Health problems of the region with low population density according to data of the Amur oblast

2014 ◽  
Vol 95 (2) ◽  
pp. 254-257
Author(s):  
O A Agarkova ◽  
L N Voyt
Keyword(s):  
Mortality Rate ◽  
Statistical Data ◽  
Malignant Tumors ◽  
Disease Prevalence ◽  
External Factors ◽  
Amur Oblast ◽  
Statistical Parameters ◽  
Quality Of Medical Care ◽  
Tuberculosis Prevalence

Aim. To estimate the present health status of the population of Amur Oblast. Methods. The evaluation was based on analysis of statistical data on mortality, morbidity, disability in population. Intensive and extensive statistical parameters were calculated and compared. Results. The top three reasons for death in Amur Oblast were: cardiovascular conditions, external factors and malignancies (in Russia overall, malignancies rated the 2nd and external factors the 3rd). Mean survival rate has increased significantly both in Russia and Amur Oblast over the last 5 years (by 4.5 and 1.5 years accordingly). Overall disease prevalence has increased by 1.1 times over the last 5 years, with disease prevalence among children and adolescents increasing the most. Tuberculosis prevalence and mortality rate in Amur Oblast have dropped, although still higher compared with the whole Russia (prevalence - by 1.5 times, mortality rate - by more than 2 times). Syphilis prevalence rate has also dropped, although still exceeding the prevalence in Russia by 2.9 times. The prevalence of malignancies in Amur Oblast increased by 1.1 times, but it is by 1.1 times lower compared to Russian. Malignant tumors of lungs, skin, breast and stomach are the most prevalent types. Conclusion. Positive changes of public health characteristics can be expected at improving the life conditions and quality of life, the active promotion of healthy lifestyles and the high quality of medical care.

Sa1297 Duration of Hospital Stay and Mortality Rate of the Appendectomy As an Indicator for Quality of Medical Care: The 2010 Nationwide Study

2014 ◽  
Vol 146 (5) ◽  
pp. S-255
Author(s):  
Sombat Treeprasertsuk ◽  
Kamthorn Phaosawasdi ◽  
Kaewjai Thepsuthammarat ◽  
Aroon Chirawatkul
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Hospital Stay ◽  
Nationwide Study ◽  
Duration Of Hospital Stay ◽  
Quality Of Medical Care

Problems of Iatrogenic Crimes Qualification

2021 ◽  
Author(s):  
K.V. Pitulko ◽  
Keyword(s):  
Causes Of Death ◽  
Statistical Data ◽  
Criminal Responsibility ◽  
Patient Treatment ◽  
Criminal Prosecution ◽  
Medical Assistance ◽  
Judicial Practice ◽  
Quality Of Medical Care ◽  
The Difference

The article reveals the features of the distinction between criminal and non-criminal circumstances, leading to a patient treatment unfavorable outcome. The aim of the research undertaken is to identify the nature and degree of social danger of professional negligence in the diagnosis and treatment of diseases. The article analyzes statistical data characterizing the dynamics of bringing doctors and other medical workers to criminal responsibility for committing crimes that caused harm to the life and health of patients. The organic connection of iatrogenic crimes with defects in the quality of medical care and improper performance of professional duties by medical workers is argued. The author reveals the difference between the causes of death and deterioration in the health of persons seeking medical assistance, and analyzes the practice of termination of medical workers criminal prosecution on rehabilitating grounds. On the basis of materials of modern judicial practice, it is proved that there is no need to separate the category «iatrogenic crimes» in the criminal law. A differentiated approach to qualification of adverse treatment outcomes seems promising. The author proposes detailing the legal liability of medical workers and medical organizations, depending on the criminal or non-criminal nature of the circumstances of causing harm to the life and health of the patient.

