scholarly journals Modern going near creation of in-hospital comfort for patients and medical personnel in psychiatric establishments of health protection

2019 ◽  
pp. 48-53
Author(s):  
V.V. Chorna ◽  
I.V. Sergeta ◽  
V.M. Makhnyuk
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
The State ◽  
The Body ◽  
Hospital Environment ◽  
Burnout Syndrome ◽  
Psychological Status ◽  
Ministry Of Health ◽  
Health Care Institutions ◽  
Study Results

Today requires an important focus on providing psychological comfort both for health care professionals in preventing emotional burnout syndrome and inpatient comfort for patients in these settings. The purpose of the work is to carry out a comparative analysis of European experience on the principles of functional and aesthetic organization of interiors and decoration materials of premises of psychiatric health care institutions, to determine the characteristics of the influence of natural and artificial lighting on the psychophysiological state of the body of patients and medical professionals. The material of the study was Form № 18 of the Ministry of Health of Ukraine "Report on work on control of environmental factors affecting the state of health of the population" of the State Institution "Vinnytsia Regional Laboratory Center of the Ministry of Health of Ukraine" for the period 2016-2019. Content analysis of domestic and foreign scientific sources, as well as bibliosemantic, theoretical and analytical methods of research were used in the work. The statistical processing of the study results was performed in a licensed standardized package "Statistica 6.1 for Windows". As a result of studying the experience of European countries on the creation of in- hospital comfort for patients and medical staff of psychiatric health care institutions, the following has been established: taking into account the sanitary and hygienic requirements in the design and arrangement of facilities for mentally ill persons should correspond to the therapeutic environment and promote the establishment of security regimen, improving treatment and prevention work, preventing hospital-acquired infections and therefore being one and the same priorities reform of mental health in Ukraine. According to the results of studying foreign experience on the basis of a systematic and ergo design approach to the re-profiling and reconstruction of existing psychoneurological hospitals in Ukraine, it is determined that its main purpose is to provide comfortable conditions for patients stay and create conditions for conducting psychosocial therapy and rehabilitation of persons with mental disorders. Therefore, the adaptation of hygiene requirements during the design and arrangement of the premises of psychiatric health care facilities should be aimed at ensuring the optimal individual and psychological status of patients and the appropriate parameters of the hospital environment and its sanitary and hygienic characteristics, which must correspond to the latest technology in providing high quality medical care using a biopsychosocial approach that will facilitate the transition to European standards.

scholarly journals Evaluating the State of Health Care Institutions: The Case of Lithuanian Municipalities

Ekonomika ◽  
2019 ◽  
Vol 98 (1) ◽  
pp. 60-80
Author(s):  
Vaida Breimerytė ◽  
Vytautas Kėdaitis ◽  
Algirdas Miškinis ◽  
Kęstutis Trainavičius
Keyword(s):  
Health Care ◽  
Health Indicators ◽  
Health Care Facilities ◽  
The State ◽  
State Of Health ◽  
Multivariate Statistical ◽  
Health Care Institutions ◽  
The Status ◽  
Administrative Units ◽  
The Stability

[full article and abstract in English] Huge differences between the territories that are divided into the city and district municipalities are found after examining theoretical and methodological literature, obtaining abundant statistical information on the status of health care institutions in Lithuania, disclosing the system of indicators describing that status, and taking into account the analysis of the data of all the statistic residents of the Territorial Health Insurance Funds (THIF) and those registered at the outpatient primary personal health care institutions (OPPHCI). The number of residents who have registered at the OPPHCI of city municipalities is different from the rates provided by the statistics. Therefore, in the calculation of health indicators, a meaningful selection of them will more accurately reflect the status of health care facilities. Of these indicators, it is important to select not only those that best describe the existing medical care level in the municipalities but those that are also informative. The system of indicators was selected on the basis of the Delphi method. This article analyzes the state of the health care institutions in Lithuania and the qualitative and quantitative indicators of health care and their evaluation at the municipal level. The authors of this article used multivariate statistical methods in evaluating the state of health care institutions. The reliability and the validity of the obtained results are verified by two models; thus, the stability and suitability of the models are tested in investigating the state of health care institutions in Lithuania. The final aim of the study is to evaluate the administrative units of different territories and, from the medical level perspective, identify the best performing and most lagging municipalities. 

