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1.
Artigo em Russo | MEDLINE | ID: mdl-33161669

RESUMO

The article presents basic methods of assessing and calculating production potential of medical organization. providing specialized medical care in round-the-clock hospital. The described techniques are used to develop standards of provision of medical care as part of territorial program of state guarantees of free medical care for citizens and to improve organizational processes of provision of medical car that allows to more efficiently apply available resources of medical organization.


Assuntos
Hospitais , Organizações
2.
Artigo em Russo | MEDLINE | ID: mdl-33161680

RESUMO

In 1920s - late 1980s, active cooperation between the USSR and Mongolia in the field of medicine and health care had been occurred. The Mongolian People's Republic was the first country to which the USSR exported its organization of health care system, using it as a means of geopolitical influence and instrument of the socialist transformation of traditional nomadic society. At the same time, assistance to Mongolia began when the USSR itself had not yet completed the organization of new health care system, including needed medical personnel and resources, receiving assistance from Germany and other European countries. The article discusses the reasons of the Soviet leadership's hasty decision to force assistance to the Mongolian People's Republic in the field of medicine and health care. Two approaches to its implementation are singled out and explained: the evolutionary one, when experienced Soviet doctors were selected and sent to the Mongolian Department of Health care, and the forced one - through organization of expeditions of the People's Commissariat of Health of the RSFSR, which simultaneously studied the medical and sanitary situation in the country and organized medical institutions where the assistance was needed the most.


Assuntos
Medicina , Assistência à Saúde , Europa (Continente) , Humanos , Mongólia , Organizações
3.
Comunidad (Barc., Internet) ; 22(2): 0-0, jul.-oct. 2020. graf
Artigo em Espanhol | IBECS | ID: ibc-193597

RESUMO

En 2006 nace una ONG en Boulembou (A 500 km de Dakar), fundada por cooperantes e inmigrantes del pueblo en nuestro país, donde se hicieron estudios para definir el entorno y asambleas y comités para priorizar intervenciones. OBJETIVOS: conocer el funcionamiento de un proyecto comunitario y formar parte de una ONG de codesarrollo, así como obtener y valorar los resultados de sus acciones a medio y largo plazo sobre la población. MÉTODOS: codesarrollo (las personas inmigrantes ayudan en realizar intervenciones en sus países de origen) y salud comunitaria (acciones para mejorar la salud de una comunidad más allá de la individual). RESULTADOS: el pueblo tiene agua potable, huertos, centro de salud (enfermero, comadrona y agentes de salud) y mejoras en la escuela. DISCUSIÓN: el enfoque y las líneas de trabajo realizadas desde un punto de vista comunitario y de codesarrollo han permitido que los proyectos se autogestionen y autofinancien para poder seguir evolucionando y progresando


An NGO was founded in 2006 in Boulembou (located 500 km from Dakar). It was founded by aid workers and immigrants from this town to our country. Studies were performed there to define the setting and to start meetings and committees to prioritize interventions. OBJECTIVES: To ascertain the operation of a community project and be part of a co-development NGO in addition to obtaining and evaluating the impact of its actions on the population in the medium and long term. METHODS: Co-development (immigrants assist with development in countries of origin) and community health (actions targeted at improving community health). RESULTS: The town now has drinking water from fountains, orchards and a healthcare centre (with a nurse, midwife and healthcare agents) in addition to school improvements. DISCUSSION: Projects were implemented from a community and co-development point of view and have facilitated self-management and self-financing to continue evolving and progressing by themselves


Assuntos
Humanos , Masculino , Feminino , Criança , Participação da Comunidade , Organizações , Atenção Primária à Saúde/métodos , Emigrantes e Imigrantes , Cooperação Internacional , Senegal , Saúde Pública , Avaliação de Programas e Projetos de Saúde
4.
Annu Int Conf IEEE Eng Med Biol Soc ; 2020: 5623-5626, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-33019252

RESUMO

The integration of medical device systems and general hospital information technology (IT) infrastructure creates a medical device-IT network that requires patient-oriented cybersecurity risk management to ensure patient safety. This study discusses the roles of clinical engineering in taking initiatives in the implementation of the ISO/IEC 80001-1 risk management framework in a hospital environment. Further, we present lessons learned and clinical engineering opportunities in managing medical device cybersecurity, which include development of an integrated systems test lab.Clinical Relevance- This paper highlights Clinical Engineering's leadership role in implementing an effective risk management system for integrated medical device systems to reduce cybersecurity risks to enhance patient care and safety.