SANATION OF PATIENTS MOUTH IN DENTAL ORGANIZATIONS OF PRIVATE HEALTH CARE SYSTEM

2019 ◽  
Vol 25 (4) ◽  
pp. 194-198
Author(s):  
Lyudmila E. Smirnova ◽  
V. D Vagner
Keyword(s):  
Health Care ◽  
Statistical Data ◽  
Well Being ◽  
Whole Body ◽  
Orthopedic Treatment ◽  
Dental Patient ◽  
Carious Lesions ◽  
Depth Analysis ◽  
Quality Of Medical Care

Oral sanitation - a set of measures aimed at curing diseases of the organs and tissues of the mouth, including the treatment of dental caries, its complications, non-carious lesions and professional hygiene or preparation of the mouth for further orthodontic and orthopedic treatment. Sanation of the mouth can be considered as an indicator of the quality of medical care, as it is a planned result of the treatment of the whole body. However, this indicator is not subject to accounting and analysis in private medical organizations, as a result of which statistical data on the true situation of dental disease and the effectiveness of treatment are unreliable. We conducted a study on the activities of four private dental organizations to achieve the effectiveness of treatment of patients. Evaluation of the scope and cost of work performed, complete rehabilitation of the mouth, carried out the certificate of completion. The collection of data on the structure of dental morbidity by turnover was studied by the medical records of the dental patient. The reason for the refusal to continue treatment before the rehabilitation of the mouth was studied by interviewing (telephone survey) of patients carried out by employees of private dental organizations (medical registrars). The activities of medical organizations, regardless of ownership, should include an in-depth analysis of statistical information, which is part of the management process in health care, ensuring the strengthening of public health and the effectiveness of the health system. Statistics reveal problems, priorities and challenges for the rational use of human, financial and logistical resources. In this regard, all offices of the organization must provide statistical data on their activities to the appropriate authorities and a range of socio-economic measures aimed at the final result of the dental Wellness of the population, strengthen the health and well-being of the person through the reorganization of the mouth.

scholarly journals MAIN DIRECTIONS OF INCREASING EFFICIENCY OF UTILIZATION OF PERSONNEL POTENTIAL OF HEALTH INSTITUTIONS OF THE REGION

2021 ◽  
Vol 2 (53) ◽  
pp. 120-125
Author(s):  
 L. B. Dmitrenko ◽  
◽  
V. A. Borisov  ◽  
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Medical Personnel ◽  
Health Department ◽  
Staffing Level ◽  
Regional Center ◽  
Voronezh Region ◽  
Quality Of Medical Care ◽  
High Level

Subject. Staff capacity of healthcare institutions of the region. Topic. More efficient use of staff capacity of healthcare institutions of the region. Purpose. Delineate the main trends in the formation of staff capacity of the industry and determine the degree of its influence on the efficiency of the system itself as a whole. Methodology. Methods of logical and comparative analysis of intergovernmental regulation practices in the format of interaction «department - healthcare institutions». Results. After analyzing the staffing policy of the Voronezh Region Health Department and the mortality rate in the region for 2020, we identified an inadequate staffing of health care institutions, which affects the improvement in the quality of medical services and the mortality rate. Application area. Sphere of staffing of the Voronezh Region. Conclusions. In 2020, healthcare institutions of the Russian Federation faced a serious threat to public health, namely the COVID-19 pandemic, which in turn determined the parameters of the roadmap for the development of the industry for the coming years and identified the main problem areas. There is traced the dependence of the decrease in the staffing level, depending on the distance of the MO from the regional center. The number of certified specialists, both doctors and paramedics, is at an insufficiently high level, which ultimately affects the quality of medical care and the mortality rate in the Voronezh region. Key words: Health care, human resources, availability of medical personnel, epidemic.

scholarly journals COVID-19: urgent questions for estimating morbidity, prevalence, case fatality rate and mortality rate

2020 ◽  
Vol 19 (3) ◽  
pp. 2585 ◽  
Author(s):  
O. M. Drapkina ◽  
I. V. Samorodskaya ◽  
M. G. Sivtseva ◽  
E. P. Kakorina ◽  
N. I. Briko ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Case Fatality Rate ◽  
Statistical Data ◽  
Public Health System ◽  
Case Fatality ◽  
Prognostic Models ◽  
Fatality Rate ◽  
The Public ◽  
Managerial Decisions

