scholarly journals Some results of the organization assessment of outpatient aid to children’s population in a municipal area

2019 ◽  
Vol 10 (1) ◽  
pp. 57-63
Author(s):  
Ilya B. Sobolev ◽  
Karina E. Moiseeva ◽  
Shalva D. Kharbedia ◽  
Vladimir A. Glushchenko ◽  
Anna V. Alekseeva
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Areas ◽  
Outpatient Care ◽  
Pediatric Population ◽  
Medical Personnel ◽  
Medical Rehabilitation ◽  
Morbidity Rate ◽  
Leningrad Region ◽  
Medical Organization

Primary health care for children is the mainstay of the system of medical care for children and includes measures for the prevention, diagnosis, treatment of diseases, medical rehabilitation, the development of healthy lifestyles and sanitary and hygienic education for the children. Medical organizations located in rural areas have particularities in the system of providing medical care to the population. This concerns the type, capacity, disposition of medical organizations, their provision with qualified medical personnel, and the possibility of obtaining qualified medical care. In order to assess the state of outpatient care for children under the conditions of municipal health care, data was taken out of the federal statistical reporting “Information on medical organization” form 30 “Information about the number of diseases registered in patients living in the area of service of the medical organization” form 12 for 2015-2017. The research was based on the Toksovo District Hospital, a state budgetary health care institution in the Leningrad Region. In the course of the study, pediatric staff were evaluated for pediatric staff, indicators of outpatient care for the children, indicators of the burden of pediatricians and morbidity rates for the treatment of children. It was found that in the years under study there was a high level of provision of pediatricians with an attached pediatric population, an increase in the number of district pediatricians and a decrease in the part-time ratio. The increase in the workload of pediatricians conducting outpatient admissions, including district pediatricians, associated with an increase in visits for diseases in 2015-2017, indicates a deterioration in the health of the children’s population, as evidenced by an increase in the overall morbidity rate for outpatient using the child population.

Organization of primary health care and specialized medical care for patients with prostate cancer in the Nizhny Novgorod Region

2021 ◽  
pp. 20-31
Author(s):  
Egor Aleksandrovich Perevezentsev ◽  
Maya Andreevna Kuzmina ◽  
Dariya Dmitrievna Vasina ◽  
Denis Igorevich Volodin
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Malignant Neoplasms ◽  
Medical Organization ◽  
Primary Health ◽  
High Level ◽  
Nizhny Novgorod Region

At present, the quality and availability of medical care are the aspects to which close attention is paid in the system of organizing medical care. One of the ways to achieve a high level of quality and accessibility of medical care is building up human resources, i.e. the presence of highly qualified general practitioners, sub-specialties and middle medical personnel in sufficient numbers in a medical organization. Currently, the oncological service of Russia has been assigned tasks to fulfill the instructions from the State Program for the Development of Health Care. The results of the work should lead to a decrease in mortality and an increase in the quality of life of the population. To address the issue of reducing mortality from malignant neoplasms, in particular from prostate cancer, a three-level system of oncological care has been created on the territory of the Nizhny Novgorod Region, including 1 regional center, 2 interdistrict cancer centers, 88 primary oncology rooms and 96 examination rooms. The tasks set to reduce morbidity and mortality from oncological diseases can be realized only with close interaction of the oncological service with the primary health care sector, in which the prevention should be the priority direction of work.

About medical personnel

1930 ◽  
Vol 26 (4) ◽  
pp. 405-411
Author(s):  
E. M. Lepsky
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Central Committee ◽  
Medical Personnel ◽  
Health Departments ◽  
Medical Worker ◽  
Medical Organization ◽  
The Press ◽  
New Formation ◽  
Insufficient Number

