scholarly journals The attitude of health workers to vaccination at the present stage

2018 ◽  
Vol 99 (5) ◽  
pp. 812-817 ◽  
Author(s):  
D V Lopushov ◽  
V A Trifonov ◽  
A A Imamov ◽  
F N Sabaeva ◽  
H D Shaykhrazieva ◽  
...  
Keyword(s):  
Adverse Reactions ◽  
Health Workers ◽  
Significant Proportion ◽  
Statistical Processing ◽  
Medical Personnel ◽  
Present Stage ◽  
Medical Organization ◽  
The Republic ◽  
Main Components ◽  
The Right

Aim. Evaluation of the awareness of health workers of vaccine prevention at the present stage. Methods. To achieve the aim, survey of health workers of the Republic of Tatarstan was conducted using the developed questionnaire. The coverage of survey was 3 250 people. Statistical processing of the results was carried out using Microsoft Excel 2010 programs. Results. The conducted study revealed that a significant proportion (95 %) of health workers were positive about vaccine prevention, were vaccinated themselves and vaccinated their children. The most prevalent forms of informing parents of vaccinated children about adverse reactions after vaccination are oral recommendations by the doctor and information sheets about adverse reactions. The majority of interviewed health workers (89.9 %) support the initiative to cancel the right of citizens to refuse vaccination. In the opinion of health workers, the main components of successful organization of vaccine prevention in the medical organization are availability and diversity of vaccines, the level of qualification of medical personnel, and equipment of the vaccination room. Less than half of health workers were trained in specialized training on immunoprevention. The majority of health workers (86.3 %) consider it necessary to expand the national schedule of preventive vaccinations of the Russian Federation. Conclusion. Organizational measures to inform health workers in various areas of vaccine prevention are needed to be taken; promising directions are organizing specialized courses on immunoprevention and discussion of relevant aspects of immunization of the population and adverse reactions in post-vaccination period.

Incidence of COVID-19 in outpatient healthcare workers

2021 ◽  
Vol 61 (8) ◽  
pp. 540-545
Author(s):  
Sergey A. Suslin ◽  
Maiia L. Sirotko ◽  
Marina N. Bochkareva ◽  
Sergey A. Babanov
Keyword(s):  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Expert Assessment ◽  
Outpatient Basis ◽  
Medical Organization ◽  
Occupational Infection ◽  
Increased Risk ◽  
Need Support ◽  
Coronavirus Infection

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

scholarly journals Analysis of Service Maintenance of Medical Equipment in State Organizations of the Republic of Kazakhstan. Policy Brief

2021 ◽  
Vol 2 (42) ◽  
pp. 76-85
Author(s):  
Ainara Tuleubaeva ◽  
◽  
Assem Kabykenova ◽  
Keyword(s):  
Medical Devices ◽  
Medical Equipment ◽  
Professional Training ◽  
Medical Personnel ◽  
Policy Options ◽  
Healthcare Organizations ◽  
Medical Organization ◽  
Computerized Maintenance Management System ◽  
The Republic ◽  
State Organizations

What are the problems? • Overestimation of the cost of service work at the "officials"; • Underpricing by unscrupulous suppliers who do not have the necessary knowledge and skills to service medical devices; • Deficit of financial resources between the actual need and the planned expenditures of budgetary funds for the maintenance of medical devices; • Lack of MI engineers in healthcare organizations; Lack of medical equipment on the basis of a medical organization on an ongoing basis. Quite often, medical technicians work in parallel in several medical organizations, which in turn leads to downtime of broken equipment that could be repaired immediately; • Insufficiently developed practice of training medical personnel on the basis of equipment manufacturers or an institution providing professional training in servicing relevant types of equipment; Policy options • Option 1. Amendments to the Normative legal acts of the Republic of Kazakhstan. • Option 2. Competent center, centrally dealing with the issues of medical equipment breakdowns. • Option 3. Implementation of a computerized maintenance management system for medical equipment. Key provisions Each of these policy options can contribute to the development of service provision for medical technology in the Republic of Kazakhstan. At the same time, in combination, they can lead to more effective changes. Key words: medical equipment, medical equipment, service, service of medical devices, Kazakhstan.

scholarly journals Tanggung Gugat Resiko Dalam Aspek Hukum Kesehatan

SASI ◽  
2018 ◽  
Vol 23 (2) ◽  
pp. 149
Author(s):  
Arman Anwar
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Practice ◽  
Health Personnel ◽  
Health Workers ◽  
Medical Personnel ◽  
Hospital Staff ◽  
Health Law ◽  
The Republic