scholarly journals Morbidity indicators and dissemination and modern attitudes on disease prevention

2020 ◽  
Vol 24 (1) ◽  
pp. 158-164
Author(s):  
V.V. Chorna ◽  
S.S. Khliestova ◽  
N.I. Gumeniuk ◽  
V.M. Makhniuk ◽  
T.M. Sydorchuk
Keyword(s):  
Health Care ◽  
Growth Rate ◽  
Respiratory Diseases ◽  
Circulatory System ◽  
Television Advertising ◽  
Health Care Facilities ◽  
The State ◽  
Malignant Neoplasms ◽  
Statistical Research ◽  
Ministry Of Health

Annonanion. The purpose of the work is to determine and analyze the incidence and prevalence of diseases in the population of Ukraine in comparison with the EU countries, to analyze the determinants of health and to develop prevention measures for this problem. The materials of the study were statistical data of the State Statistics Service of Ukraine and the Center for Medical Statistics of the Ministry of Health of Ukraine for 1995–2018, Forms №18 of the Ministry of Health of Ukraine “Report on the control of environmental factors affecting public health” for 2008–2016. The work used content analysis of domestic and foreign scientific sources, bibliosemantic, analytical and statistical research methods. It is established that for the period from 1995 to 2017, the incidence rates of the population of Ukraine decreased by 18.2% and prevalence by 12.0%. The first place is occupied by diseases of the circulatory system — 52.1% and 50.2%; second place — respiratory diseases, this figure is constant and is 8.1%; third place belongs to diseases of the digestive system — 9.4% and 10.1%, respectively, in 2010 and 2017. The epidemic of tuberculosis in Ukraine was recognized by the WHO from 1995 to 2005 (21.5/39.5 thousand 1995/2005 diagnosis established for the first time). The growth rate was +32.9% (1995/2005), then it gradually decreased and in 2018 the growth rate was 28.5% (1995/2018). According to statistics, annually 170 thousand people are diagnosed with cancer, up to 90 thousand patients die from this disease, 35-37% of whom are people of working age. Thus, in Ukraine, diseases of the circulatory system, malignant neoplasms, injuries and poisonings are in the lead in the structure of causes of death; in the structure of morbidity — respiratory diseases, circulatory diseases; cause concern about HIV and tuberculosis, as well as the prevalence of mental disorders of organic origin and bad habits. We consider it necessary to take measures to improve the state of health care in the framework of the issues raised by modernization and staffing of health care facilities in Ukraine with modern equipment with improved material and technical base and increased funding; introduction of a single electronic system for the exchange of medical information; timely and regular preventive examinations of the population; the use of various forms of educating the population on the formation of a healthy lifestyle in the absence of television advertising that carries harmful information.

scholarly journals Modern state of the health of the popuation in Ukraine

2021 ◽  
Vol 100 (3) ◽  
pp. 4-12
Author(s):  
I.P. Kryvych ◽  
◽  
Yu.Yu. Chumak ◽  
H.M. Gusieva ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Behavioral Disorders ◽  
The State ◽  
Vulnerable Groups ◽  
Health Improvement ◽  
Health State ◽  
State Of Health ◽  
Ministry Of Health ◽  
Holistic View ◽  
Mental And Behavioral Disorders