Medical personnel have long been one of the weaknesses of our medical organization; their insufficient number, their uneven distribution throughout the country, and the inadequacy of their preparation to the requirements of life, were repeatedly discussed at congresses and in the press. But at the present time, when the cultural growth of the population and the socialist restructuring of the economy and everyday life have further increased the need for medical care and made a demand for a medical worker of a new formation, our old need has become especially acute. The December decree of the Central Committee of the All-Union Communist Party of Bolsheviks on medical care for workers and peasants, the decision of the Council of People's Commissars of the RSFSR dated January 28, 1930, the orders of the NKZ issued in development of these decisions, and finally, the decisions adopted in March this year. At the All-Russian Congress of Health Departments and at a methodological meeting under the Glavprofobra, the reorganization of health care was greatly advanced and at the same time not only put the issue of medical personnel on the order of the day, but also largely determined the ways of its solution.

scholarly journals Organizational activity of S.V. Kurashov in establishing and developing of national medicine and health care (to the 110th anniversary of the birth of S.V. Kurashov)

2020 ◽  
Vol 101 (6) ◽  
pp. 930-936
Author(s):  
A N Galiullin ◽  
A V Shulaev ◽  
I M Burykin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Areas ◽  
Medical Personnel ◽  
World Health ◽  
Specialty Hospitals ◽  
Organizational Activity ◽  
Health Organization ◽  
National Programs

The article provides information about the organizational activities and role of S.V. Kurashov in establishing and developing of national medicine and health care in the USSR and his contribution to the organization of health resorts, medical industry, pharmacy. The data on the improvement of outpatient specialized medical care for the population, the dynamics of health care in the USSR in 19501965, and the implementation of national programs to eliminate especially dangerous infections in the country are detailed. The paper shows the role of S.V. Kurashov in the training of medical personnel, the construction of multi-specialty hospitals in rural areas, allowing to provide specialized outpatient and inpatient medical care, in the country's accession to the World Health Organization in Geneva, which increased the importance of the USSR health care in the international arena.

Guidelines for risk reduction and quality improvement in the provision of dental care in medical institutions of the municipality "Ekaterinburg»

2019 ◽  
Author(s):  
Александр Чернавский ◽  
Aleksandr Chernavskiy ◽  
Ирина Русакова ◽  
Irina Rusakova ◽  
Антон Бичун ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Risk Reduction ◽  
Dental Care ◽  
Medical Personnel ◽  
Medical Organization ◽  
New Model ◽  
North West ◽  
Medical University ◽  
Priority Project

This model of management of medical organizations providing dental care in the municipality "city of Yekaterinburg" (hereinafter ― the Guide), developed by the North-West state medical University. I. Mechnikova (SZSMU), the Department of emergency medical care, the Department of therapeutic dentistry and propaedeutics of dental diseases, the Department of public health and health organization of the Ural state medical University (UMMU), the Department of clinical psychology and psychophysiology of the Ural Federal University named after the first President of Russia B. N. Yeltsin (Urfu) in the framework of the Priority project "Creation of a new model of medical organization providing primary health care". The main objectives of the Priority project " Creation of a new model of medical organization..."and this Manual recommended for performance by all organizations and the medical organizations in the territory of municipality" the city of Yekaterinburg " performing the municipal task on rendering free medical care within the Territorial program of the state guarantees of free rendering medical care to citizens: improving the work of outpatient departments of municipal health care institutions of the municipality " Ekaterinburg city»; the introduction of a unified institutional approach to the modus operandi of the staff of the clinics; introduction of patient-oriented technologies in polyclinics of Yekaterinburg; increasing the availability of outpatient medical care; prevention and risk reduction in the provision of dental care through the introduction of an identification Protocol and standardization of medical care; rational organization of work of medical personnel of polyclinics; improving the psychology of the relationship of patient and medical worker, psycho, psycho-corrective and therapeutic ways to help patients.

scholarly journals THE SOCIAL RESPONSIVENESS OF HEALTH CARE SYSTEM: THE REGIONAL ASPECTS