Health is a fundamental need for every human being in his life and to meet these needs the role of doctors and health workers is very important. Doctors and Health care in providing health services to the community is always required in order to provide the best service. So with the Hospital. However, the health services provided may result in two different possibilities of the patient being cured or even worsening the disease until death. If the patient recovers it will flow millions of praise and abundant various forms of appreciation that he receives but if that happens is the opposite then in certain conditions where the patient feels aggrieved can culminate until the lawsuit to court. In medical practice, doctors do not work alone but are also often assisted by other health workers. Likewise Hospital as a corporation employs doctors and health workers to provide health services to the community. If in the event of any medical treatment from medical personnel to medical personnel and/or Hospital to the physician and at risk of mistake or negligence in the health service, then the loss suffered by the patient may result in risks (risico aanspraklijkheid) based on Article 1367 paragraph (3) BW. In the context of health law regulated in Article 65 of Law Number 36 Year 2014 on Health Personnel, and Article 35 Paragraph 6 of Law Number 38 Year 2014 on Nursing and Article 23 Paragraph (3) point c Regulation of the Minister of Health of the Republic of Indonesia No. 2052 / Menkes / Per / X / 2011 About Practice License and Implementation of Medical Practice as well as Article 46 Act Number 44 of 2009 About Hospital that is Hospital is legally responsible for all the losses caused by negligence made by health personnel in the Hospital. Efforts to prevent it internally need to agree on the rights and obligations of each party in a specified standard of conduct that is proportionally regulated and based on equitability values, either in the form of Hospital by Law as well as the prevailing rules binding on all staff within a hospital staff (Medical staff by law).

scholarly journals Knowledge and Attitude of Mothers About Care of New Birth In The New Normal Era

2021 ◽  
Vol 11 (04) ◽  
pp. 181-189
Author(s):  
Maliha Amin ◽  
Intan Kumalasari
Keyword(s):  
Health Workers ◽  
Medical Personnel ◽  
Community Services ◽  
Good Knowledge ◽  
Limited Information ◽  
New Normal ◽  
Work Area ◽  
Normal Period ◽  
Knowledge And Attitude ◽  
The Right

Background: Caring for a newborn is a challenge for parents, especially in the midst of the Covid-19 pandemic. Concerns about transmission from parents, family and medical personnel as well as limited information and delays in various activities in basic community services can lead to low quality and ability of mothers to care for babies. Objectives: This study aims to describe the knowledge and attitudes of mothers in the care of newborns in the new normal. Methods: This research is descriptive analytic research using observational method. The population in this study were mothers aged 0-28 days who live in the work area of ​​Posyandu Jayalaksana RW 03 Village 3-4 Ulu Palembang with a sample of 44 people, data collection using questionnaires for assessment variables and attitudes using a Likert scale with a range of 1- 5 which consists of favorable and unfavorable statements. Univariate data analysis to assess the characteristics and frequency distribution of variables Results: Knowledge is strongly influenced by age, education and occupation. most of the respondents have a fairly good knowledge of 61.4% and have a good attitude that is 59.1% in caring for newborns during the new normal period. Conclusion: Good knowledge causes the right attitude and behavior in the care of newborns, it takes the cooperation of parents, families and health workers so that the success of caring for babies in the new normal is more optimal.

scholarly journals SOME ASPECTS OF PATIENTS' RIGHTS TO RECEIVE INFORMATION ABOUT THEIR HEALTH STATUS UNDER THE LEGISLATION OF THE RUSSIAN FEDERATION

2019 ◽  
Vol 8 (6) ◽  
Author(s):  
Artur I. Khabirov ◽  
Gulnara M. Khamitova
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Records ◽  
Medical Intervention ◽  
Medical Organization ◽  
First Case ◽  
The Russian Federation ◽  
Main Components ◽  
The Right ◽  
Attending Physician

The relevance of the chosen topic is due to increased legal literacy of patients, the need to respect their rights and increase the responsibility of a medical institution in matters of observing the rights of patients. According to the current legislation of the Russian Federation in the field of health protection, the right of citizens to information about their state of health includes two main components: informing the patient by the attending physician and familiarization with medical documentation.In the first case, the attending physician or medical worker directly providing medical assistance to the citizen is obliged to inform the citizen or his legal representative of the information about the state of his health available in the medical organization, including: information on the results of a medical examination; the presence of disease; about the established diagnosis; on the prognosis of the development of the disease; methods of medical care related to their risk; possible types of medical intervention, its consequences; the results of medical care. The procedure for familiarizing patients with the originals of medical records is also regulated by law. This study touched upon the implementation of the patient’s rights to familiarize themselves with the patient’s medical records, obtain copies of medical documents, and introduce electronic medical records.