Assuntos
Engenharia Biomédica , Prática de Grupo , Segurança Computacional , Assistência à Saúde , Humanos , Organizações
5.
Annu Int Conf IEEE Eng Med Biol Soc ; 2020: 5705-5708, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-33019270

RESUMO

Due to the advent of novel technologies and digital opportunities allowing to simplify user lives, healthcare is increasingly evolving towards digitalization. This represent a great opportunity on one side but it also exposes healthcare organizations to multiple threats (both digital and not) that may lead an attacker to compromise the security of medial processes and potentially patients' safety. Today technical cybersecurity countermeasures are used to protect the confidentiality, integrity and availability of data and information systems - especially in the healthcare domain. This paper will report on the current state of the art about cyber security in the Healthcare domain with particular emphasis on current threats and methodologies to analyze and manage them. In addition, it will introduce a multi-layer attack model providing a new perspective for attack and threat identification and analysis.


Assuntos
Segurança Computacional , Assistência à Saúde , Confidencialidade , Humanos , Organizações , Software
6.
Annu Int Conf IEEE Eng Med Biol Soc ; 2020: 1388-1381, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-33018248

RESUMO

This study reports on the development of a high-resolution 4K multispectral camera designed to enhance telepathology support systems for remote gross-pathological diagnosis. We experimentally examine and evaluate the camera's effectiveness in three subjects: the reconstruction of precise color images, the emphasis of cancerous tissue areas, and pre-fixed image reproduction from fixed images. The evaluation results of the first and second subjects showed that the camera and supporting methods could be effectively used in gross pathology diagnosis. The images obtained in the third subject received positive evaluations from some pathologists, but others expressed reservations as to its utility.


Assuntos
Neoplasias , Telepatologia , Coleta de Dados , Humanos , Organizações , Patologistas
7.
Nihon Hoshasen Gijutsu Gakkai Zasshi ; 76(10): 997-1008, 2020.
Artigo em Japonês | MEDLINE | ID: mdl-33087659

RESUMO

PURPOSE: We investigated the clinical utility of a radiological technologist's (RT)'s reports (RRs) as a second opinion by the free-response receiver operating characteristic (FROC) observer study that compared the performance of medical doctors' (MDs') reading of digital mammogram with and without consulting the RR. METHOD: One hundred women (39 malignant, 61 benign or normal) who underwent diagnostic mammography were selected from among 1674 routine clinical images classified by the degree of difficulty and categories for inclusion in the FROC study. The first FROC study performed by three RTs (RT 1-3) was conducted to collect the data for RR utilized in the second FROC study. The second FROC study was performed by five MDs, and the statistical significance of MDs' performances with and without reference to the RR was investigated by figure of merit (FOM). RESULT: The FOM values of three RTs obtained in the first FROC study were 0.529, 0.576, and 0.539, respectively. In the second FROC study, RT 2 had the highest FOM, RT 1 the lowest false positives/case, and RT 3 the highest sensitivity. The average FOM values in the second FROC study for the five MDs with/without reference to the RR were as follows: RT 2's RR was 0.534/0.588 (p=0.003), RT 1's RR was 0.500/0.545 (p=0.099), and RT 3's RR was 0.569/0.592 (p=0.324). CONCLUSION: We concluded that the MDs' performance of reading mammogram was statistically improved by consulting the RR when the RT's reading skill was high.


