The provision and full strength of general practitioners (family doctors) rendering outpatient primary health care to the population of the Russian Federation from 2007 to 2016

2019 ◽  
Vol 22 (1) ◽  
pp. 43
Author(s):  
V. V. Liutsko ◽  
M. A. Ivanova ◽  
I. M. Son ◽  
E. V. Zimina ◽  
V. I. Perkhov
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
Russian Federation ◽  
Family Doctors ◽  
Full Strength ◽  
Primary Health ◽  
The Russian Federation

scholarly journals Investigation and Analysis of Standardized Training for Residents of General Practitioners of Gansu Province in China

2020 ◽  
Author(s):  
Hui Cai ◽  
Hongjing Wang ◽  
Jin He ◽  
Dongzhi Zhang ◽  
Yue Wu ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
General Medicine ◽  
Gansu Province ◽  
Common Disease ◽  
Family Doctors ◽  
Primary Health ◽  
Health Care Institutions ◽  
Primary Health Care Institutions

Abstract Background: China’s standardized training for residents of General Practitioners (GPs) is aimed at providing the postgraduate training for family doctors who will serve the primary health care institutions. The aim of this paper is to investigate the standardized training situation, satisfaction with standardized training, work situation, intention, satisfaction and attitude of GPs who have finished standardized training. Methods: This study was undertaken in 6 training hospitals in Gansu province using a questionnaire with 45 questions. Results: Approximately 275 residents of GPs were enrolled. Finally, 263 residents completed the questionnaire (95.64% response rate), including 133 females (50.57%) and 130 males (49.43%) with an average age of 28 years (standard deviation, 1.93 years; range, 25-36 years). Additionally, 56.65% were single and 43.35% were married. Of all subjects, 92.40% residents had obtained certification of standardized training for residents of GPs and only 39.54% residents were satisfied with monthly income during training. There were 171 oriented rural medical graduates, of whom, only 42.69% expressed the willing to continue working in the primary health care institutions after the serve time (6 years) expired. Around 86.31% of residents of GPs who had finished standardized training got jobs with more than half serving in the primary health care institutions. For medical institutions and sanitary bureau were clear about general medicine policies, only 29.96% subjects registered as GPs. Among the residents in general practice department, 68.42% were engaged in the diagnosis and treatment of common disease and frequently-occurring diseases as well as referral of patients. The percentage of residents who were satisfied with the job and income were 30.40% and 14.98%, respectively. Conclusion: Standardized training for residents of GPs in China is gradually improving. In order to cultivate more GPs and increase their willing to serve in the primary health care institutions, it is necessary to formulate and execute better policy of GPs, publize general medicine and improve the training quality.

First Steps of a new model of clinical examination in the framework of the "Development of the primary health care system" of the national project "Health Care"

2019 ◽  
Vol 2019 (6) ◽  
pp. 50-54
Author(s):  
Татьяна Полинская ◽  
Tat'yana Polinskaya ◽  
Михаил Шишов ◽  
Mihail Shishov
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Clinical Examination ◽  
Russian Federation ◽  
Primary Health Care System ◽  
New Model ◽  
Rostov Region ◽  
Primary Health ◽  
The Russian Federation

The article deals with topical issues of the organization of a “new model” of clinical examination taking into account the requirements specified in the Message of the President of the Russian Federation to the Federal Assembly of 02/20/2019, using the example of the Rostov region.

Payment for medical care based on per capita standards: organization and accounting

2020 ◽  
pp. 7-15
Author(s):  
Elena Nikolaevna Dombrovskaya
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Russian Federation ◽  
Financial Support ◽  
Primary Health ◽  
Organizational Mechanism ◽  
Medical Institutions ◽  
The Russian Federation ◽  
Per Capita

The article is devoted to the features of the organization and accounting of payment for medical care provided by medical institutions. The article highlights the trends in reforming the system of payment for medical care, which include the use of per capita payment based on the principles of Fund maintenance. The review of the current regulatory framework in the field of financial support of medical care was conducted. Based on the analysis of models of per capita financing of primary health care in the subjects of the Russian Federation, their insufficient focus on achieving final results is noted. The article deals with the organizational mechanism and accounting mechanism of payment for medical care in health care institutions.

The Present Problems and Future Needs of Primary Health Care in Malaysia

1988 ◽  
Vol 18 (2) ◽  
pp. 281-291 ◽  
Author(s):  
Ho Tak Ming
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Private Sector ◽  
General Practitioners ◽  
Family Practice ◽  
Cultural Patterns ◽  
Family Doctors ◽  
Primary Health ◽  
Future Needs ◽  
The People

This article examines the numerous problems faced by primary health care in Malaysia, care that traditionally has been a private sector activity. While general practitioners have adapted, and are continually adapting, to the needs of a multiracial society with diverse cultural patterns, it is hoped that with the emergence of a dynamic discipline of family practice, family doctors will be able to provide a sophisticated form of primary health care that will serve the needs of the people.

scholarly journals Methods of Payment for Primary Health Care in Russia and Foreign Countries

2021 ◽  
Vol 8 (1) ◽  
pp. 37-47
Author(s):  
O. E. Kachkova ◽  
T. I. Krishtaleva
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Russian Federation ◽  
Fine Tuning ◽  
Primary Health Care System ◽  
Primary Health ◽  
Foreign Countries ◽  
The Russian Federation ◽  
Per Capita ◽  
International Aspects

