scholarly journals Landmine amputees referred to the royal medical services - Jordan

2001 ◽  
Vol 25 (2) ◽  
pp. 108-112 ◽  
Author(s):  
A. F. Al-Worikat

Objective: To assess the epidemiology of landmine amputees at the Royal Medical Services (RMS) in Jordan.Methods: This is a retrospective study of patients with amputation due to landmine explosions seen in the prosthetics-orthotics clinic at the RMS in Jordan between January 1988 and January 2000. The records of all patients injured through landmine explosions were available for study.Results: During the 12-year study period, 226 patients with 241 amputations were seen in the clinic. Of these 212 (94%) were male, and 14 (6%) were female. Military personnel comprised 68.6% of the total. The majority of amputations involved the lower limbs, and the most frequent level was trans-tibial. Most of the patients were injured in the 1970s and 1990s. The majority of the patients were young, and 10% of the patients were children.Conclusion: The occurrence of amputations from landmine injuries in Jordan is considerable, and places a significant burden on the health care system.

Author(s):  
Elena AKSENOVA ◽  
◽  
Alexandr ZUDIN ◽  
Anastasiya METELSKAYA ◽  
◽  
...  

The article discusses some theoretical aspects of using the concept of "lean manufacturing" in the implementation of the practice of management of the health care system and medical services. The main problems of functioning of polyclinic institutions and tasks solved by implementing the "lean polyclinic" system are highlighted.


Author(s):  
Constantin Etco ◽  

One of the priorities of the health care system in Moldova is the medical services’ quality improvement. Th is article presents various defi nitions for health care quality and the principles connected with quality improvement. An important part in this article is allocated to the structure and main principles of total quality management in the health care system. Th is part reveals the problems of the commissions that are studying the quality of medical services in healthcare establishments.


2021 ◽  
pp. 5-8
Author(s):  
Oleksandr RADCHENKO

The study identified key factors in the effective management of the health care system. Emphasis was placed on defining mechanisms and tools for public administration of the national health care system, which determine profound systemic changes in the reform of the industry and developed an improved methodology for assessing the results of effective development of public administration mechanisms through the transformation of procedures and rules governing the interaction of agents. market of medical services of Ukraine. These provisions, in fact, necessitate an analysis of the development of public administration mechanisms in the field of health care in Ukraine as a subject of study, and their interaction in the process of systemic changes in the industry to establish links between major categories. Based on the analysis of the results of the study, the current state of the health care system of Ukraine as a prerequisite for the modernization of the medical sector and increase its competitiveness. State regulation of the health care system should be divided into specific types of regulatory actions that would determine the subject, content, structure of the object of regulation and other parameters. The system of public administration is a set of rules, laws and procedures governing the interaction of participants at the national level. The determinants of the development of mechanisms of state management of the medical sector of Ukraine (socio-political, economic, demographic, socio-cultural) are determined and substantiated. The main reasons that hinder the development of the market of medical services in Ukraine are identified and the main directions and tools for overcoming these obstacles are outlined. The concept of systemic transformation of public administration mechanisms in the field of health care is substantiated, which defines the basic principles, among which are decentralization, democratization, self-regulation, autonomy, intensification, optimization of functions, which provides for diversification of ownership, sectoral governance reform, improving regional governance, financial reform, etc.


1993 ◽  
Vol 102 (10) ◽  
pp. 781-784 ◽  
Author(s):  
James W. Forsen ◽  
Harlan R. Muntz

Although the health care system has done much to reduce the incidence of ingestion of such alkalis as drain and oven cleaners, in recent years we have seen an overwhelming increase in the incidence of hair relaxer ingestion. In a 5-year review (1987 to 1992) of 48 cases of caustic ingestion, 15 cases involved alkaline hair-relaxing agents. This retrospective study was undertaken to evaluate the agents ingested, the presenting signs and symptoms, the diagnostic procedures, and the outcomes in those 15 cases. Oral cavity and lip burns were common in these children, but none of the 15 had significant esophageal burns. Education of the medical and lay community about the risk of hair relaxer ingestion should be undertaken to reverse this worrisome trend.