A retrospective and prospective analyses of the rate of incidence and prevalence of diseases of the population of Ukraine over 1990-2017 were carried out on the basis of sectoral statistical reports and professional editions, which made it possible to characterize the current state of health and identify the tendencies in the incidence and disease prevalence in the country. Objective: We studied and analyzed the tendencies of the health state of the population in Ukraine. Materials and methods: We used the data of the sectoral statistical reports and professional editions over 1990-2017, as well as the annual report “On the State of Health of the Population, Sanitary-and-Epidemiological Situation, and Results of the Activity of Health Care System” by the Ministry of Health of Ukraine, State Institution «Ukrainian Institute for Strategic Studies, Ministry of Health of Ukraine». The method of the statistical analysis of the factual and analytical material was used as a main one, it forms a holistic view of health and medico-demographic situation in the country. Results: During the years of Ukraine's independence, insufficient attention has been paid to the problems of health improvement. The population numbers is falling sharply. In Ukraine, health care costs are low in comparison with the European countries. The structure of morbidity has changed over the last 10-15 years. The most vulnerable groups: children and adolescents, the elderly are of particular concern. An important role in the formation of morbidity rates is played by chronic non-communicable diseases, their level increased significantly in 2005-2010. The general pathological incidence of school-age children in those years also increased and had a significantly higher level among girls than boys. The incidence rate of mental and behavioral disorders in Ukraine has increased. The prevalence of mental and behavioral disorders had its own features in different regions. The rates of incidence and prevalence of diseases in the children of 0-17 years old of age were quite high and had a wavy nature. Conclusions: The implementation of the state and sectoral measures for the improvement of the health of the population of Ukraine, a cardinal reconstruction of the public view regarding the causes and consequences of a significant deterioration in the health of the population can be solved by a radical way of the preservation and strengthening of both personal and public health.

scholarly journals Problematics of regulatory definition of categories of persons and relevant services for medical support of police

2020 ◽  
Vol 1 (1) ◽  
pp. 227-232
Author(s):  
Liliya Andrush
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Police Officers ◽  
Legal Framework ◽  
Health Care Facilities ◽  
Medical Rehabilitation ◽  
Rehabilitation Centers ◽  
Health Care Institutions ◽  
Basic Services ◽  
Definition Of

The article analyzes the legal framework for the health care of police officers and their families. Three main models of providing police officers with health services (health insurance, budgetary, mixed) are outlined, and it is noted that Ukraine finances departmental health care institutions at the expense of budgetary funds and provides basic services that are free of charge. It is emphasized that the fundamental rules governing the relevant issues are contained in the Law of Ukraine “On the National Police”. Article 95 of this Law is analyzed, according to it the main categories of persons who are entitled to free medical care in the health care institutions of the Ministry of Internal Affairs (police officers, their families - children 18 or 23 years of age in the study in higher education institutions, husband or wife) main forms, family members of the dead or missing police officers, police officers with disabilities in service). It is stated that such services are eligible for some categories of former police officers and their families. It is also about the legal provision of rehabilitation, sanitary and health resorts, wellness as well as recreation measures in departmental medical rehabilitation centers, sanatoriums, rest homes, boarding houses and health institutions of different categories of police officers, their families. Various instructions and regulations are being analyzed to clarify the categories of persons applying for medical care, rehabilitation and recreation in departmental health care facilities, conditions for free rest, etc. The study also reveals a list of institutions that are part of the departmental health care system.

DYNAMICS IN INCIDENCE OF DISEASES OF THE CIRCULATORY SYSTEM AMONG ADULTS IN THE RUSSIAN FEDERATION IN 2007-2019

2021 ◽  
Vol 67 (2) ◽  
pp. 1-1
Author(s):  
A.A. Savina ◽  
◽  
S.I. Feyginova ◽  
Keyword(s):  
Russian Federation ◽  
Heart Diseases ◽  
Adult Population ◽  
Incidence Structure ◽  
Circulatory System ◽  
Total Mortality ◽  
The State ◽  
Ministry Of Health ◽  
Study Results ◽  
The Russian Federation