Researchers in many countries are looking for effective ways to organize payment for primary health care and conclude that the method of per capita financing of clinics with fund-holding has both positive and negative aspects, which necessitates their obligatory consideration when deciding on the use of this payment method. The article, based on an analysis of the experience of foreign countries, shows that equal access to primary health care is ensured through the expansion of coverage of the population by services and regulation of the distribution of funds for health services. To improve the efficiency of the health system certain mechanisms of fine-tuning the existing methods of planning, organization and payment of health care, aimed at the end results of activities, are needed. Exploring the historical and international aspects of primary health care will result in more efficient implementation of the tasks of modernizing the primary health care level of the Russian Federation, approved by the Russian Government’s Resolution as of 09.10.2019 No. 1304, as well as of the activities within of the federal project “Development of the Primary Health Care System” being a part of the national health project “Health” developed in compliance with the Decree of the President of the Russian Federation of May 7, 2018 No. 204 “On the national goals and strategic objectives of the development of the Russian Federation until 2024”. The purpose of the study is to analyze the ways to pay for medical care in foreign countries and compare it with the Russian experience of per capita payment on the principles of fund-holding. Methods of bibliographic and information search of sources in databases.

scholarly journals Cluster Approach in the Implementation of the National Project “Health” in the Region

2021 ◽  
pp. 80-89
Author(s):  
Y. N. Lapygin ◽  
E. A. Kovalev
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Russian Federation ◽  
National Development ◽  
Cluster Policy ◽  
National Project ◽  
Regional Clusters ◽  
Primary Health ◽  
Development Goals ◽  
The Russian Federation

The practice of implementing the national project “Healthcare” at the regional level indicates a lag in the set rates, which causes the need to adjust the organizational structure of the healthcare system of the constituent entities of the Russian Federation. At the same time, the implementation of the recommendations of the Ministry of Health of the Russian Federation regarding the formation of a network of medical organizations of primary health care in combination with the recommendations of the Ministry of Health on the creation of centers for organizing primary health care in the regions creates the preconditions for building regional clusters in the field of healthcare in the constituent entities of the Russian Federation.The purpose of this study is to find ways to eliminate the lag of the regions of the Central Federal District of the Russian Federation in terms of achieving the goals set by the President of the country in the implementation of the national project “Healthcare”, focusing on the possibility of building a cluster policy in the process of developing a strategy for the development of modern Russian regions.The research methods are based on a systematic approach to the construction of regional clusters and the analysis of documents that make it possible to perform both statistical and content analysis, as well as methods that have found application in the development of strategically significant decisions, which include the classical analysis of external and internal environment factors, and the construction method. morphological matrices, and the Foresight method when focusing on the national development goals of the country by 2030, as well as design and programming methods typical for the strategic management of socio-economic systems.The results of the study are to develop an approach to resolve the accumulated problems that hinder the achievement of the set national development goals of the country until 2024 and until 2030, based on the formation of the cluster policy of the region in the health sector, implemented by the methods of strategic management of socio-economic systems, with the subsequent adjustment of the regional development strategy and the subsequent formation of the cluster policy of the region as a whole.The conclusions of the study are that the implementation of a sequence of procedures aimed at building a cluster focused on the implementation of the national project “Health” will allow the regions to preserve the population, as well as the health and well-being of people.

Exercise in Medicine in Russia

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Russian Federation ◽  
Research Centre ◽  
Care Providers ◽  
Primary Health ◽  
Primary Health Care Providers ◽  
The Russian Federation

Noncommunicable diseases, mainly cardiovascular diseases and cancers, and external causes account for more than 80% of mortality in Russia. The leading causes of death and disability are directly associated with behavioural risk factors, physical inactivity being one of them. Until a few years ago, a clear standard recommendation on physical activity (PA) counselling for general practitioners did not exist in Russia. In 2010, the guidelines on physical activity counselling for primary health care providers were developed. On the basis of these guidelines the national recommendations on PA were developed in 2011. They were included in the national recommendations on Cardiovascular Prevention of the Society of Cardiology of the Russian Federation. In 2012 the guidelines were adopted by the Ministry of Health of the Russian Federation and recommended to primary health care providers of all Russian regions. One of the reasons why primary health care providers are not involved enough in counselling their patient regarding a healthy lifestyle – PA as well as smoking, healthy nutrition or other habits – is that these consultations are not covered by health insurance companies. Other barriers are the absence of the topic of a healthy life-style in pre-graduate and post-graduate curricula of medical universities as well as limited counselling skills in physicians. In 2011 an educational training course for primary health providers based on the guidelines described above was established by the National Research Centre for Preventive Medicine. The further implementation of the PA recommendations depends on the one hand on their inclusion in the curricula of medical universities and on the other hand on the creation of ways for involving and motivating primary health care providers to counsel patients in this area.

The federal project «Development of the system of primary health care» as the main reserve for increase of accessibility and quality of health care for citizens of the Russian Federation

2019 ◽  
Vol 2019 (4) ◽  
pp. 13-19 ◽  
Author(s):  
Александ Корочкин ◽  
Aleksand Korochkin ◽  
Ирина Ходырева ◽  
Irina Hodyreva ◽  
Софья Таубкина ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Russian Federation ◽  
Quality Of Health Care ◽  
Project Development ◽  
Primary Health ◽  
The Russian Federation

The article presents the targeted indicators and main activities of the federal project «Development of the system of primary health care», as well as Roszdravnadzors areas of control over their achievement and realization.

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