scholarly journals Features of assessing the quality of medical care for patients with prostate cancer in the late stages of the oncological process

2020 ◽  
Vol 22 (1) ◽  
pp. 53-59
Author(s):  
K N Movchan ◽  
K E Chernov ◽  
B S Artyushin ◽  
A V Zharkov ◽  
V V Tatarkin ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Medical Care ◽  
Diagnostic Process ◽  
Treatment And Prevention ◽  
Modern Computer ◽  
Medical Institutions ◽  
Patient Health ◽  
Quality Of Medical Care ◽  
Health Managers

Despite the successes in the examination and treatment of patients with prostate cancer, the problems associated with the organization of medical care for patients suffering from this disease remain. Defects in the verification of oncological diseases of the prostate often cause a decrease in parameters reflecting the quality and life expectancy of men. The data on the clinical case presented in the work demonstrate the difficulties of verifying a disease of a patient with prostate cancer, despite the involvement of many specialists of several medical institutions in the diagnostic process. With significant amounts of medical measures, the quality of the medical care provided at all stages can be considered inappropriate, primarily due to a violation of continuity in the management of the patient. Health care resources were used irrationally despite the fact that attempts were made to save the patient’s life at all levels and stages of medical care. Probably, defects in the provision of medical care could have been prevented by applying unified approaches in the diagnostic and treatment process using the advantages of information technology in modern computer databases of medical institutions, which make it possible to monitor the stages and volume of medical care provided to patients individually. In addition, the proper organization of medical care, as well as the targeted routing of patient flows should be provided not so much by clinicians as health managers. In the absence of opportunities in the treatment and prevention facilities, where patients are sometimes unplanned in urgent cases, the possibilities for carrying out diagnostic and treatment procedures, the healthcare organizers, together with the clinicians, must find reserves for referring patients to specialized medical organizations, in which examination and treatment of patients can be guaranteed. At the same time, the role, importance and effectiveness of the activities of health managers in the examination of the quality of medical care in each case should be evaluated separately.

The significance of theme expertise of the quality of medical care in achieving successful results in treating patients with acute gastrointestinal bleeding

2020 ◽  
Vol 22 (3) ◽  
pp. 56-60
Author(s):  
O. N. Skryabin ◽  
K. N. Movchan ◽  
D. A. Tvorogov ◽  
V. V. Tatarkin ◽  
Yu. M. Morozov ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Medical Care ◽  
Diagnostic Process ◽  
Negative Consequences ◽  
Acute Gastrointestinal Bleeding ◽  
Abdominal Organs ◽  
Medical Institutions ◽  
Medical Diagnostic ◽  
Quality Of Medical Care

Abstract. This piece of work has evaluated the quality of medical care provided in 2015 to 1,158 patients with acute gastrointestinal bleeding in 11 medical institutions of Saint Petersburg that are licensed to provide in-patient examination and treatment for people with acute surgical diseases abdominal organs. The data on the possible correlative relationship of negative consequences for the implementation of the medical treatment and diagnostic process in cases of insufficient activity in terms of conducting clinical expert work on the profile of emergency abdominal surgery have been analysed in particular. It has been shown that providing medical care to patients with gastrointestinal bleeding is associated with defects in the medical diagnostic process in almost every second case. In the structure of inaccuracies, there prevailed cases of improper examination and treatment of patients (48 and 36%, respectively). Defects in making diagnosis and providing continuity comprise 13 and 3% respectively. The most significant drawback in providing medical care to patients with gastrointestinal bleeding was the use of low-effective anti-ulcer drug therapy schemes (16% of observation cases) and attempts to perform hemostasis by using outdated technologies of intraluminal endoscopy (16% of cases). It is noted that in cases of providing medical care to patients with acute gastrointestinal bleeding, a differentiated principle should be observed. It is proved that the proper quality of medical care for patients with acute gastrointestinal bleeding can be achieved by consistent, programmed provision of it with coordinated activities not only of surgeons directly involved in the treatment and diagnostic process, but also with their purposeful interaction with specialists of other medical fields.

Assessment of the Quality of Medical Care Among Patients with Early Stage Prostate Cancer Undergoing Expectant Management in the United States

2012 ◽  
Vol 188 (3) ◽  
pp. 769-774 ◽  
Author(s):  
Jamie Ritchey ◽  
E. Greer Gay ◽  
Benjamin A. Spencer ◽  
David C. Miller ◽  
Lauren P. Wallner ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
United States ◽  
Medical Care ◽  
Early Stage ◽  
Expectant Management ◽  
The United States ◽  
Quality Of Medical Care

scholarly journals ANALYSIS OF SELF-RATED HEALTH BY RESIDENTS OF THE UNTSUKUL DISTRICT, REPUBLIC OF DAGESTAN (ON RESULTS OF THE QUESTIONNAIRE SURVEY)