During epidemics, the usual statistical approaches will not allow determining the readiness of the public health system to take urgent measures to counteract the increase in morbidity, spread and mortality of the population. The quality of the medical, socio-economic and managerial decisions at all levels will depend on the accuracy of statistical data and the possibility of creating adequate prognostic models. However, there are still problems with the identification of COVID-19 cases and the diagnostic accuracy of the methods used. Complex analytical efforts require in order to determine the COVID-19 impact on the health status and case fatality rate/mortality rate.

scholarly journals Prevention unstable conditions in the welding process via robotic technological complexes

2018 ◽  
Vol 224 ◽  
pp. 01045 ◽  
Author(s):  
Dmitry Fominykh ◽  
Vadim Kushnikov ◽  
Alexander Rezchikov
Keyword(s):  
Mathematical Model ◽  
System Dynamics ◽  
Statistical Data ◽  
Welding Process ◽  
External Factors ◽  
System Dynamics Model ◽  
Dynamics Model ◽  
The Mathematical Model ◽  
Unstable States

The article presents the statement of the problem, models and algorithms for controlling the welding process via robotic technological complexes in conditions of the risk of unstable states. The system dynamics model was used to describe the technological process. As system levels the basic indicators influencing quality of the made production chosen on the basis of experience of operation of the robotic technological complexes are taken. Functional dependences between indicators and their dependences on external factors are determined by approximation of statistical data. The procedure of identification of unstable states for the mathematical model on the example of the Rossler’s attractor is developed. An algorithm for preventing the system from falling into unstable states in the process control is proposed

scholarly journals Avoidable mortality in the Russian regions

Stanovnistvo ◽  
2011 ◽  
Vol 49 (2) ◽  
pp. 1-23
Author(s):  
T.P. Sabgajda ◽  
A.E. Ivanova ◽  
V.G. Semenova ◽  
G.N. Evdokuskina
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Malignant Tumors ◽  
Avoidable Mortality ◽  
Death Rates ◽  
Regional Health Care ◽  
Quality Of Medical Care ◽  
The Difference ◽  
Death Cases

The current trends of avoidable mortality, which is an integral indicator of health system performance, were analyzed. The paper discusses the regional heterogeneity of levels and trends in avoidable mortality in the Russian Federation. Also, it contains the analysis of impact of the financial costs of public health on avoidable mortality in regions with different levels of economic development. The last 20-years period was studied, which includes a stage of crisis as well as a social recovery phase. The official data of the State Statistics Committee were analyzed. In Russia, all death cases are registered in accordance to the international classification ICD-10. Special computer program summarizes death cases from preventable causes, and calculates the standardized rates for the population aged from 5 to 64 years. The old European standard of population age structure is used. Estimates of avoidable mortality were made in accordance with the European approach, under which avoidable mortality accumulates deaths of persons aged from 5 to 64 years due to 34 causes and 4 classes of causes. These 38 causes are divided into 3 groups according to three levels of diseases prevention. The level of avoidable mortality in the different regions varies up to 8 times. That is comparable to the difference between Russia and the countries of European Union in 1994. This gap is due to the coexistence of different stages of epidemiological development among the regions in Russia. When death rates increased, it is shown that mortality from causes which are preventable by measures of primary and tertiary prevention increased to a greater extent than mortality from the causes which depend from measures of secondary prevention. Therein, the largest growth of observed mortality was due to low quality of medical care in case of males (group 3), and due to causes which are preventable by measures of primary prevention in case of females (group 1). When mortality was reduced, the rates of change for causes in groups 1 and 3 were approximately the same for both sexes. Avoidable mortality due to late detection of malignant tumors (group 2) has been changed the least. Preventable component defines over 80% of the regional differences in death rates. In 2009, the level of avoidable mortality differed more than fourfold among different regions of the Russia. Similarly, the difference in the level of unavoidable mortality was 1.3-fold and 1.7-fold, for males and females respectively. Proportion of deaths from preventable causes in the total sum of death cases varies from 40% till 75%. Funding for comprehensive programs of public health to a greater extent stimulates the reduction in mortality from preventable causes of the first group. Mortality connected with quality of medical care is more determined by socio-political situation in the country than by regional health care expenses. Based on these results, it is concluded that the action plans to reduce mortality in Russia must have a strong regional specificity, different targets and indicators. Using the proportion of preventable causes, it is possible to separate the regions into groups with different ratios of death determinants, which, therefore, require different approaches to reduce mortality.