Assuntos
Mamografia , Leitura , Feminino , Humanos , Organizações , Curva ROC , Encaminhamento e Consulta
8.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 32(4): 436-440, 2020 May 08.
Artigo em Chinês | MEDLINE | ID: mdl-32935526

RESUMO

With the joint efforts of countries and global non-state actors, great achievements have been made in the global malaria control programme; however, malaria remains a serious threat to human health. As the global leader for combating malaria, WHO formulated The Global Technical Strategy for Malaria 2016-2030, and the Global Malaria Programme, under the leadership of WHO, is responsible for implementing 5 key projects to achieve the goal proposed in The Global Technical Strategy for Malaria 2016-2030. In addition, the Global Fund, the U.S. President's Malaria Initiative and Bill & Melinda Gates Foundation also play an important role in global malaria elimination programme. This review describes the currently main non-state actors participating in the global malaria elimination programme, and calls for the enhanced inter-actor coordination and close collaboration with state governments to achieve the great goal of malaria elimination in the world.


Assuntos
Erradicação de Doenças , Malária , Erradicação de Doenças/economia , Erradicação de Doenças/organização & administração , Erradicação de Doenças/tendências , Saúde Global , Programas Governamentais , Humanos , Malária/prevenção & controle , Organizações
10.
PLoS One ; 15(9): e0238297, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32931515

RESUMO

This study highlights the need for analysis of online disclosure practices followed by non-governmental organizations; furthermore, it justifies the crucial role of potential correlates of online disclosure practices followed by non-governmental organizations. We propose a novel index for analyzing the extent of online disclosure of non-governmental organizations (NGO). Using the information stored in an auxiliary variable, we propose a new estimator for gauging the average value of the proposed index. Our approach relies on the use of two factors: imperfect ranked-set sampling procedure to link the auxiliary variable with the study variable, and an NGO disclosure index under simple random sampling that uses information only about the study variable. Relative efficiency of the proposed index is compared with the conventional estimator for the population average under the imperfect ranked-set sampling scheme. Mathematical conditions required for retaining the efficiency of the proposed index, in comparison to the imperfect ranked set sampling estimator, are derived. Numerical scrutiny of the relative efficiency, in response to the input variables, indicates; if the variance of the NGO disclosure index is less than the variance of the estimator under imperfect ranked set sampling, then the proposed index is universally efficient compared to the estimator under imperfect ranked set sampling. If the condition on variances is unmet, even then the proposed estimator remains efficient if majority of the NGO share online data on the auxiliary variable. This work can facilitate nonprofit regulation in the countries where most of the non-governmental organizations maintain their websites.


Assuntos
Internet/estatística & dados numéricos , Modelos Teóricos , Organizações/estatística & dados numéricos , Organizações/normas , Projetos de Pesquisa/normas , Revelação da Verdade , Humanos , Organizações/legislação & jurisprudência
11.
Health Res Policy Syst ; 18(1): 105, 2020 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-32943078

RESUMO

Mali, like the rest of the world, has seen a rapid spread of COVID-19 since the first report of imported cases. Despite being a low-income country, Mali has leveraged scientific research resources via coordinated approaches to enable public health emergency planning and response to the COVID-19 pandemic. Mali's approach includes the harmonization of research activities; leveraging of research laboratory capacity of the University Clinical Research Center, Mali International Center for Excellence and three other in-country laboratories for community COVID-19 testing; strengthening relationships amongst local and international stakeholders; and collaboration with the Ministry of Health to integrate scientific evidence into public policy and emergency management of COVID-19 through a platform of consultation and open communication. The country has implemented national coordination of its COVID-19 response by establishing a COVID-19 Scientific Advisory Committee and a COVID-19 Technical Coordination Committee, both within the Ministry of Health and working collaboratively with other stakeholders. Members of Mali's COVID-19 Scientific Advisory Committee also serve as leaders of its principal academic and government clinical and public health research entities. This centralised approach has enabled the prioritisation of COVID-19 control activities, informed allocation of resources, evidence-based public health practices and timely decision-making in the pandemic setting. Though challenges remain, lessons learned from Mali's harnessing of clinical research capacity to guide and support its COVID-19 response can be applied to future global health research challenges and illustrate the power of building public health-responsive research capacity in resource-limited settings through international collaboration.


