scholarly journals The tendencies in institutionalization of palliative care of adult population in the present-day Russia

2016 ◽  
Vol 15 (1) ◽  
pp. 14-18
Author(s):  
I. L Krom ◽  
M. V Erugina ◽  
A. B Shmerkevitch
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Care ◽  
Chronic Diseases ◽  
Adult Population ◽  
Social Institution ◽  
Legal Documents ◽  
Well Development ◽  
Palliative Medical Care

The analysis of actual interpretations of palliative care from perspective of multi-professional and multi-disciplinary approach is presented. The main trajectories of chronic diseases determining modern strategies of palliative care are considered. The main tasks and directions of palliative care are indicated. According the authors, the normative legal support of provision of palliative medical care of population permits planning and developing of the mentioned type of care in Russia. To provide availability of palliative medical care scientific methodical substantiation is required and as well development of unified classification of conditions requiring indication and organization of palliative care. The standards of provision of palliative care are to be adjusted to the mentioned classification. The article mentions that the legal documents adopted in Russia determine palliative care as palliative medical care. The medicalization of palliative care in Russia is considered from perspective of dysfunctional practices of social institution of health care.

THE INTER-DISCIPLINARY CONCEPTUALIZATION OF PALLIATIVE CARE AS A SOCIAL SUB-INSTITUTION

2017 ◽  
Vol 16 (2) ◽  
pp. 68-71
Author(s):  
I. L Krom ◽  
M. V Erugina ◽  
E. A Andriyanova ◽  
A. B Shmerkevitch
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Care ◽  
Social Institution ◽  
Structural Functions ◽  
Social Structural ◽  
Palliative Medical Care

The health care is considered as a social institution since XX century. The main purpose of health care is in amelioration, rehabilitation and promotion of health. This social institution, according to its implementing functions, comprises four sub-institutions. The analysis of trends of institutionalization of the sub-institution «Palliative medical care» is presented in methodological plane of system of social structural functions (AGIL). From the perspective of dysfunctional practices of sub-institution of palliative medical care developing in Russia, a medicalization of palliative care is discussed.

Rendering Pediatric Palliative Medical Care on Outpatient Basis

2016 ◽  
Vol 7 (2) ◽  
pp. 154-157
Author(s):  
Alexander E Tkachenko ◽  
Irina V Kushnareva
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Comparative Analysis ◽  
Medical Care ◽  
Pediatric Palliative Care ◽  
Outpatient Basis ◽  
Current Health ◽  
Health Care Legislation ◽  
Palliative Medical Care

The article discusses the complexity of interpretation of the current health care legislation in relation to the provision of pediatric palliative care on outpatient basis. It also introduces a comparative analysis of the current legislation and represents amendment proposals.

scholarly journals ОСНОВНІ ХАРАКТЕРИСТИКИ СИСТЕМИ ВЗАЄМОДІЇ МЕДИЧНИХ ЗАКЛАДІВ В МЕЖАХ ОДНОГО ГОСПІТАЛЬНОГО ОКРУГУ

2020 ◽  
pp. 11-18
Author(s):  
Стовбан Микола Петрович ◽  
Стовбан Ірина Василівна
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Care ◽  
Strategic Decisions ◽  
Local Authorities ◽  
Prospective Development ◽  
Hospital District ◽  
Functional Association ◽  
Development Plans ◽  
Area Health

The article examines the concept of "hospital district". Broad participation of hospital districts requires the implementation of effective forms of partnership in planning and taking strategic decisions on their development. The hospital districts are created to organize a network of health care institutions in the region, in a way that will provide systematic interaction between members of the hospital district, as well as with providers of other types of care (primary, tertiary (highly specialized) medical care, palliative care and rehabilitation), pharmaceutical services. Boundaries and composition of each district are formed on the basis of criteria of the district, they are established by the Procedure for the creation of hospital districts. The hospital districts are created as "a functional Association of hospitals located in a particular area". Health establishments, which belong to the hospital district, remain in the ownership and subordination of local authorities who are members of the hospital district. To improve secondary healthcare, Hospital Council are created with the aim of coordinating actions, devising ideas the on organization and operation of medical care within a separate hospital district, preparation and confirmation of the prospective development plans of hospital districts for 5 years (taking into account the needs of modernization and resources).

scholarly journals Legal regulation of telemedicine in the health care system of the Russian Federation: state and prospects for improvement.

2019 ◽  
Vol 21 (3) ◽  
pp. 15-22
Author(s):  
N V Allamyarova ◽  
E G Sanakoeva
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Russian Federation ◽  
Legal Framework ◽  
Legal Regulation ◽  
Legal Documents ◽  
Current State ◽  
The Russian Federation ◽  
Care System

The legislation in the field of e-health, adopted in 2017, opens fundamentally new opportunities in the development of medical care using telemedicine technologies. The article provides an analysis of regulatory legal documents that establish the legal framework for the provision of medical care using telemedicine technologies. An assessment is made of the current state of telemedicine legal regulation in Russia. The law on telemedicine requires adjustment and refinement of existing regulations, procedures, standards of medical care with a detailed regulation of tools and situations of their application.