Analysis of Some Indicators Characterizing the Quality of Medical Care for Children with Cancer in the South Federal District of the Russian Federation: An Ecological Study

2018 ◽  
Vol 5 (4) ◽  
pp. 238-247
Author(s):  
M. Yu. Rykov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Malignant Tumors ◽  
Federal District ◽  
The South ◽  
Children With Cancer ◽  
Number Of Children ◽  
Quality Of Medical Care ◽  
The Russian Federation

Background. Improving the quality of medical care is based on a coordinated policy at the federal, regional and municipal levels in the field of health. The implementation of this goal is based on a regular assessment of the current state of the healthcare system in the Russian Federation.Objective. Our aim was to analyse of the main indicators characterizing medical care for children with cancer in the South Federal District.Methods. The operative reports for 2017 of the executive authorities in the sphere of health protection of 8 subjects of the Russian Federation that are part of the South Federal District of the Russian Federation have been analyzed.Results. The number of children were 3 216 797 people (aged 0–17 years), the number of children’s oncological beds is 272 (0.8 per 10 thousand children aged 0–17 years), the average number of days of berth employment in the year is 289.9 bed days. In 4 (50%) subjects of the department of pediatric oncology are absent, in 1 (12.5%) — there are no children’s oncological beds. The number of doctors providing medical care to children with cancer is 50, of them 42 (84%, 0.1 per 10 thousand children aged 0–17 years) have a certificate of a pediatric oncologist. In 2 (25%) subjects, there are no pediatric oncologists. Incidence of malignant tumors was 13.9 (per 100,000 children aged 0–17 years), prevalence was 86.5 (per 100,000 children aged 0–17 years), mortality was 2.5 (per 100,000 children aged 0–17 years), a one-year mortality rate of 4.7%. 8% of patients were actively detected. 104 (23.2%) of primary patients were sent to medical organizations of federal subordination, 4 (0.9%) of primary patients left the territory of the Russian Federation.Conclusion. The analysis revealed a number of defects: incorrect information contained in the reports, low incidence (detectability) of patients, including during planned preventive examinations, staff shortages and non-rational use of bed facilities.

REORGANIZATION OF A MULTI-SPECIALTY HOSPITAL IN AN UNFAVORABLE EPIDEMIOLOGICAL SITUATION

2020 ◽  
pp. 43-46
Author(s):  
Nikitin A.E. ◽  
Znamenskiy I.А ◽  
Shikhova Yu.A. ◽  
Kuzmina I.V. ◽  
Melchenko D.S. ◽  
...  
Keyword(s):  
Contact Time ◽  
Laboratory Diagnostics ◽  
Protective Equipment ◽  
Timely Manner ◽  
High Quality ◽  
Institu Tions ◽  
Quality Of Medical Care ◽  
Spread Of Infection ◽  
Epidemiological Situation

This study provides a retrospective analysis of work to ensure high quality of medical care in an unfavorable epidemic situation. The consequence of COVID-19 was the implementation of a program to prevent the spread of infection, the re-profiling of medical institu-tions, and the introduction of restrictive and anti-epidemic measures. The experience of our work has shown the effectiveness of changing the order of med-ical care, the organization of the functioning of de-partments and patient routing. The study reflects the measures implemented in the hospital departments, the Department of clinical and laboratory diagnostics, radiation diagnostics and pathology Department. To ensure the safety of patients, it was decided to place patients on a single bed according to the type of infec-tious boxes. The safety of employees was ensured by the use of personal protective equipment, minimiza-tion of contact time with patients, and preventive weekly examination of staff for SARS-CoV-2 infection. The organized and well-coordinated work of the en-tire staff of the institution made it possible to prevent the spread of COVID-19 among employees, to detect cases of infection in a timely manner, and to carry out appropriate isolation and monitoring measures. At the time of completion of infectious diseases departments, the mortality rate among patients was less than 9%. Our experience in reorganizing a multi-specialty facil-ity can be used in the future when working with pa-tients who have undergone COVID-19, as well as in the context of a worsening epidemic situation.

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