Assuntos
Infecções por Coronavirus , Países em Desenvolvimento , Pandemias , Pneumonia Viral , Saúde Pública , Pesquisa , Betacoronavirus , Controle de Doenças Transmissíveis , Comportamento Cooperativo , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Prática Clínica Baseada em Evidências , Governo , Órgãos Governamentais , Humanos , Laboratórios , Mali/epidemiologia , Organizações , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Política Pública , Alocação de Recursos
12.
PLoS One ; 15(9): e0238451, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32881917

RESUMO

Organizational effectiveness is contingent upon employees' contributions; however, the role of employee voice behavior as a critical component of employees' contribution to the organization has not been sufficiently acknowledged. Based on proactive behavior theory, we present a model to investigate employee voice behavior as an underlying mechanism in the relationship between supervisor delegation and perceived workplace inclusion. Using the SEM (structural equation modeling) method, we test our model's hypotheses with data from 271 employee-supervisor questionnaires administered in state-owned enterprises in the telecommunications industry. The results show that supervisor delegation is positively related to employees' promotive and prohibitive voice behavior. Promotive voice significantly influences perceived workplace inclusion, but prohibitive voice behavior was not found to have any impact on perceived workplace inclusion. Moreover, both dimensions of voice behavior, i.e., promotive and prohibitive voice behavior, significantly mediate the relationship between supervisor delegation and perceived workplace inclusion.


Assuntos
Emprego/organização & administração , Telecomunicações/tendências , Qualidade da Voz/fisiologia , Adulto , Idoso , Feminino , Humanos , Indústrias , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Organizações , Fonação/fisiologia , Comportamento Social , Inquéritos e Questionários , Voz/fisiologia , Local de Trabalho/organização & administração
13.
Palmas; [Secretaria de Estado da Saúde]; 20200000. 22 p.
Monografia em Português | LILACS, Coleciona SUS, CONASS, SES-TO | ID: biblio-1120798

RESUMO

Regimento para estabelecer normas, competências e procedimentos da Comissão Permanente de Integração Ensino-Serviço do Estado do Tocantins - CIES Estadual/CIB-TO, que é uma instância intersetorial e interinstitucional permanente que participa da formulação, condução, monitoramento e avaliação da Política de Educação Permanente em Saúde ­ EPS e atende o disposto no artigo 14 da Lei 8.080/1990, regulamentada pelo Decreto Presidencial N°. 7.508, de 28 de junho de 2011, e a Norma Operacional Básica de Recursos Humanos em Saúde (NOB/RH-SUS).


Rules to establish rules, competences and procedures of the Permanent Commission for Teaching-Service Integration of the State of Tocantins - State CIES / CIB-TO, which is a permanent intersectoral and interinstitutional body that participates in the formulation, conduction, monitoring and evaluation of the Education Policy Permanent in Health - EPS and meets the provisions of article 14 of Law 8.080 / 1990, regulated by Presidential Decree N °. 7,508, of June 28, 2011, and the Basic Operational Standard for Human Resources in Health (NOB / RH-SUS).


Normas para establecer normas, competencias y procedimientos de la Comisión Permanente de Integración Docente-Servicio del Estado de Tocantins - Estatal CIES / CIB-TO, que es un órgano permanente intersectorial e interinstitucional que participa en la formulación, conducción, seguimiento y evaluación de la Política Educativa. Permanente en Salud - EPS y cumple con lo dispuesto en el artículo 14 de la Ley 8.080 / 1990, reglamentado por Decreto Presidencial N °. 7,508, del 28 de junio de 2011, y la Norma Básica Operativa de Recursos Humanos en Salud (NOB / RH-SUS).