scholarly journals Perlindungan hukum bagi tenaga medis dan kesehatan di masa pandemi covid-19

2021 ◽  
Vol 2 (3) ◽  
pp. 109-219
Author(s):  
Siti Soekiswati ◽  
Umi Budi Rahayu ◽  
Arif Pristianto ◽  
Silvia Rahma Maulida
Keyword(s):  
Health Workers ◽  
Legal Protection ◽  
Secondary Data ◽  
Numerical Data ◽  
Medical Personnel ◽  
Qualitative Approach ◽  
Primary Data ◽  
Legal Basis ◽  
The Right ◽  
General Health Facility

ABSTRAKLatar Belakang : Tenaga medis dan kesehatan mempunyai peran krusial dalam menghadapi pandemi Covid-19 secara langsung menangani pasien yang terjangkit virus Covid-19. Telah banyak kejadian menyebutkan bahwa ketidakadilan berupa tindakan maupun perkataan yang dialami tenaga medis dan kesehatan. Melihat dari ketetapan perundang–undangan sebagai dasar hukum, maka hak atas perlindungan hukum bagi tenaga medis dan kesehatan harusnya sangat diperhatikan untuk kesejahteraan pelayan kesehatan lebih khususnya di masa krisis pandemi Covid-19 seperti ini. Namun dalam praktiknya di lapangan ketidakadilan masih sering terjadi dan dianggap terjadi kesalahpahaman yang berujung mediasi, walaupun begitu dalam kasus–kasus tertentu yang sangat merugikan hal tersebut dapat menyebabkan kejadian terulang kembali karena tidak ada ketegasan hukum yang mengawal dan sanksi yang membuat pelaku tidak mendapat efek jera. Tujuan : Mengetahui regulasi yang ada sebagai upaya perlindungan hukum bagi tenaga medis dan kesehatan dimasa pandemi Covid-19. Metode : penelitian ini merupakan jenis penelitian empiris melalui pendekatan kualitatif dengan output deskriptif analitis. Teknis pengambilan sampel dengan menyebarkan kuesioner ditentukan oleh purposive sampling. Hasil : Data yang diperoleh dari kuesioner diperoleh angka 74,1% menyatakan telah menerapkan perlindungan hukum diikuti 22,4% mengatakan belum sepenuhnya dan 3,5% tidak menerapkan perlindungan hukum. Kesimpulan : Berdasarkan data primer yang telah peneliti peroleh serta ditunjang dengan data sekunder, perlindungan hukum bagi tenaga medis dan kesehatan di masa pandemi Covid-19s yang dilaksanakan di RSU Fastabiq Sehat PKU Muhammadiyah Pati dapat disimpulkan dalam keadaan baik ataut  telah diterapkan sebagai mana mestinya. Sehingga tenaga medis dan kesehatan tidak perlu khawatir mengenai keselamatan sebagai individu yang berhak mendapatkan perlindungan hukum terkhusus dibawah naungan instansi yang ditempatinya. Kata kunci: perlindungan hukum, tenaga medis dan kesehatan, pandemi Covid-19.   ABSTRACTBackground : Medical and health workers played a crucial role in dealing with the covid-19 pandemic that directly dealt with patients infected with the covid-19 virus. Many have mentioned the unfairness of both the actions and the words of health and medical personnel. Judging by law enforcements-invitations asa legal basis, then the right to safeguard the law for health and medical personnel should be given more than the welfare of health servants in times like the covid-19 pandemic crisis. But in practice in the field of injustice is still frequent and is considered to be misunderstandings that lead to mediation, though so in cases-certain adverse cases that could result in a repeat of events because there is no protective force or penalty that would prevent a person from acting as a victim. Purpose : knowing the existing regulations asa legal protection effort for medical and healthsworkerssduringsthescovid-19spandemic. Method : The study is as types ofs empiricals researchs through sas qualitative approach with an analytically descriptive out put. Technical sampling retrieval by circulating questionnaively sampling. Result : The numerical data derived from questionnaires states that 74,1% they have implemented legal protection followed 22,4% by saying not completely and  3,5% not applying legal protection. Conclusion : Based on primary data that researchers have acquired and supported by secondary data, legal protection for medical and health powers at covid-19 pandemic performed in pku muhammadiyah general health facility can be inadequately defined as where ataut has been implemented. Thus there is no need for health and medical personnel to worry about safety as individuals who are entitled to privileged legal protection in the shelter of an institution. Keywords : Legal protection, medical and health care, covid-19 pandemic.

scholarly journals Pelaksanaan Hak Tahanan (Tantangan dan Permasalahan)