Significance. Diseases of the circulatory system remain one of the leading causes of death and morbidity of the adult population. Over the years, the efforts of the State aimed at controlling diseases of the circulatory system have made the contribution of this disease class to the total mortality in Russia gradually reduce. Nevertheless, diseases of the circulatory system remain the leading ones among diseases, characterized by a steady growth and rapidly increasing prevalence among the population. The purpose of the study is to analyze dynamics in incidence and prevalence of the diseases of the circulatory system among the Russian adult population in 2007-2019. Material and methods. The study used data of the statistical collections of the Ministry of Health of the Russian Federation and the Federal Research Institute for Health Organization and Informatics of the Ministry of Health of Russia: "Morbidity of the adult population of the Russian Federation" for 2007-2019. The study, which is a continuous statistical observation, used the method of direct ranking, calculation of indicators of time series. Results. Diseases of the circulatory system in 2019 ranked fourth in the incidence structure of the adult population (8%), while its prevalence ranked second to none (21%). Over 13 years, the incidence of diseases of the circulatory system in adults increased by 42% (2007-2019) while its prevalence increased by 24%. The highest levels of incidence of diseases of the circulatory system in 2019 are registered in the Krasnodar Territory (9,024.3 per 100 000 population, + 324%), the Kurgan Region (7,404.2, + 103%) and the Karachayevo-Circassian Republic (7 286.2, + 268%), and prevalence - in the Altai Territory (52 557.6, + 2%), the Chuvash Republic (51 814.6, + 38%) and the Voronezh Region (45 339.4, + 59%). The maximum rates of increase in morbidity with diseases of the circulatory system from 2007 to 2019 are registered in the South Federal district (incidence - by 119%, prevalence - by 56%), among the constituent entities of the Russian Federation: incidence - in the Krasnodar Territory (by 324%), prevalence – the Karachayevo-Circassian Republic (by 136%). According to the state statistical reporting, on average, every 7th acute myocardial infarction is complicated by recurrent heart attack in Russia. Conclusions. Throughout the study period of 13 years, the leading nosological forms include: Hypertensive diseases (35%; 45%, respectively), Ischemic heart diseases (22%; 21,6%) and Cerebrovascular diseases (23%; 20%). Over half of the diseases of the circulatory system are registered in the older working ages (55-60 and over). Scope of application. The study results can be useful to regional authorities in public health in planning and implementing regional programs aimed at controlling diseases of the circulatory system.

scholarly journals Primary health care development in 2002–2006 in Lithuania: Will we achieve the objective set?

Medicina ◽  
2008 ◽  
Vol 44 (6) ◽  
pp. 472 ◽  
Author(s):  
Mindaugas Plieskis ◽  
Aldona Gaižauskienė ◽  
Milda Garbuvienė
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Institutions ◽  
Family Doctors ◽  
Primary Health ◽  
Health Care Institutions ◽  
Study Results ◽  
Private And Public ◽  
Annual Changes ◽  
Primary Health Care Institutions

The aim of this study was to identify the changes in the development of primary health care in 2002–2006 and to predict its potential results in 2008, based on various criteria (indicators). Data from the compulsory health insurance system “Sveidra” have been used for the analysis. A share of the private primary health care institutions, the persons enrolled with them, and visits in such institutions from all primary health care institutions during the study period have significantly statistically increased (average annual changes were 6.9%, 22.2%, and 27.2%, respectively). In 2008, this part would make up 61.0%, 30.6%, and 27.2%, respectively. The proportion of persons registered with family doctors and the number of visits to family doctors were significantly increasing (average annual changes were 22.5% and 27.2%, respectively). It is predicted that this part would make up 27.8% and 35.2% in 2008. More detailed analysis has shown that relatively more young and working-age persons (aged 18–44 years) were enrolled in private primary health care institutions. It is in particular evident in Vilnius and Kaunas where the choice of such institutions is high. The number of persons registered with family doctors was increasing in both private and public institutions (average annual changes were 22.5% and 8.3%, respectively; P<0.05). In private institutions, the proportion of persons registered with local district pediatricians was also significantly increasing. The study results have shown significant differences in the developments of primary health care in 2002– 2006 by various indicators. The objective defined in the strategy of restructuring will be achieved in 2008 only in respect of the number of institutions. Assessing by the aspect of services, the results achieved will be approximately two times lower. The practice of the institution of the family doctor is becoming more intensive in both private and public institutions.

scholarly journals Perilaku Merokok Pengunjung dalam Mematuhi Peraturan Kawasan Tanpa Rokok (KTR) di Lingkungan RSUD S. K. Lerik Kota Kupang

2019 ◽  
Vol 1 (1) ◽  
pp. 8-14
Author(s):  
Imelda Fitryani Dam ◽  
Honey I. Ndoen ◽  
Indriati A. Tedjuhinga
Keyword(s):  
Health Care ◽  
General Hospital ◽  
Family Environment ◽  
Statistical Tests ◽  
Smoking Behavior ◽  
Health Care Facilities ◽  
Hospital Environment ◽  
Cross Sectional ◽  
Care Facilities ◽  
Level Of Knowledge