Assuntos
Diretrizes para o Planejamento em Saúde , Organizações/normas , Colaboração Intersetorial , Guias como Assunto/normas , Regulamentação Governamental , Educação Continuada/organização & administração , Direção e Governança do Setor de Saúde/normas , Conselho Diretor/normas
15.
Artigo em Russo | MEDLINE | ID: mdl-32827377

RESUMO

The decision-making management in health care organizations is one of the basic components of their efficiency. However, there is imbalance between requirements of everyday practice and scientific rationale of process under consideration, in particular lacking of appropriate criteria-diagnostic apparatus causing certain difficulties in decision-making. The purpose of the study was to design automated multi-criteria method of evaluating success of decision-making management in health care organizations. The survey of 62 experts, health care managers, was carried out. 23 criteria for evaluating success of decision-making management in health care organizations have been defined as well as their gradation and significance, integral model options, i.e. the multi-criteria evaluation method has been designed. The automation of method on "1C: Enterprise" software greatly facilitates assessment of not one but a number of health care organizations enabling their ranking. The machine processing results in integral evaluation and informative criteria determining it thus making possible search of case causes and ways of correction. The obtained results can be applied in daily procedures and training of executives of health care organizations.


Assuntos
Serviços de Saúde , Organizações , Tomada de Decisões
16.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 28(Special Issue): 729-735, 2020 Aug.
Artigo em Russo | MEDLINE | ID: mdl-32856816

RESUMO

The article investigated the state of the competitive environment on the market of medical services of the Krasnodar territory, which included socio-economic indicators needed to understand current market conditions such as the number of medical organizations of primary care and health manpower; the volume of paid medical services, rendered to population of the region and individual costs for medical services; the investment performance of the industry, the possibility of participation of private medical organizations in the implementation of the Territorial program of obligatory medical insurance. The author's interpretation reveals the concept of «business reputation of a primary-level medical organization¼. It is proved that the «business reputation¼ on the Internet or online reputation has become a strategic tool for ensuring the competitive advantages of a primary - level medical organization. The content analysis of Internet resources conducted in the study showed that the online reputation of a primary care organization is primarily patient reviews (negative and positive), and online reputation management in the Internet is continuous work with patient reviews, the process of communicating with the audience, publishing information materials, etc. Monitoring popular sites on this topic prodoctorov.ru and Yandex. Search and analysis of patient reviews of medical organizations in Sochi allowed the authors to assess the online reputation of primary care organizations. In conclusion, the article presents an algorithm for managing online reputation on the Internet to ensure the competitiveness of primary care organizations.


Assuntos
Organizações , Atenção Primária à Saúde , Comércio , Custos e Análise de Custo , Humanos
17.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 28(Special Issue): 766-772, 2020 Aug.
Artigo em Russo | MEDLINE | ID: mdl-32856823

RESUMO

The article deals with the issues of functioning of Russian medical centers on the terms of franchising, relevant for the development of entrepreneurship in the field of medical care. Over the past few years, the number of private medical organizations in the Russian Federation has been growing, and the number of business representatives who want to participate in the development of entrepreneurship and conduct socially significant activities in the field of medical care has been increasing. The search for the most effective ways to establish and develop a business in the medical industry contributes to the growing interest in the franchise model, which allows you to expand the scale of your business. In the medical services market, the franchising model is currently much less common than in such areas as retail, hotel services and catering, however, it is in the medical industry that there is a great growth potential for the development of entrepreneurship in the field of medical services based on the franchising model. Thanks to the use of the franchising model, it is possible to predict an increase in the service culture in the business environment and the output of domestic companies to international markets. Infrastructure support plays an important role in the development of medical franchising: Internet resources, training technologies, platforms for exchanging information, experience and tools for promoting the network of franchising enterprises. Despite the fact that in modern conditions, commodity and productive franchising are predominant, and the practice of operating Russian medical centers on the terms of franchising is poorly developed, there are prospects for development and social value for the Russian market of medical services in the field of medical services.


Assuntos
Contrato de Risco , Setor Privado , Países em Desenvolvimento , Organizações , Federação Russa
18.
Sr Care Pharm ; 35(9): 370-371, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32807259

RESUMO

Vaccination is a global imperative, and the pharmacy profession must be prepared. International pharmacy organizations defined the administration of medicines, vaccines, and injectable medications as a key role of our profession. Vaccines are second only to clean water in terms of their impact on public health.