2018 ◽  
Vol 13 (3) ◽  
pp. 107-119
Author(s):  
Patimat A. Bekshokova ◽  
Gayirbeg M. Abdurakhmanov ◽  
Kerim S. Bekshokov ◽  
Patimat I. Gabibova ◽  
Kazbek K. Bekshokov ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Rural Settlements ◽  
Medical Activity ◽  
Self Rated Health ◽  
Medical Institutions ◽  
Public Health Institutions ◽  
Quality Of Medical Care ◽  
Health Institutions

Aim.To carry out a comparative analysis of self-rated health, medical activity, and satisfaction with the quality of medical care in public health institutions by residents of rural settlements of the Untsukul district, Republic of Dagestan.Methods.The study was conducted by the method of questioning 2643 respondents, among them 1453 women and 1181 men.Results.According to the results of the survey, the majority of the interviewed residents of Untsukul district (68.2%) are satisfied with their health. Medical activity of the population at the time of the study was 60.6%. As to respondents who applied to the medical institutions of the Untsukul district during this period, 13.5% are not satisfied with the quality of medical care in public health institutions, 23.5% are fully satisfied, 30% are not fully satisfied.Conclusion.A social survey in the form of a questionnaire is one of the most effective methods of obtaining information about the self-rated health of the population. Timely analysis of medical activity of the population, its satisfaction with the quality of medical care will improve the efficiency of the health system.

scholarly journals Evaluation of the Quality of Medical Care to the Population at the Level of Day Stations and Emergency Stations

2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Chronic Diseases ◽  
Emergency Care ◽  
Rural Population ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical Institutions ◽  
Quality Of Medical Care

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

scholarly journals Methological aspets of assessing the quality of medical care

2021 ◽  
Vol 1 (8) ◽  
pp. 44-52
Author(s):  
A. V. Kolokolov
Keyword(s):  
Medical Care ◽  
Negative Impact ◽  
Economic Conditions ◽  
Diagnostic Process ◽  
High Quality ◽  
Smart System ◽  
New Approach ◽  
Quality Of Medical Care ◽  
Methodological Aspects

One of the most urgent areas of Russian health care is the organization of medical care in the new socio-economic conditions, aimed at providing affordable high-quality and safe medical care to the population, therefore, a new approach to the formation of control over both the quality of medical care and its safety is of particular interest. At all stages of the treatment and diagnostic process, serious mistakes can be made that can have a negative impact on the life and health of patients.The article discusses the methodological aspects of assessing the quality of medical care at all stages of the treatment and diagnostic process. Requirements for the formation of an expert opinion, which is prepared based on the results of the examination of the quality of medical care, have been formulated. In order to effectively manage the quality of medical care, the author proposes the creation of a digital “smart” system for monitoring defects in medical care.

Sanitary and hygienic regime in medical institutions of general practice

2021 ◽  
pp. 14-23
Author(s):  
Vladimir Anatolievich Klimov
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Infection Control ◽  
Medical Care ◽  
Nosocomial Infections ◽  
System Organization ◽  
Modern Medicine ◽  
Medical Institutions ◽  
Quality Of Medical Care

The problem of infectious safety is extremely urgent in modern medicine. To date, it is not possible to determine the reliable prevalence of nosocomial infections, since this indicator is significantly underestimated according to available statistical reporting. The development and implementation of a sanitary and hygienic monitoring system, organization of the work of the infection control commission is an important element in improving the quality of medical care by a general practitioner.

Assessment of the quality of medical care for children in rural areas

1997 ◽  
Vol 78 (6) ◽  
pp. 464-465
Author(s):  
E. V. Karpukhin
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Social Economic ◽  
Geographical Factors ◽  
Medical Institutions ◽  
Quality Of Medical Care

The main feature of the system of medical care for the rural population created in our country is its phased nature, starting from feldsher-midwife stations to regional, territorial and republican institutions. Due to the peculiarities of rural population settlement, large distances to medical institutions, poor roads, lack of regular transport communication, low technical availability of communication facilities, as well as a number of social, economic and geographical factors, there are problems in the organization of medical care for this contingent.

The achievements of pulmonology and the main directions of further improvement of medical care in the Russian Federation

2021 ◽  
Vol 31 (6) ◽  
pp. 782-791
Author(s):  
Tatiana N. Bilichenko ◽  
Alexey A. Shutov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Primary Care Physicians ◽  
Scientific Research ◽  
Scientific School ◽  
Treatment And Prevention ◽  
Quality Of Medical Care ◽  
The Russian Federation ◽  
Research Institute