2021 ◽  
Vol 1 (1) ◽  
pp. 79-95
Author(s):  
Monica Dwi Putri Nababan ◽  
Khabib Nawawi
Keyword(s):  
Health Services ◽  
Empirical Research ◽  
Health Workers ◽  
Medical Personnel ◽  
Teaching Staff ◽  
Aid Workers ◽  
Penal Institutions ◽  
The Right

ABSTRAK Penelitian ini bertujuan untuk membahas pelaksanaan hak tahanan dan kendala yang dihadapi Lembaga Pemasyarakatan dalam memberikan hak tahanan. Penelitian ini bersifat yuridis empiris. Hasil penelitian menunjukkan bahwa pelaksanaan hak tahanan masih belum efektif terkait beberapa hak, diantaranya yaitu hak untuk melakukan ibadah yakni terkait melaksanakan tempat ibadah tidak tersedia bagi semua agama yang diakui di Indonesia, kurangnya tenaga medis bagi layanan kesehatan, hak menyampaikan keluhan dimana keluhan tahanan kurang mendapat tanggapan dari petugas lapas dan hak mendapatkan kunjungan yang kurang nyaman serta hak mendapatkan politik. Kendala yang dialami oleh Lembaga Pemasyarakatan dalam memberikan hak tahanan diantaranya: kapasitas berlebih Lembaga Pemasyarakatan, keterbatasan sarana dan prasarana yang mendukung di Lembaga Pemasyarakatan, kurangnya tenaga pengajar pembinaan, tenaga kesehatan dan tenaga bantuan lainnya, kurangnya anggaran dana serta tidak semua tahanan bersedia mengikuti program yang diberikan oleh petugas Lembaga Pemasyarakatan ABSTRACT This study aims to discuss the implementation of prisoners' rights and the constraints faced by the Penitentiary in providing prisoners' rights. This research is empirical research. The results showed that the implementation of the right of detainees was still ineffective in relation to several rights, including the right: to conduct worship, namely related to carrying out places of worship not available to all religions, lack of medical personnel for health services, the right to submit complaints where complaints from prisoners did not get a response from prison officers and the right to get uncomfortable visits and the right to get politics. Constraints experienced by Penal Institutions in granting prisoners' rights include: overcrowding capacity of Penitentiaries, limited facilities and infrastructure that support in Penitentiaries, lack of guidance teaching staff, health workers and other aid workers, lack of budget funds and not all prisoners are willing to participate in programs that given by the Penitentiary officer.

scholarly journals INNOVATIVE POTENTIAL OF A MEDICAL ORGANIZATION, AS PART OF ITS ECONOMIC POLICY

2019 ◽  
Vol 6 (3) ◽  
pp. 138-145
Author(s):  
V. A. Kozlov ◽  
B. A. Polyakov ◽  
D. L. Mushnikov ◽  
M. I. Stoylovskiy ◽  
D. V. Drozhzhin
Keyword(s):  
Economic Policy ◽  
Information Sources ◽  
Health Workers ◽  
Medical Personnel ◽  
The State ◽  
Medical Organization ◽  
Self Development ◽  
Innovative Potential ◽  
Use Of Information Sources ◽  
Innovative Capacity

The new economic policy of Russia is based on innovation and investment. Before choosing innovative changes, it is mandatory to assess the innovative potential of the organization. can distinguish Three main components can be distinguished in the innovative potential of a medical institution: innovative potential of medical personnel, innovation of facilities and resources, technology innovation (medico-institutional, therapeutic and diagnostic technologies). An audit of the innovative potential of a medical organization is a prerequisite for the formation of a competent economic policy, i. e. business strategies, priority investments. However, studies on a comprehensive assessment of the state of innovative potential of oncological medical organizations have not been conducted yet. Objective. To study the state of innovative potential of a medical organization, as part of its economic policy, using the example of cancer care. Materials and methods. The base of the research is the Higher Educational Institution “Ivanovo Regional Oncology Dispensary”, Department of Health, Ivanovo Region. The research program provided for the use of sociological, expert, mathematical-statistical and analytical methods. Units of observation: medical worker (doctor, paramedical worker) and material and technical resources of “Ivanovo Regional Oncology Dispensary”, The study was conducted in 2018. The integral estimation methodology of a medical organization’s innovation potential includes a quantitative assessment of each component of the potential according to the appropriate methodology. Results. Decline of the innovative capacity medical organization oncological profile on all of its components including: a personnel component at 9,0%, logistical component to 11,0%, technological component at 6,8%. Reduced innovative capacity of health workers is associated with low estimation of its parameters such as: the use of information sources for self-development, the ability to adapt to innovation and research activity. A decrease in the innovative potential of an oncological medical organization was noted in all its components, including: the personnel component by 9.0%, the material and technical component by 11.0%, the technological component by 6.8%. The decline in the innovative potential of health workers is associated with a low assessment of its parameters such as the use of information sources for self-development, the ability to adapt to innovation and research activities. The decrease in the innovation of the organization’s facilities and resources is associated with such indicators as: the scientific and technical level of equipment, the coefficient of accumulation of fixed assets, the coefficient of depreciation of equipment, the coefficient of inclusion of equipment in the standard of assistance. The decrease in innovation in the technological component is associated with the incomplete implementation of such quality attributes of medical services as: efficiency, adequacy, interpersonal interaction, uniqueness, convenience. Conclusion. The results of the study showed that a change in the innovative policy of medical organizations is required, its transfer from an extensive to an intensive strategic vector of development, the use of free financial resources for the purchase of new generation equipment, and the training of medical personnel in modern work technologies.