ORGANIZING THE TRANSITION OF SVERDLOVSK REGION CITIZENS TO MEDICAL SAVINGS ACCOUNTS

2020 ◽  
Vol 1 (12) ◽  
pp. 39-60
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Chronic Diseases ◽  
Financial Resources ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
Financing Health Care

The paper shows the principles of organizing the transition of Sverdlovsk region citizens to medical savings accounts (MSA). A scheme for financing health care in the Sverdlovsk region based on MSA has been developed. A simulation of the accumulation of financial resources on the MSA of all categories of citizens of the Sverdlovsk region was performed. It is proved that for all categories of Sverdlovsk region citizens, including citizens, have chronic diseases, the funds accumulated on their personal MSA, will be sufficient to cover the costs of medical care.

scholarly journals Ethical and Social Issues for Health Care Providers in the Intensive Care Unit during the Early Stages of the COVID-19 Pandemic in Japan: a Questionnaire Survey

2021 ◽  
Author(s):  
Yusuke Seino ◽  
Yayoi Aizawa ◽  
Atsushi Kogetsu ◽  
Kazuto Kato
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Palliative Care ◽  
Intensive Care ◽  
Medical Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
Social Issues ◽  
Free Text ◽  
Care Providers

AbstractThis questionnaire-based observational study was conducted in July 2020 with the aim of understanding the ethical and social issues faced by health care providers (HCPs) registered with the Japanese Society of Intensive Care Medicine in intensive care units (ICUs) during the coronavirus disease (COVID-19) pandemic. There were 200 questionnaire respondents, and we analyzed the responses of 189 members who had been involved in COVID-19 treatment in ICUs. The ethical and social issues that HCPs recognized during the pandemic were difficulties in the decision-making process with patients’ families, limitations of life-sustaining treatment, lack of palliative care, and inadequate mental support for patients’ families and HCPs. Regarding decision-making on issues of clinical ethics during the pandemic, more than half of the respondents thought they had failed to provide sufficient palliative care to patients and responded that they experienced moral distress. The free-text responses on moral distress revealed issues such as unusual treatment and care, restricted visits, challenging situations for HCPs, and psychological burden. Additionally, 38.1% of respondents experienced episodes of social prejudice or discrimination and 4.7% experienced a shortage of medical resources. Our study result shows that the moral distress of HCPs was caused by difficulties in patient-centered decision-making and insufficient medical care to patients and their families. These were caused mainly by a lack of communication due to the stronger implementation of infection control measures. We believe that it is important to address ethical and social issues during a pandemic in order to provide appropriate medical care and prevent burnout among HCPs.

scholarly journals Using Mobile Apps for Health Management: A New Health Care Mode in China (Preprint)

2018 ◽  
Author(s):  
Qing Lv ◽  
Yutong Jiang ◽  
Jun Qi ◽  
Yanli Zhang ◽  
Xi Zhang ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Chronic Diseases ◽  
Mobile Health ◽  
Mobile Apps ◽  
Mobile Internet ◽  
Care Practice ◽  
Care Providers ◽  
Medical Resources ◽  
Unequal Distribution

BACKGROUND China has a large population; however, medical resources are unevenly distributed and extremely limited, and more medical services are needed. With the development and ever-increasing popularity of mobile internet communication, China has created a mode of mobile health (mHealth) care to resolve this problem. OBJECTIVE The aim of this study was (1) to describe the problems associated with China’s medical care practice, (2) explore the need for and the feasibility of internet-based medical care in China, and (3) analyze the functionality of and services offered by internet-based health care platforms for the management of chronic diseases. METHODS Data search was performed by searching national websites, the popular search engine Baidu, the App Store, and websites of internet medical care institutions, using search terms like “mobile health,” “Internet health,” “mobile medical,” “Internet medical,” “digital medical,” “digital health,” and “online doctor.” A total of 6 mobile apps and websites with the biggest enrollment targeting doctors and end users with chronic diseases in China were selected. RESULTS We recognized the limitations of medical and health care providers and unequal distribution of medical resources in China. An mHealth care platform is a novel and efficient way for doctors and patients to follow up and manage chronic diseases. Services offered by these platforms include reservation and payment, medical consultation, medical education assessment, pharmaceutical and medical instruments sales, electronic medical records, and chronic disease management. China’s health policies are now strongly promoting the implementation of mHealth solutions, particularly in response to the increasing burden of chronic diseases and aging in the population. CONCLUSIONS China's internet-based medical and health care mode can benefit the populace by providing people with high-quality medical resources. This can help other countries and regions with high population density and unevenly distributed medical resources manage their health care concerns.

scholarly journals Updates on palliative care: what, for whom, and how?

2021 ◽  
Vol 29 (1) ◽  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Palliative Care ◽  
Cancer Survivors ◽  
Chronic Diseases ◽  
Current Literature ◽  
Curative Treatment

Palliative care is a new specialty that focuses on relieving pain and other symptoms in patients with serious chronic diseases regardless the diagnosis or the stage of the disease. Palliative care professionals aspire to improve the quality of life for the affected patients, their families and caregivers. This type of care is provided alongside with curative treatment and other interventions that the patient may receive. This study came as a review of the current literature published in scientific peer-reviewed journals and presented as a summary of these studies. This article aims to provide an update on the latest definitions and concept of palliative care, as well as to highlight the various aspects and dimensions of palliative care and the nature of patients who need palliative care. In summary, we can say that palliative care adds a new dimension to health care that is concerned with the quality of life of the patient and his family. Palliative care is not only restricted to cancer survivors but also cares for all patients with chronic diseases that have no cure but their agonizing symptoms can be managed or at least reduced.

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