Assuntos
Cobertura Vacinal , Organizações , Farmácias , Farmácia , Vacinação
19.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 28(Special Issue): 680-686, 2020 Aug.
Artigo em Russo | MEDLINE | ID: mdl-32856808

RESUMO

The current stage of development of health systems is characterized by an increasing role of specialists with secondary medical and higher (nursing) education, which imposes additional requirements on their medical, pedagogical, psychological and technical knowledge and skills. The article presents the results of a study implemented in 2019 on the development of medical personnel in the capital's healthcare system. One of the research methods was an expert survey in the form of a series of in-depth structured interviews with the leadership of medical colleges, universities and institutions of additional professional education (N = 15), the scenario of which included blocks of questions regarding the main determinants of the quality of training of nursing staff and bachelors in the direction of "Nursing", as well as ideas for introducing the capital standard of a nurse. The analysis of the information obtained made it possible to identify a number of problems and directions for their solution: at the college level, this is, first of all, poor-quality production practice, which is due to the overload of medical staff and, in general, not serious attitude to trainees, as well as insufficient communication training of future nurses; in the case of undergraduate studies, the main problems are related to students who have gone to university just after school, who have a poor idea of their future profession and are poorly motivated to study in condition when courses that dedicated to studying nursing medical skills, initially aimed at a more professionally trained contingent, have been significantly reduced. Experts, who support the idea of expanding the functions of nurses, the main obstacles to its implementation see in the stereotypes that the chief physicians and the medical community as a whole have about the purely secondary role of the nursing staff, as well as the corresponding attitudes of the nurses themselves. Regarding the standard of the capital's nurse, experts agree that the main emphasis should be on the development of universal competencies, attention to deontological and ethical issues.


Assuntos
Assistência à Saúde , Educação em Enfermagem , Enfermagem , Atitude do Pessoal de Saúde , Humanos , Organizações
20.
PLoS Negl Trop Dis ; 14(8): e0008498, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32785262

RESUMO

The global burden attributed to Neglected Tropical Diseases (NTDs) is 47.9 million Disability-Adjusted Life Years (DALYs). These diseases predominantly affect disadvantaged populations. Priority for NTDs has grown in recent years, which is observed by their inclusion in the sustainable development goals (SDGs). This study analyzed the process that allowed these diseases to be included on the global health policy agenda. This global policy analysis used the Shiffman and Smith framework to understand the determinants of global health political priority for NTDs. The framework comprises four categories: actor power, ideas, political contexts, and issue characteristics. Global documents and World Health Assembly (WHA) resolutions were examined, key-informant interviews were conducted, and academic publications were reviewed to understand the four categories that comprise the framework. A total of 37 global policy documents, 15 WHA resolutions, and 38 academic publications were examined. Twelve semi-structured interviews were conducted with individuals representing different sectors within the NTD community who have been involved in raising the priority of these diseases. This study found that several factors helped better position NTDs in the global health agenda. These include the leadership of actors that mobilized the global health community, the creation of a label combining these diseases as a group to represent a larger disease burden, the presence of mechanisms aligning the NTD community, and the agreement on ways to present the NTD burden and potential solutions. The process of building the priority of NTDs in the global health agenda shows that several determinants led to positive outcomes, but these diseases continue to have low priority at the global level which requires the implementation of actions to increase their global priority. These include sustaining the commitment of current actors and engaging new ones; increasing the attention given to diseases formerly categorized as "tool-deficient", including zoonotic NTDs; continue leveraging on policy windows and creating favorable policy moments to sustain commitment, as well as setting realistic targets. Findings from this study can help develop strategies to build the momentum and drive actions to implement the goals of the new Roadmap for NTDs in the pathway to universal health coverage (UHC) and sustainable development.


Assuntos
Saúde Global , Política de Saúde , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/prevenção & controle , Humanos , Doenças Negligenciadas/economia , Organizações , Medicina Tropical , Organização Mundial da Saúde
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