Analysis of Team Medical Care Using Integrated Information from the Trajectories of and Conversations Among Medical Personnel

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.

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The development of health care in Siberia in the 18th — first half of the 19th century

Tyumen State University Herald Humanities Research Humanitates ◽

10.21684/2411-197x-2019-5-2-121-132 ◽

2019 ◽

Vol 5 (2) ◽

pp. 121-132

Author(s):

Ekaterina V. Shulyak

Keyword(s):

Health Care ◽

Medical Care ◽

Political Development ◽

Medical Personnel ◽

Military Hospital ◽

Genetic Method ◽

Industrial Enterprises ◽

Medical Institutions ◽

Russian State ◽

Folk Remedies

Development of health care of Siberia in the 18th — first half of the 19th century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others. The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners — medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care. The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18th century by means of a historical and genetic method.

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Medical support in children's camp: problems and solutions

Health Care of the Russian Federation ◽

10.47470/0044-197x-2021-65-4-310-317 ◽

2021 ◽

Vol 65 (4) ◽

pp. 310-317

Author(s):

Anna S. Sedova ◽

Leonid M. Protsenko

Keyword(s):

Medical Care ◽

Rest Period ◽

Medical Personnel ◽

Legal Regulation ◽

The State ◽

State Of Health ◽

Medical Support ◽

Medical Problems ◽

Additional Information ◽

Problems And Solutions

Introduction. High-quality medical support is an essential component of effective and safe recreation of children in the camp. Aim is a scientific substantiation of improving the system of medical care in the camps. Material and methods. A survey of 353 directors of day and stationary camps was conducted in the fall of 2020. Results. The most pressing medical problems of the system of medical care of children in the camp were identified: lack of medical personnel (in 46.3% of camps); difficulties with licensing medical activities in the camp (in 15.8% of camps); low qualifications of medical personnel and medical literacy of pedagogical personnel in matters of medical support for camps (in 7.1% and 10.7% of camps, respectively); the inaccuracy of information available in the camp about the state of health of children in the medical certificates of children (in 22.6% of camps). 74.6% of directors pointed to the problems of interaction with the parents of children (unwillingness to provide children with medical certificates or necessary additional information about the state of health of children, refusal to receive treatment prescribed in the camp, etc.). Conclusion. It is necessary to improve the legal regulation in the field of children’s recreation; provision of camps with qualified medical personnel; educational programs on medical care for children in the camp for teachers; increasing the responsibility for the health of children during their rest period of medical organizations that draw up medical documents for children in front of the camp, as well as parents of children.

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On the Concept of Criminological Ratios of Unintentional Crime in Medical Assistance Rendering

legal education and science ◽

10.18572/1813-1190-2020-11-31-34 ◽

2020 ◽

Vol 11 ◽

pp. 31-34

Author(s):

Polina G. Gabay ◽

Keyword(s):

Health Care ◽

Medical Care ◽

Health Workers ◽

Medical Personnel ◽

Practical Significance ◽

Healthcare Sector ◽

Legal Analysis ◽

Medical Assistance ◽

Personal Relations

Purpose. To study the indices of carelessness in the provision of medical care from a criminological standpoint. Methodology: it includes the following methods: historical and legal, comparative legal, analysis and forecasting. Conclusions. 1. Elements of everyday carelessness in health care can be distinguished only conditionally and only in the sphere of relations that are within the framework of personal relations between medical personnel and patients. 2. The structure of health crime includes three groups of crimes: professional crimes of health workers; malfeasance of employees of the studied area; crimes, the responsibility for which arises for these subjects along with other persons. Scientific and practical significance. The conclusions presented in the article are aimed at increasing the effectiveness of counteracting careless criminality in the healthcare sector in the provision of medical care.

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FEATURES OF RESPONSIBILITY OF A MEDICAL ORGANIZATION FOR CAUSING THE PATIENT'S HEALTH

Law Нerald of Dagestan State University ◽

10.21779/2224-0241-2021-38-2-73-80 ◽

2021 ◽

Vol 38 (2) ◽

pp. 73-80

Author(s):

Yu.N. Slepenok ◽

◽

G.V. Stankevich ◽

L.P. Stepanova ◽

◽

...

Keyword(s):

Medical Care ◽

Causal Relationship ◽

Civil Liability ◽

Medical Personnel ◽

Medical Services ◽

Medical Organization ◽

Approximate Order ◽

Average Sample

The article discusses the particular conditions of holding medical organizations accountable for causing harm to the health of patients. The conditions of civil liability, as well as the degree of responsibility of a medical organization in the provision of medical services, are analyzed. The authors are of the opinion that medical care should be organized in accordance with the procedures, conditions and standards for the provision of such care, however, the standards cannot cover all the options that may arise during the provision of medical care, therefore they are aimed at creating an average “sample”, to determine the approximate order of possible actions carried out by medical personnel. Attention is also paid to the consideration of the features of causing harm to the patient’s health, depending on whether the harm was caused in the provision of medical care or medical services. In conclusion, it was concluded that the conditions for bringing medical organizations to justice should include: unlawful action (inaction), harm, a causal relationship between unlawful action and harm, as well as the fault of the injurer.