scholarly journals Investigation of the Safety of Radiopaque Compounds Based on Notification Cards on Adverse Reactions Registered in the Republic of Crimea

2021 ◽  
Vol 101 (6) ◽  
pp. 344-353
Author(s):  
A. V. Matveev ◽  
A. E. Krasheninnikov ◽  
E. A. Egorova
Keyword(s):  
Adverse Reactions ◽  
Clinical Manifestations ◽  
Diagnostic Procedures ◽  
Water Soluble ◽  
Drug Discontinuation ◽  
Immediate Hypersensitivity ◽  
Present Stage ◽  
X Ray ◽  
Medicine Development ◽  
The Republic

Objective. At the present stage of medicine development, the use of X-ray contrast agents tends to grow constantly and more than 60 million doses of radiopaque compounds (ROCs) are annually used.The objective of the study was to investigate adverse reactions (ARs) arising from the use of ROCs in patients living in the Republic of Crimea.Material and methods. The objects of the study performed were 69 notification cards on ARs to ROCs, which were registered in the regional database (registry) of spontaneous messages called ARCADe (Adverse Reactions in Crimea, Autonomic Database) in 2009–2018.Results. A larger number of cases of ARs identified in the Republic of Crimea were due to the administration of water-soluble low-osmolar ROCs (iohexol, iopromide, iodixanol) to patients for kidney examination. The main clinical manifestations were immediate hypersensitivity reactions. The number of ARs posing a threat to a patient’s life exceeded 30% of all cases of ARs registered in the Republic of Crimea. Twelve patients (17.4%) required hospitalization or its prolongation to relieve an emerging AR; temporary disability due to ARs to ROCs were observed in 2 cases. The measures to reduce the severity of ARs included drug discontinuation and correction in 65 cases (94.2%). A drug suspected of causing ARs was not discontinued in 3 cases (4.3%); however, additional drugs were needed to correct the ARs.Conclusion. Investigating the safety of ROCs on the basis of analyzing the notification cards on ARs registered in the Republic of Crimea in 2009–2018 could confirm the severity and seriousness of these reactions established by other researchers, which requires an individual approach to choosing a ROC, its dose, as well as monitoring of a patient’s health status both during the administration of agents and soon after the end of diagnostic procedures using ROCs.

scholarly journals PERLINDUNGAN HUKUM DAN HAK MEMPEROLEH KESELAMATAN KERJA BAGI TENAGA KESEHATAN AKIBAT PANDEMI COVID-19

2021 ◽  
Vol 13 (2) ◽  
pp. 303
Author(s):  
Dwi Armeilia
Keyword(s):  
Health Professionals ◽  
Health Workers ◽  
Health Sector ◽  
Legal Protection ◽  
Medical Personnel ◽  
Legal Research ◽  
Legal Method ◽  
Safety Work ◽  
Legal Policies ◽  
The Right

Medical workers are a noble profession, especially amid the Covid-19. One of the aspects that have received the most impact from this pandemic is in the health sector. The problems in the health sector have become increasingly dangerous in the era of the Covid-19 Pandemic in Indonesia. The current condition is a concern for all people regarding efforts to control and overcome the Covid-19 Pandemic in Indonesia. This includes doctors and other health professionals. The number of deaths of medical personnel, especially doctors and nurses, is increasing. This research focuses on Indonesia's legal policies regulating protection and the fulfillment of safety work rights for health workers who are dealing with the pandemic. The legal method used in this research is normative legal research. The results show that legal protection and fulfillment of the right to safety for medical personnel have been regulated in legislation. However, these provisions do not specifically regulate the potential dangers of the spread of the Covid-19 virus.

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