Critical Care Medicine (CCM) in Czechoslovakia (CSSR): Present State and Its Development

1985 ◽  
Vol 1 (S1) ◽  
pp. 135-136
Author(s):  
Jiri Pokorny

Due to the development of modern resuscitation during anesthesia and surgical operations, methods of intensive therapy have been introduced in clinical medicine. Efforts, through cardiopulmonary resuscitation (CPR), to give any patient in need the chance to survive resulted in systems of emergency medical services (EMS). A short account of the present state of CCM in the CSSR is given here. The principle of “differentiated patient care” is outlined, with accepted definitions of resuscitative and intensive care. The terminology of different steps in CCM is offered for discussion.In Czechoslovakia, the Constitution of 1960 proclaims the right to health care for every citizen. Medical care is provided to all citizens free of charge by the State. The State took over the responsibility for planning, organizing and providing medical care on the highest attainable contemporary level. In the last ten years, special programs have been launched in order to cover most actual health areas such as neonatal and maternal health care, cardiovascular disease programs, oncology, geriatric care, and, last but not least, the care of patients with acute organ systems' failure.

2014 ◽  
Vol 21 (2) ◽  
pp. 89-91 ◽  
Author(s):  
Peter G Brindley ◽  
Katherine E Smith ◽  
Pierre Cardinal ◽  
Francois LeBlanc

It has been reported that suboptimal communication represents the largest source of preventable error during acute medical care. Because a significant proportion of ongoing care relies heavily on verbal communication, it is incumbent on clinicians to develop, hone and maintain these skills in the interests of their patients and, at the same time, contribute to a more reliable and patient-focused health care system. This review briefly discusses why communication matters, practical strategies from both inside and outside clinical medicine, the implications of poor translation and the state of medical communication in Canada.


1983 ◽  
Vol 33 (132) ◽  
pp. 279 ◽  
Author(s):  
Gary E. Jones

2020 ◽  
Vol 5 (5) ◽  
pp. 28
Author(s):  
Dmytro Bilinskyi ◽  
Mushfik Damirchyiev

The purpose of the paper is to analyze the current legislation on medical reform in the context of harmonization with international standards. In the conditions of social state building in Ukraine, the thesis is axiomatic regarding that the state should show concern for their citizens, including for the protection of their health. In this context, it is relevant to study the implementation of medical reform in Ukraine, since its content and the degree to which the proclaimed provisions are enforced depend on the ability of each person to access quality health care. Methodology. The article is based on international legal acts, laws and by-laws of Ukraine in the field of legal regulation of medical care. Both general scientific and special methodology were used for the research. Methods of analysis and synthesis, method of description, method of induction, method of deduction, method of correlation, etc. were applied. Results. The article defines the directions for harmonization of the legislation of Ukraine on health protection in accordance with international standards. Based on the ECHR practice, proposals have been formulated to improve the legislation of Ukraine. Conclusions. The ECHR has repeatedly concluded that the right to health is complex and includes: the right to information about one's health and the confidentiality of such information; the right to health care; the right to choose the doctor and the remedies freely; the right to a safe environment that affects health and so on. The state does not cover all aspects of providing medical care to citizens, but resorts to limited funding, since the state budget funds are only one of the types of sources of financing. Practical implications. We have formulated the following tasks: to analyze Ukraine's international legal obligations regarding health care; to identify major changes in health care financing and health care delivery in line with health care reform standards in Ukraine; to identify major health care funding issues.


1994 ◽  
Vol 4 (3) ◽  
pp. 235-237
Author(s):  
Fause Attie ◽  
Manuel Cardenas

The Constitution of the United States of Mexico, in its Article Number 4, provides for the right to health care. The government's National Health Program was created to comply with this mandate. This program comprises a National Health Care System. This system has three branches. The first one is Social Security, which encompasses 50% of the population of Mexico—namely 45 million affiliates. Out of this popu lation, 10 million are under the “Instituto Mexicano del Seguro Social-Solidaridad.”This program is financed by federal resources, is self-managed by the “Instituto Mexicano del Seguro Social” and provides health care to the general population (basically farmers). The rest of the population that receives benefits from the Social Security System includes employees, blue-collar workers (affiliated with the “Instituto Mexicano del Seguro Social“), federal and state-government workers (who receive benefit from “Instituto de Seguridad Social de los Trabajadores al Servicio del Estado”) and the military personnel (who are affiliated with the “Instituto de Seguridad Social de las Fuerzas Armadas”). These institutes are jointly financed by employers, the state, and the workers.The payment percentage is established depending on the worker's income. For state workers and armed forces it represents 2% of the income of the employee and another 2% is paid by the state; those depending on die Instituto Mexicano del Seguro Social pay 3.5% of their salary and 8.4% is paid by die employer.


Author(s):  
Dmitro D. Dyachuk ◽  
Oleg L. Zyukov ◽  
Olena O. Oshyvalova ◽  
Lidiia M. Vovk ◽  
Oleksandr V. Naumenko ◽  
...  

Resume. Standardization occupies a leading position in the system of tools of quality management in health care. The urgency of counteracting the spread of coronavirus disease (COVID-19) poses a task for health professionals to develop a standard of medical care. The aim of the study. Development and implementation of a clinical route for a patient with acute respiratory syndrome, identified case of coronavirus disease (COVID-19) for health care facilities. Material and methods. The State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine" of the State Administration has formed a clinical route of the patient in accordance with current legislation of Ukraine and modern scientific literary sources on relevant issues of coronavirus disease (COVID-19)prevention. Results. The patient's clinical route is presented on 127 pages, which includes the organization of provision of medical care, a description of outpatient activities, emergency care, hospital care, 29 appendices, 10 flowcharts, 11 instructions and registers. Conclusions.The clinical route of a patient with acute respiratory syndrome, identified case of coronavirus disease (COVID-19) is a new clinical and organizational document that is clinical managementtoolthat manages updates in accordance with current scientific developments and underpins an integrated approach to healthcare.


