scholarly journals Improving the Regulatory Framework in the Field of Preventive Medicine as a Factor of Public Health Safety

Author(s):  
Vladimir Burlakov ◽  
Vladislav Shchepelkov ◽  
Nelli Diveeva

In 2020, within the framework of the RFBR grant «Legal and Criminological Problems of Preventive Medicine», the first stage of the study on criminological risks in the field of preventive medicine (hereinafter referred to as PM) was conducted and its results were published. It was found that corruption risks are the main threat to criminological security in the field of PM. This article presents the results of a new study, which is a continuation of the work under the designated RFBR grant. The anti-corruption expertise of a number of legal acts regulating relations in the field of PM showed that they create significant prerequisites for corruption during preventive medical examinations, and as a result, a decrease in the safety of public health. The analysis of the results of the discussion of draft departmental regulations on the official government website, as well as the results of a survey of medical professionals, lead to the same conclusion. An analysis of the totality of the results obtained in the course of the study suggests that the current model of organizing preventive medical examinations is largely the result of lobbying on the part of medical organizations that receive income from PM, including corruption lobbying. The authors come to the conclusion that the organization of preventive medical examinations should be put under effective public control, and adjustments should be made to the anti-corruption expertise of draft normative legal acts on preventive medical examinations: medical specialists should be involved in such expertise and preliminary sociological studies should be conducted to establish the acceptability of the projected legal regulation for the participants in the relations.

1966 ◽  
Vol 44 (2) ◽  
pp. 181 ◽  
Author(s):  
Norman Miller ◽  
Robert E. Coker ◽  
Frances S. McConnell ◽  
Bernard G. Greenberg ◽  
Kurt W. Back

2017 ◽  
Vol 29 (2_suppl) ◽  
pp. 74S-89S ◽  
Author(s):  
Michio Murakami ◽  
Akiko Sato ◽  
Shiro Matsui ◽  
Aya Goto ◽  
Atsushi Kumagai ◽  
...  

The Fukushima nuclear accident in March 2011 posed major threats to public health. In response, medical professionals have tried to communicate the risks to residents. To investigate forms of risk communication and to share lessons learned, we reviewed medical professionals’ activities in Fukushima Prefecture from the prefectural level to the individual level: public communication through Fukushima Health Management Surveys, a Yorozu (“general”) health consultation project, communications of radiological conditions and health promotion in Iitate and Kawauchi villages, dialogues based on whole-body counter, and science communications through online media. The activities generally started with radiation risks, mainly through group-based discussions, but gradually shifted to face-to-face communications to address comprehensive health risks to individuals and well-being. The activities were intended to support residents’ decisions and to promote public health in a participatory manner. This article highlights the need for a systematic evaluation of ongoing risk communication practices, and a wider application of successful approaches for Fukushima recovery and for better preparedness for future disasters.


Author(s):  
Ligia Maria Vieira-da-Silva

Throughout history, knowledge and practices on the health of populations have had different names: medical police, public health, social medicine, community health, and preventive medicine. To what extent is the Brazilian collective health, established in the 1970s, identified with and differentiated from these diverse movements that preceded it? The analysis of the socio-genesis of a social field allows us to identify the historical conditions that made possible both theoretical formulations and the achievement of technical and social practices. Collective health, a product of transformations within the medical field, constituted a rupture in relation to preventive medicine and public health and hygiene, being part of a social medicine movement in Latin America that, in turn, had identification with European social medicine in the 19th century. Focused on the development of a social theory of health that would support the process of sanitary reform, collective health has been built as a space involving several fields: scientific, bureaucratic, and political. Thus, it brought together health professionals and social scientists from universities, health care services, and social movements. Its scientific subfield has developed, and the sanitary reform project has had several successes related to the organization of a unified health system, which has ensured universal coverage for the population in Brazil. It has incorporated into and dialogued with several reformist movements in international public health, such as health promotion and the pursuit of health equity. Its small relative autonomy stems from subordination to other dominant fields and its dependence on the state and governments. However, its consolidation corresponded to the strengthening of a pole focused on the collective and universal interest, where health is not understood as a commodity, but as a right of citizenship.