The development of pulmonology in Russia is linked with the creative activity of the Scientific Research Institute of Pulmonology of the Federal Medico-Biological Agency (Research Institute of Pulmonology of the FMBA) and its scientific school.The aim of the analytical review was to assess the role and contribution of the research team of the Research Institute of Pulmonology in improving the quality of medical care to the population of Russia.Methods. The data of medical statistics of the Ministry of Health of the Russian Federation on morbidity and mortality of the population due to respiratory diseases (RD) from 2004 - 2018 are analyzed. The publications on scientific research conducted with the participation of employees of the Research Institute of Pulmonology for the period from 2005 to 2020 were studied.Results. Over the past 30 years in Russia, with the participation of the staff of the Research Institute of Pulmonology, the state task of creating a system for organizing medical care for the population with RD has been successfully solved. The study and implementation of modern innovative approaches in the diagnosis, treatment and prevention of RD, the training of primary care physicians allowed to improve the quality of medical care to patients to the level of world standards. For the period from 2004 - 2018 the mortality of the population from RD 35.6% decrease was registered. During the pandemic of a new coronavirus infection, the use of pulmonology achievements in clinical practice contributed to a decrease in the frequency of deaths in people with COVID-19.Conclusion. Currently, the Research Institute of Pulmonology of the FMBA of Russia retains a leading position in the country in the field of fundamental scientific research, innovative methods of diagnosis and treatment of RD, educational activities and training of specialists in the field of pulmonology.

scholarly journals Medical and psychological support of women with stillbirth in the perinatal period: a national study

2020 ◽  
Vol 14 (4) ◽  
pp. 176-184
Author(s):  
Yulya S. Mysovskaya ◽  
D. V. Marshalov ◽  
E. M. Shifman ◽  
N. V. Shindyapina
Keyword(s):  
Medical Care ◽  
Perinatal Period ◽  
The United States ◽  
Negative Influence ◽  
National Study ◽  
Optimal Method ◽  
Medical Institutions ◽  
Positive Assessment ◽  
Quality Of Medical Care

In the Russian Federation, the stillbirth rate in 2018 was 5.51 per 1000 live and dead births, which is almost twice the figure in the United States and Europe. This study aimed to conduct a rating analysis separately for each factor that influences the selection of techniques for the management of labor and the postpartum period in women with stillbirth. Material and methods. A questionnaire was developed, which consisted 23 questions in Russian. A total of 402 Russian-speaking medical workers took part in the survey. Results. In this study, 49.7% of the respondents seldom encounter patients with stillbirth. Moreover, 59.5% of the respondents find it easy to create a supportive communication with these patients, 70% believed that contact between the mother and her stillborn child has a negative influence on her psychoemotional state both at the time of delivery and in the long term, and only 27.7% found that mothers wanted to spend time with the child. As the optimal method of analgesia, 57.2% of the respondents chose epidural analgesia for stillbirth delivery. Furthermore, 57.7% believed that patients with stillbirth were satisfied with the quality of medical care, and 74.1% gave a positive assessment of the quality of medical care provided to patients with stillbirth in their medical institutions. Moreover, medical professionals (89.3%) consider it necessary to develop clinical recommendations on this problem. Conclusions. The results indicate that a unified technique of managing the peripartum period with stillbirth is still not established. Clinical guidelines on this problem are necessary.

scholarly journals Assessment of the quality of medical care provided to patients in a psychiatric hospital

2020 ◽  
Vol 15 (4) ◽  
pp. 274-282
Author(s):  
Irina Shikina ◽  
◽  
David Davidov ◽  
Keyword(s):  
Quality Control ◽  
Medical Care ◽  
Psychiatric Hospital ◽  
Care Quality ◽  
Internal Quality ◽  
Diagnostic Process ◽  
Medical Diagnostic ◽  
Quality Coefficient ◽  
Quality Of Medical Care

Monitoring and evaluation of the quality of medical care provided to patients is essential in any medical specialty, but especially in relation to specialized care in mental health hospitals. The aim of our work is to assess the quality of specialized medical care provided to patients in the psychiatric hospital. We have examined 270 medical records and internal quality control cards of patients hospitalized from 2015 to 2019 in the Psychiatric Clinical Hospital No. 4 of the Moscow Healthcare Department (hereinafter referred to as “PCH No. 4” of MHD). The quality control of the provided medical care was carried out twice with the assessment of each studied section in the range from 0 to 1 point. Thus, it was possible to calculate the overall medical care quality coefficient with a description of the defects found in the provision of medical services. After the first control, quality coefficient appeared to be 0.86 (0.79; 0.91), and after the second one 0.95 (0.92; 0.96). During the second control, which was conducted in 2019, the medical care quality was significantly higher (p = 0.011) compared to the results of 2015–2018. The total share of detected defects in the medical-diagnostic process in a psychiatric hospital was 40.7 % (and was captured in 110 out of 270 cases). The results of our study demonstrate the necessity of medical care internal quality monitoring in a psychiatric hospital, since it contributes not only to the improvement of overall quality of medical treatment, but also to timely detection and reduction of the number of defects in the medical-diagnostic process.

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