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Importance of Perinatal Primary Care and Team Medical Care

Journal of UOEH ◽

10.7888/juoeh.4.533 ◽

1982 ◽

Vol 4 (4) ◽

pp. 533-541

Author(s):

Hideaki KAWANO

Keyword(s):

Primary Care ◽

Medical Care ◽

Team Medical Care

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Incidence of COVID-19 in outpatient healthcare workers

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2021-61-8-540-545 ◽

2021 ◽

Vol 61 (8) ◽

pp. 540-545

Author(s):

Sergey A. Suslin ◽

Maiia L. Sirotko ◽

Marina N. Bochkareva ◽

Sergey A. Babanov

Keyword(s):

Medical Care ◽

Health Workers ◽

Medical Personnel ◽

Expert Assessment ◽

Outpatient Basis ◽

Medical Organization ◽

Occupational Infection ◽

Increased Risk ◽

Need Support ◽

Coronavirus Infection

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

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Organization of primary health care and specialized medical care for patients with prostate cancer in the Nizhny Novgorod Region

Spravočnik vrača obŝej praktiki (Journal of Family Medicine) ◽

10.33920/med-10-2103-02 ◽

2021 ◽

pp. 20-31

Author(s):

Egor Aleksandrovich Perevezentsev ◽

Maya Andreevna Kuzmina ◽

Dariya Dmitrievna Vasina ◽

Denis Igorevich Volodin

Keyword(s):

Prostate Cancer ◽

Health Care ◽

Primary Health Care ◽

Medical Care ◽

Medical Personnel ◽

Malignant Neoplasms ◽

Medical Organization ◽

Primary Health ◽

High Level ◽

Nizhny Novgorod Region

At present, the quality and availability of medical care are the aspects to which close attention is paid in the system of organizing medical care. One of the ways to achieve a high level of quality and accessibility of medical care is building up human resources, i.e. the presence of highly qualified general practitioners, sub-specialties and middle medical personnel in sufficient numbers in a medical organization. Currently, the oncological service of Russia has been assigned tasks to fulfill the instructions from the State Program for the Development of Health Care. The results of the work should lead to a decrease in mortality and an increase in the quality of life of the population. To address the issue of reducing mortality from malignant neoplasms, in particular from prostate cancer, a three-level system of oncological care has been created on the territory of the Nizhny Novgorod Region, including 1 regional center, 2 interdistrict cancer centers, 88 primary oncology rooms and 96 examination rooms. The tasks set to reduce morbidity and mortality from oncological diseases can be realized only with close interaction of the oncological service with the primary health care sector, in which the prevention should be the priority direction of work.

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Crisis of Russian healthcare: ‘excess perpetration’ or pre-programmed outcome?

Economic Revival of Russia ◽

10.37930/1990-9780-2021-1-67-63-71 ◽

2021 ◽

pp. 63-71

Author(s):

O.A. Aleksandrova ◽

Keyword(s):

Health Care ◽

Medical Care ◽

Health Care Reform ◽

Health Care System ◽

Medical Personnel ◽

Medical Community ◽

Russian Society ◽

Sharp Reduction ◽

Sociological Studies ◽

Quality Medical Care

The COVID-19 pandemic further exacerbated the issue of the situation in the health care тsystem and the directions for its further reform. An analysis of the transformation of the health care system based on the study of regulatory and other documents, as well as data from sociological studies witnesses that such results of reform as a sharp reduction in the availability of quality medical care, a shortage of medical personnel, etc. are not a consequence of the “excess of the implementer”, but are programmed by the course of health care reform, which was a purposeful and consistent process, the customer of which was international financial organizations and transnational capital. The article examines the problems caused by the significant underfunding of health care, as well as the numerous institutional contradictions generated by the reform. It is concluded that the reforms that led to such results became possible due to, first, the reformers ignoring the opinion of the medical community and, secondly, the lack of the necessary level of solidarity in Russian society.

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“We will make you feel safe”: Female medical staff's experiences of meeting with raped women in Sweden

Feminism & Psychology ◽

10.1177/09593535211049916 ◽

2021 ◽

pp. 095935352110499

Author(s):

Lisa Rudolfsson ◽

Elisabeth Punzi

Keyword(s):

Focus Groups ◽

Medical Care ◽

Violence Against Women ◽

Thematic Analysis ◽

Medical Personnel ◽

Well Being ◽

Structural Barriers ◽

Need For Support ◽

Health And Well Being ◽

Inductive Thematic Analysis

The focus of this study was on female emergency medical personnel's experiences of treating women who have been raped and on their own experiences of being women themselves working in this situation. We interviewed 12 female medical personnel in four focus groups of two to five participants each. The material was analysed using inductive thematic analysis. Participants’ experiences were structured under two main themes: Prerequisites for care and Effects on oneself. As women, the participants emphasized their understanding of other women and stressed the importance of offering flexible care and taking time with each patient. They described how their work affected them personally, making them increasingly aware of men's violence against women and their need for support from their colleagues. They also discussed structural barriers to both patient care and self-care. If unaddressed, such shortcomings risk negatively affecting raped women seeking medical care and may also be detrimental to the health and well-being of the professional offering care.

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