measures permitting to increase commitment of patients to treatment in conditions of hospital.


Assuntos
Hospitais , Tuberculose/terapia , Humanos , Médicos , Qualidade da Assistência à Saúde , Encaminhamento e Consulta , Inquéritos e Questionários
5.
Artigo em Russo | MEDLINE | ID: mdl-29510012

RESUMO

The originally developed technique of integral evaluation of level of qualification of physicians is applied for establishing the level of the given criterion in municipal physicians of the Irkutskaia oblast. The levels of criterion in 2005-2015 were calculated. The results are ranked on the level of criterion. The integral evaluation was implemented to particular medical specialties and subsequent ranking of obtained results was made.


Assuntos
Licenciamento , Médicos , Humanos , Federação Russa
6.
Artigo em Russo | MEDLINE | ID: mdl-26987175

RESUMO

The adequate planning of capacity of hospital medical care accounting regional characteristics of prevalence of tuberculosis infection and functioning of anti-tuberculosis institutions are one of activities increasing effectiveness of resources using. So far, in the Russian Federation no techniques was developed permitting to determine need of tuberculosis service of region in number of beds based on epidemiological indicators of tuberculosis. To bring nearer as much as possible to reliable level of such a need in the Irkutskaia oblast the technique was developed on the basis of listing of indications for hospitalization of tuberculosis patients. This technique permits to substantiate the need of the subject of the Russian Federation in necessary number of beds in consideration of regional characteristics of prevalence of tuberculosis. This approach supports development of organization, planning and increasing of effectiveness of anti-tuberculosis activities in modern conditions.


Assuntos
Hospitais Especializados/normas , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Tuberculose/epidemiologia , Tuberculose/terapia , Hospitais Especializados/estatística & dados numéricos , Humanos , Sibéria/epidemiologia
7.
Artigo em Russo | MEDLINE | ID: mdl-21032906

RESUMO

The paper provides the results of the sociological survey to ascertain the opinions of physicians and paramedical personnel on the introduction of the new pay system for labor in a federal budget institution. The findings indicate that health personnel positively responded to the introduction of the new pay system for labor, their personal interest in achieving the quality indicators of their work has increased.


Assuntos
Atitude do Pessoal de Saúde , Negociação Coletiva/organização & administração , Programas Nacionais de Saúde/organização & administração , Admissão e Escalonamento de Pessoal/organização & administração , Salários e Benefícios/economia , Adulto , Reforma dos Serviços de Saúde/organização & administração , Humanos , Estudos Retrospectivos , Federação Russa , Inquéritos e Questionários
8.
Artigo em Russo | MEDLINE | ID: mdl-20734488

RESUMO

The article deals with the major landmarks of the development of higher medical school in the East Siberia region from the moment of its formation up to the present time including its input into the development of public health of the region. The contribution of the prominent representatives of different clinical disciplines into the formation of theoretical and practical heritage of medicine and public health is discussed.


Assuntos
Faculdades de Medicina/história , História do Século XIX , História do Século XX , Humanos , Cruz Vermelha/história , Sibéria
9.
Artigo em Russo | MEDLINE | ID: mdl-21375047

RESUMO

The article deals with the technique of economic analysis of effectiveness of functioning of multi-profile curative preventive medical institution in the conditions of transition to the payment according the completed case of treatment. The necessity of the measures targeted to prevent the financial losses under the new form of payment for hospital care is proved.


Assuntos
Reforma dos Serviços de Saúde/economia , Instalações de Saúde/economia , Serviços Preventivos de Saúde/economia , Saúde Pública/economia , Custos e Análise de Custo , Humanos , Federação Russa
11.
Artigo em Russo | MEDLINE | ID: mdl-19004213

RESUMO

The results of the application of the social economic zoning approach in studying the mortality of malignant neoplasms of digestive apparatus on the Irkutsk oblast territories with low population density are discussed.


Assuntos
Neoplasias Gastrointestinais/mortalidade , Densidade Demográfica , Fatores Socioeconômicos , Adulto , Fatores Etários , Feminino , Neoplasias Gastrointestinais/diagnóstico , Neoplasias Gastrointestinais/epidemiologia , Humanos , Expectativa de Vida , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Sibéria/epidemiologia , Fatores de Tempo , Transportes , População Urbana
14.
Artigo em Russo | MEDLINE | ID: mdl-14513497

RESUMO

Scientific approaches to optimizing the hospital medical care with respect to 3 healthcare levels (regional, municipal and departmental) are presented in the paper. An appropriate model of patient-care facilities aimed at solving the issues of intersectoral involvement of such regional, municipal and departmental institutions in implementing the Territorial Program of State Guarantees in Rendering the Free-Of-Charge Medical Care To Population is suggested.


Assuntos
Hospitais Urbanos/organização & administração , Indústrias , Regionalização da Saúde/organização & administração , Serviços Urbanos de Saúde/organização & administração , Número de Leitos em Hospital/estatística & dados numéricos , Hospitais Urbanos/normas , Humanos , Federação Russa , Serviços Urbanos de Saúde/normas
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