Non-smoking area is a room or area that is otherwise prohibited to activities of production, sales, advertising, promotion and use of cigarettes. Regional regulation Kupang City No. 3A year 2014 about non-smoking area explain that health care facilities, including hospitals is a place or non-smoking area. S. K. Lerik Municipality General Hopital is government owned health care facilities in Kupang and non-smoking area but still a lot of casual visitors who smoke in the hospital environment. The purpose of this research was to determine the relationship between the level of knowledge, education and family environment with the behavior of visitor to comply with regulation of non-smoking area at S. K. Lerik Kupang Municipality General Hospital 2016. The method of this research was analytical surveys using the cross-sectional design. The population in this research were all those at S. K. Lerik Kupang Municipality General Hospital environment with a total sample of 384 respondents. Statistical tests were used for data analysis in this research is Chi-Square with a degree of confidence α= 0.05. The results showed that there was correlation between the level of knowledge and education with smoking behavior of the visitor at S. K. Lerik Kupang Municipality General Hospital. There was no correlation between family environment with smoking behavior of the visitors at S. K. Lerik Kupang Municipality General Hospital.

scholarly journals ДОСЛІДЖЕННЯ ДИНАМІКИ ФІНАНСУВАННЯ ПРОГРАМ ІМУНОПРОФІЛАКТИКИ В УКРАЇНІ

2015 ◽  
Author(s):  
І. О. Федяк ◽  
І. І. Іванюлик
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Health Care System ◽  
The State ◽  
Political Freedom ◽  
World Health ◽  
Ministry Of Health ◽  
State Budget ◽  
The Law ◽  
Care System

<p><strong>Introduction.</strong> World Health Organization is worried about poor children vaccination inUkraine. After the signing of the coalition agreement between the main political parties, which were held into the Ukrainian Parliament of VII convocation, representatives of WHO and UNICEF welcomed «the inclusion of conditions of vaccines procurement together with international partners and organizations in the coalition agreement, and reaffirmed their willingness to purchase and contribute in response to corresponding request of the Ministry of Health care of Ukraine». However, coordinated decisions were not accepted. And the overall condition of financing the health care system and the Program of immunization as its component does not comply with the WHO’s requirements.</p><p><strong>Methods of research:</strong> bibliographical, analytical, systematic and logical.</p><p><strong>Results and discussion.</strong> According to the immunization Schedule in Ukraine, 10 infectious diseases, such as diphtheria, pertussis, rubeola, rubella, epidemic parotitis, polio, tetanus, tuberculosis, hemophilic infection, hepatitis B are subordinated to prevention by vaccination. Vaccines against these diseases in accordance with the law of Ukraine № 1645-14 «On protection of population against infectious diseases» are centrally purchased on a single state tender held by the Ministry of Health care of Ukraine. Nowadays, it is currently completing the implementation of current National program of immunization and population protection against infectious diseases for 2009-2015, which was adopted by the Law of Ukraine № 1658-VI, dated on 21<sup>st</sup> October, 2009.</p><p>The problem of infectious diseases immunization must be strategic in any socio-political circumstances of country’s life. However, according to analysis of the state funding of the health care system ofUkraineas in general and as its component – system of immunization inUkrainetraditionally faced a shortage of funds, along with the low cost effectiveness. This tendency has occurred not only in the current military conflict, but also has become a disappointing practice. So, the percentage of financing costs on the health care system from the State budget has traditionally been at the level of 3,7% of GDP and covers about 57% of the total population needs. However, the analysis of audits materials of the Accounting chamber of Ukraine shows that projected amount of funding from the State budget of the Program on immunization during 2009-2015 variances with the real allocations in 2011-2013 inaverage of 45,3%. Along with this, the conclusions of the Accounting chamber for 2007-2013, Ministry of health care traditionally does not provide efficient use of available funds of the State budget. This led to the fact that it was failed to reduce the level of infections, against which is held by means of immunization. This is demonstrated by the vaccination coverage of the population in 2014 at a level from 15 to 49% depending on infectious disease by the WHO recommendations – 95 %.</p><p><strong>Conclusions:</strong> reform of the Program of immunization financing must firstly focus on improving the efficiency of spending, particularly through the reform of sector procurement that is offered like in many countries to conduct through the mediation of WHO and UNICEF through the «framework» (directly long-term) agreements with suppliers of vaccines. And it already needs not declarative, but real political freedom.</p>

scholarly journals Leadership and motivation among employees in health-care facilities in Serbia