2019 ◽  
Vol 18 (1) ◽  
pp. 16-20
Author(s):  
N. N Shigaev ◽  
I. L Krom ◽  
M. V Erugina ◽  
M. G Eremina ◽  
L. G Skorobogatova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Rural Areas ◽  
Medical Personnel ◽  
Social Responsiveness ◽  
Regional Health Care ◽  
System Functioning ◽  
Survey Results ◽  
Care System

According to the WHO, social responsiveness is associated with non-medical indices of health care system functioning. The integral index of responsiveness of health care system at providing specialized medical care to children in rural areas of the region was applied for assessing the degree of concordance of regional health care system to expectations of population. The most positive appraisals of respondents were given to indices of social responsiveness determined by professionalism of the medical personnel of the Oblast children hospital. The survey results demonstrated that main problem of respondents is transport accessibility of specialized medical care for children in rural areas of the region.

scholarly journals Analysis of the primary health care state for the rural population at the regional level

2021 ◽  
Vol 20 (1) ◽  
pp. 50-57
Author(s):  
M. G. Moskvicheva ◽  
M. M. Polinov
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Care Delivery ◽  
Medical Science ◽  
Medical Personnel ◽  
Full Time ◽  
Primary Health

Introduction. The main goal of the state policy in the field of healthcare is to form a system that ensures the availability of medical care and increases the efficiency of medical services. The volume, type and quality of medical care must correspond to the level of morbidity, the needs of the population and the advanced achievements of medical science. Primary health care is the backbone of the health care delivery system. The problem of it improvement, including in rural areas, is a priority and has national significance. The development of measures to increase the availability of primary health care according to the territorial principle is an urgent scientific and practical problem.The purpose of the study — based on the analysis, methodologically substantiate and develop measures to increase the availability and improve the system of organizing the provision of primary health re to the rural population on a territorial basis.Materials and methods. Mathematical-statistical and analytical (quantitative, structural, comparative) research methods were used.Results and Discussion. In the Chelyabinsk Region, there are disproportions in the provision of the population with medical personnel: the provision of the urban population with doctors and l personnel is significantly higher than that of the rural population. The indicator of staffing with paramedical personnel in full-time positions of feldsher-obstetric stations is 20.1% lower than in the Russian Federation. The index of "combination rate" among doctors working in outpatient departments is 1.2 times higher than the target indicator of the National Health Project, and in rural areas it is 1.1 times. In order to unify the organizational and methodological approaches, the authors proposed a classification of medical stations and their organizational and functional structure.Conclusions. The organization of the provision of primary health care to the rural population according to the territorial-district principle with the formation of an organizational model of the rural medical district will increase the availability of primary medical health care to the rural population.

The development of health care in Siberia in the 18th — first half of the 19th century

2019 ◽  
Vol 5 (2) ◽  
pp. 121-132
Author(s):  
Ekaterina V. Shulyak
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Political Development ◽  
Medical Personnel ◽  
Military Hospital ◽  
Genetic Method ◽  
Industrial Enterprises ◽  
Medical Institutions ◽  
Russian State ◽  
Folk Remedies

Development of health care of Siberia in the 18<sup>th</sup>&nbsp;— first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners&nbsp;— medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care.<br> The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18<sup>th</sup> century by means of a historical and genetic method.

E-HEALTH AND ONLINE HEALTH COMMUNITIES IN THE DAILY LIVES OF OLDER RURAL RESIDENTS DURING THE PANDEMIC

2021 ◽  
pp. 538-544
Author(s):  
К. А. Галкин
Keyword(s):  
Older People ◽  
Medical Care ◽  
Rural Areas ◽  
Computer Literacy ◽  
Self Care ◽  
Leningrad Region ◽  
Rural Medicine ◽  
Online Health Communities ◽  
Health Communities