2021 ◽  
Vol 90 (1) ◽  
pp. 62-73
Author(s):  
V.P. Pechyborsch ◽  
V.M. Yakimets ◽  
P.B. Volyansky ◽  
V.M. Mikhailov ◽  
O.S. Tverdokhlib ◽  
...  

Modern sources of danger make new demands on the system of advanced training of managerial staff of government agencies and medical professionals whose activities are related to the organization and implementation of measures for civil protection. Improving their skills is aimed at forming readiness to perform complex tasks in a single state system of civil and its component – medical protection and involves the development of new general theoretical and special-technological and medical knowledge, expanding the range of skills and practical skills. The paper, based on logical analysis, reveals the features of professional development of government officials and medical professionals on civil protection in modern conditions, substantiated proposals to improve the process of their training. As a result of the study, the state of affairs was studied and it was argued that the optimization of improvement and professional development of government and medical specialists of the system of emergency care and disaster medicine on civil and medical protection as a functional subsystem in a single state civil protection system provides an organic combination different forms, methods and content of education, depending on the capabilities of the educational institution and the needs of the person. The above is not possible without the introduction of a rational construction of universal design during the educational process in a higher education institution, a civil defense institution. The urgency of these issues is confirmed by the course of our country for integration into the European Union, and this requires, in modern conditions, systematic improvement of the educational process and optimization of the level of professional development of these categories of personnel using the experience of developed countries. that meet world standards and requirements of today. Keywords: advanced training, managerial staff of government bodies, medical specialists, civil protection, emergency situation.


2012 ◽  
Vol 102 (S3) ◽  
pp. S357-S367 ◽  
Author(s):  
Eden V. Wells ◽  
Amy N. Sarigiannis ◽  
Matthew L. Boulton

2021 ◽  
Author(s):  
Calvin Chan ◽  
Viknesh Sounderajah ◽  
Elisabeth Daniels ◽  
Amish Acharya ◽  
Jonathan Clarke ◽  
...  

BACKGROUND Recent emergency authorisation and rollout of COVID-19 vaccines by regulatory bodies has generated global attention. As the most popular video-sharing platform globally, YouTube is a potent medium for dissemination of key public health information. Understanding the nature of available content regarding COVID-19 vaccination on this widely used platform is of substantial public health interest. OBJECTIVE To evaluate the reliability and quality of information of YouTube videos regarding COVID-19 vaccination. METHODS For this cross-sectional study, the phrases ‘coronavirus vaccine’ and ‘COVID-19 vaccine’ were searched on the UK version of YouTube on December 10, 2020. The 200 most-viewed videos of each search were extracted and screened for relevance and English language. Video content and characteristics were extracted and independently rated against Health on the Net Foundation Code of Conduct (HONCode) and DISCERN quality criteria for consumer health information by two authors. RESULTS Forty-eight videos, with a combined total view count of 30,100,561, were included in the analysis. Topics addressed comprised: vaccine science (58%), vaccine trials (58%), side effects (48%), efficacy (35%) and manufacturing (17%). Twenty-one percent of videos encouraged continued public health measures. Only 4.2% of videos made non-factual claims. Ninety-eight percent of video content was scored to have low (60%) or medium (38%) adherence to HONCode principles. Educational channels produced by both medical and non-medical professionals achieved significantly higher DISCERN scores than other categories. The highest DISCERN scores were achieved by educational videos produced by medical professionals (64.3 (58.5-66.3)) and the lowest scores by independent users (18 (18-20)). CONCLUSIONS Overall quality and reliability of information on YouTube regarding COVID-19 vaccines remains poor. Videos produced by educational channels, especially by medical professionals, were higher in quality and reliability than those produced by other sources, including health-related organisations. Collaboration between health-related organisations and established medical and educational YouTube content producers provide an opportunity for dissemination of high-quality information regarding COVID-19 vaccination. Such collaboration holds potential as a rapidly implementable public health intervention aiming to engage a wide audience and increase public awareness and knowledge.


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