2018 ◽  
Vol 24 (1) ◽  
pp. 33 ◽  
Author(s):  
Miroslava Krstic ◽  
Vladimir Obradovic ◽  
Zorica Terzic-Supic ◽  
Dejana Stanisavljevic ◽  
Jovana Todorovic
Keyword(s):  
Health Care ◽  
Job Security ◽  
Health Care Facilities ◽  
Motivational Factors ◽  
Team Work ◽  
Motivational Factor ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Health Care Institutions ◽  
Care Facilities

Reserarch question: This paper investigates whether motivational factors have influence on the work of employees in health care organizations of Serbia and what factors affect employees. Motivation: Motivation and job satisfaction among different groups of workers in health care facilities in Serbia are an important issue. This study’s purpose is to assist health managers in their efforts to fulfill individual and organizational targets by highlighting the most preferred motivational factors among the employees. With good leadership and with the building of good motivational system the organization can increase its value and competitiveness. It has been shown that employees are more motivated and work under less stress if there is a support from their leader or manager (Jensen, 2010). Idea: The  core  idea  of  this  paper  is to  evaluate  the  relationship  between motivational factors and work of employees in health care institutions in Serbia. The central hypothesis of this study is what the managers within health care institutions have to do to improve motivation as well as their abilities for the fulfillment of both individual’s and organization’s needs. Data: The cross-sectional study included 217 physicians, nurses, technicians, health associates and non-medical staff in 21 facilities of primary, secondary and tertiary levels in Pozarevac, Belgrade, Nis, Pirot, Novi Sad, Zrenjanin, Krusevac, Varvarin and Novi Pazar. Tools: The research instrument was a questionnaire with questions regarding socio-demographic characteristics, participants’ characteristics and motivational factors. The data were analyzed using descriptive and analytical statistics. Findings: The most important motivational factors are: salary, good interpersonal relationships and team work, contribution to population’s health and patient’s satisfaction. Around 10% of the participants thought that work could be done well even without motivational factors’ presence. Employees from the areas outside Belgrade rated job security higher in comparison with employees from Belgrade. A study conducted at the University of llorin Teaching Hospital in 2011 showed that salary was the most important motivational factor, followed by job security (Ojokuku& Salami, 2011). Contribution: Salary is an important motivational factor for employees in health care facilities in Serbia. Managers should work on the improvement of motivational factors through acknowledgement of needs of individual employees as well as through involving employees into decision making. 

scholarly journals Patient satisfaction with rheumatological outpatient care in the Republic of Bashkortostan

2021 ◽  
Vol 67 (2) ◽  
pp. 3-3
Author(s):  
I.Z. Zubairov ◽  
◽  
L.Sh. Nazarova ◽  
S.G. Ahmerova ◽  
D.Kh. Kalimullina ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Outpatient Care ◽  
Care Quality ◽  
Health Care Facilities ◽  
Republic Of Bashkortostan ◽  
Study Results ◽  
Care Facilities ◽  
The Republic

Due to high prevalence of rheumatic diseases, which are often characterized by a chronic, progressive course and early patient disability, the problem of health care quality in rheumatology remains extremely relevant. The purpose of the study was to analyze patient satisfaction with availability and quality of rheumatological outpatient care provided by health care facilities of the Republic of Bashkortostan. A survey of 289 adult patients who visited a rheumatologist for outpatient care at health care facilities of the Republic of Bashkortostan was conducted from May,1 to December,1, 2019 The study results show that in general patients expressed high satisfaction with the services provided and conditions of health care facilities (77% and 78%, respectively). At the same time, satisfaction with doctors’ professional skills was moderate (54%), while satisfaction with the organization of making a rheumatological appointment and official website of the facility was low (37% and 29%, respectively). In general, the data obtained indicate that patients highly appreciate quality of rheumatological outpatient care in the Republic of Bashkortostan. However, the need to further improve professional competencies of doctors, organization of scheduling appointments and official websites of health care facilities call for a special attention.

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