Author(s):  
Александра Сергеевна Дятлова ◽  
Лидия Петровна Богданова

В статье рассматриваются пространственные аспекты организации специализированной медицинской помощи населению Тверской области. Дана сравнительная оценка системы здравоохранения Тверской области, показана динамика обеспеченности населения медицинскими услугами. Рассмотрена обеспеченность населения муниципальных образований специализированными услугами в районах проживания. Дано сравнение числа и интенсивности обращений населения МО за специализированной медпомощью в областную больницу. The article discusses the spatial aspects of the organization of specialized medical care for the population of the Tver region. A comparative assessment of the health care system of the Tver region is given, the dynamics of the provision of the population with medical services is shown. The provision of the population of municipalities with specialized services in the areas of residence is considered. Comparison of the number and intensity of calls of the population of municipalities for specialized medical care to the regional hospital is given.


2020 ◽  
pp. 19-30
Author(s):  
Alina Zhukovska

Purpose. The aim of the article is to substantiate the innovative technologies of inclusive medicine, in particular the analysis of the state of development of telemedicine in Ukraine and the substantiation of the prospects of its development. Methodology of research. The theoretical and methodological basis of the study are the fundamental provisions of modern economic theory, scientific works of leading foreign and domestic scientists, international and domestic normative and legal regulations on health care. General and special research methods are used to achieve this goal, in particular: the method of system analysis – for the study of telemedicine as a system; method of structural analysis – to study the model of telemedicine; method of comparison – to compare different definitions of “telemedicine”. Findings. The necessity of using an inclusive approach in medicine is substantiated. The author's definition of the concept of “inclusive medicine” is offered. The forecast of development of the world market of e-medicine is analysed and it is defined that the perspective direction of development of e-medicine is telemedicine. The definitions of “telemedicine” are analysed and grouped into: definitions that treat telemedicine as a field of medicine, and definitions that treat telemedicine as a way of providing medical services, and on this basis, the author's definition of “telemedicine” is proposed. The state of development of telemedicine in Ukraine is studied and the prospects of its development are substantiated. The benefits of the development of telemedicine for patients, for health professionals, for health care facilities and the health care system in general are substantiated. Originality. For the first time, it is proposed to define the concept of “inclusive medicine” as a comprehensive process of ensuring equal timely access to quality medical services for all persons, regardless of their health, location, nationality, religion, etc. Practical value. Substantiated priorities for the further development of domestic telemedicine can be used in the development of strategic guidelines for the development of the health care system. Key words: inclusion, healthcare, e-medicine, telemedicine, inclusive medicine, innovative technologies.


2020 ◽  
pp. 45-50
Author(s):  
V.V. Mirgorod-Karpova ◽  
B.O. Pavlenko ◽  
V.V. Smal

The article is devoted to the issue of legal regulation of medical services in Ukraine. The main focus is on family medicine and regulation of the relationship between the family doctor and the patient with whom the declaration was signed, as well as the topic of reforming the health care system of Ukraine, which began in 2015. After all, it was the reform of the health care system that opened such a state institution for Ukraine as family medicine. The relevance of this research topic is that the quality of medical services is one of the main indicators of the effective functioning of the health care system. It is the factor of proper provision of medical services that contributes to: population size, mortality, life expectancy and, in general, public health and population demographics. These important factors determine the development of the state and its socioeconomic situation. If we do not take into account the modern fundamental factor of quality, the medical system will not be able to function properly, and as a result will have problems and shortcomings that will prevent the country from moving forward, both in medicine and in other areas. After the implementation of the first stage of reform, the Ukrainian health care system has undergone significant changes. The main of which was family medicine and all its principles and innovations. The topic of family medicine in Ukraine is quite important, because the family doctor is almost the first to whom the patient turns, so attention should be focused on primary care in order for this institute of medicine to function well and efficiently. Today, Ukraine faces a problem such as the COVID-19 pandemic, which has led to certain gaps in health care, such as inefficient and poor quality of primary care services, lack of responsibility for quality on the part of both doctors and patients, and society. dissatisfied with the reform of the health care system in Ukraine, and the lack of legal force in declarations between family doctors and patients is also a problem today. These problems were not so obvious and noticeable before the COVID-19 epidemic, but it is this situation with the coronavirus that highlights all the above gaps.


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