2021 ◽  
Vol 74 (11) ◽  
pp. 2916-2921
Author(s):  
Oleksandra G. Yanovska ◽  
Alyona V. Chugaevska ◽  
Mykhailo S. Ivanov

The aim: To analyze the features of the realization mechanism of the persons’ rights who have become ill with a mental illness and are in the detention of adequate (equivalent) medical care. Materials and methods: A set of general and special methods of scientific knowledge were used. The study’s empirical basis consists of international acts and standards in the field of health care, statistics of the United Kingdom, France, the United States, some countries in Eastern Europe and Central Asia, reports of international organizations, the case-law of the European Court of Human Rights. The study also used the personal experience of one of the co-authors as a lawyer for more than 20 years and 4 years as a judge of the Supreme Court. Results: The conducted research gives grounds to state that for the last few decades the problem of receiving psychiatric care in conditions of imprisonment remains relevant. This situation is partly due to the fact that the certain standards’ content is subject to clarification, as it is contained in optional international instruments or is given some understanding solely through the practice of the ECHR. Given the implementation of the prisoners’ right of access to psychiatric care is entrusted primarily to penitentiary institution’s administration, attention should be paid to methodological, material, and staffing of their work while introducing maximum openness of psychiatric care’s algorithms to prisoners and facilitating access to legal aid for the mentally ill. Conclusions: Creating external attributes of mechanisms to ensure the convicts’ right to psychiatric care, the relevant national mechanisms do not take into account the specifics of the detained persons’ legal status. Such a superficial imitation of the system of guarantees of the prisoners’ rights to medical care is a kind of cargo cultism of public institutions, which is designed to provide non-discriminatory conditions for the realization of the right to health care for all categories of the population.


2021 ◽  
Vol 5 (S4) ◽  
Author(s):  
Olena Artemenko ◽  
Lubov Krupnova ◽  
Lіudmyla Kurylo ◽  
Svitlana Kovalova ◽  
Liliia Kniazka

The article analyzes the state guarantee of the right of citizens to quality medical care in terms of vaccination from COVID-19. It is determined that in today's conditions it is extremely important to ensure the proper functioning of health care, the provision of quality medical services which in turn will guarantee proper medical care. The state must provide the citizens of Ukraine not only with the vaccine, but also with reliable information about the need for vaccination. It turns out that the small number of vaccinated in Ukraine is not only due to the slow pace of procurement and vaccination, but also the lack of awareness of citizens about all the benefits of the need for vaccination. It is concluded that the positive in today's conditions are: the efforts of the legislator still not to influence the subjective choice of every resident of Ukraine on the need for vaccination; regulatory support of the Center for Public Health, which in turn will strengthen the network of regional Centers for Disease Control and Prevention (CCP); creation of a Roadmap for the introduction of a vaccine against acute respiratory disease COVID-19 caused by the coronavirus SARS-CoV-2.


2021 ◽  
Vol 7 (Extra-A) ◽  
pp. 502-508
Author(s):  
Vitaly V. Goncharov ◽  
Hussein Vakhaevich Idrisov ◽  
Sukhinina Sukhinina

This study analyses the impact of legal regulation that ensures the realization of the right to health care and medical care on the state of the health system. This study examines the concept and content of the right to health care and paid and free medical care, reveals the concepts of categories of quality and accessibility of medical services, and draws attention to their various aspects. The analysis of the current state of the health system is carried out. Some features of the provision of medical services to citizens are characterized, and the problems of violation of the right of citizens to medical care, the availability and quality of medical care are analysed. The study examines the varieties of health care management models existing in the world practice and reveals their advantages and disadvantages. The conclusion is made about the possibility of using individual elements of the studied models in Russian health care management.


2019 ◽  
Vol 72 (5) ◽  
pp. 1131-1135
Author(s):  
Larysa I. Arkusha ◽  
Iryna V. Hloviuk ◽  
Serhii V. Zavalniuk

Introduction: The provision of medical products of adequate quality should be considered as constituent element of the human right to life, inextricably linked with the right to health care protection and medical care. However, the Ukrainian market of counterfeit medical products affects the guaranteeing of the right to health care protection and medical care in Ukraine. The current situation necessitates a study of the legal regulation of counterfeiting of medical products in Ukraine and an increase in its effectiveness. The aim of the research is the formation of scientifically based approaches to improve the activities on counterfeiting of medical products in Ukraine in the aspect of normative regulation. Materials and methods: The empirical base of the research is the national legislation of Ukraine, data from the General Prosecutor’s Office of Ukraine and the Unified State Register of Court Decisions. The methodological basis is a set of general and special research methods of scientific cognition, namely: the logical and normative method; statistical method, as well as methods of comparative analysis and logical methods of research. Review: In the course of the research, the authors have analyzed international acts, national legislation of Ukraine determining the directions and specific features of the activities of state agencies in counterfeiting of medical products in Ukraine, the data of the General Prosecutor’s Office of Ukraine and the Unified State Register of Court Decisions. On the basis of the performed analysis, the authors have suggested measures aimed at increasing the effectiveness of counterfeiting of medical products. Conclusions: The imperfection of the existing system of counterfeiting of medical products in Ukraine has been proven. The authors have offered organizational measures to increase the effectiveness of counterfeiting of medical products, as well as to amend the current criminal, criminal and procedural legislation, taking into account the MEDICRIME Convention ratified in Ukraine.


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