Ситуация пандемии COVID-19 в очередной раз напомнила о необходимости использования онлайн-сообществ здоровья, особенно в тех районах, где не хватает мест в местных больницах или существуют проблемы с получением качественной медицинской помощи. Это, например, сельские районы, где медицина ориентирована на лечение экстренно возникающих заболеваний и у врачей существуют сложности с возможностью лечения новой коронавирусной инфекции. Онлайн-сообщества здоровья в таком случае предоставляют возможность узнать необходимую информацию, а также общаться со специалистами, которые знают особенности нового коронавируса и могут дать необходимые советы. В настоящей статье на примере глубинных интервью с пожилыми людьми из сёл Ленинградской обл. и Республики Карелия рассмотрена роль телемедицины для пожилых людей и общения в онлайн-сообществах здоровья в контексте преодоления одиночества и изолированности, которая существует в сельской местности. В статье проанализированы особенности и основные препятствия для использования пожилыми людьми телемедицины и общения в онлайнсообществах здоровья - это проблемы с инфраструктурой и отключением электричества, отсутствие у пожилых людей компьютерной грамотности для общения и взаимодействия в онлайн-сообществах здоровья. Роль последних рассмотрена с точки зрения развития самозаботы пожилых людей в сельской местности в периферийных поселениях из-за отсутствия необходимой медицинской помощи. The situation of the COVID-19 pandemic has once again reminded of the need to use telemedicine and online health communities, especially in areas where there are not enough places in local hospitals or there are problems with obtaining quality medical care, such as rural areas where rural medicine is focused on treatment of emergency diseases and doctors have difficulties with the possibility of treatment, as well as explaining about the new coronavirus infection to patients and how this disease can be treated. In this case, online health communities provide an opportunity to find out the necessary information, as well as communicate with specialists who know the features of the new coronavirus and can give the necessary advice. Using the example of in-depth interviews with older people from villages in the Leningrad Region and the Republic of Karelia, the article examines the role of telemedicine for older people and communication in online health communities in the context of overcoming loneliness and isolation that exist in rural areas. The article analyzes the features of the use of telemedicine and the key barriers to the use of telemedicine and communication of older people in online disease communities. In rural areas the main barriers to telemedicine use are infrastructure problems and power outages, as well as the lack of computer literacy for communication and elder people’s interaction in online health communities. In the article the role of online health communities is considered in the context of the self-care of older people and from the point of view of the development of self-care of older people in rural peripheral settlements due to the lack of necessary medical care.

scholarly journals On the Concept of Criminological Ratios of Unintentional Crime in Medical Assistance Rendering

2020 ◽  
Vol 11 ◽  
pp. 31-34
Author(s):  
Polina G. Gabay ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Practical Significance ◽  
Healthcare Sector ◽  
Legal Analysis ◽  
Medical Assistance ◽  
Personal Relations

Purpose. To study the indices of carelessness in the provision of medical care from a criminological standpoint. Methodology: it includes the following methods: historical and legal, comparative legal, analysis and forecasting. Conclusions. 1. Elements of everyday carelessness in health care can be distinguished only conditionally and only in the sphere of relations that are within the framework of personal relations between medical personnel and patients. 2. The structure of health crime includes three groups of crimes: professional crimes of health workers; malfeasance of employees of the studied area; crimes, the responsibility for which arises for these subjects along with other persons. Scientific and practical significance. The conclusions presented in the article are aimed at increasing the effectiveness of counteracting careless criminality in the healthcare sector in the provision of medical care.

scholarly journals FEATURES OF RESPONSIBILITY OF A MEDICAL ORGANIZATION FOR CAUSING THE PATIENT'S HEALTH

2021 ◽  
Vol 38 (2) ◽  
pp. 73-80
Author(s):  
Yu.N. Slepenok ◽  
◽  
G.V. Stankevich ◽  
L.P. Stepanova ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Causal Relationship ◽  
Civil Liability ◽  
Medical Personnel ◽  
Medical Services ◽  
Medical Organization ◽  
Approximate Order ◽  
Average Sample

The article discusses the particular conditions of holding medical organizations accountable for causing harm to the health of patients. The conditions of civil liability, as well as the degree of responsibility of a medical organization in the provision of medical services, are analyzed. The authors are of the opinion that medical care should be organized in accordance with the procedures, conditions and standards for the provision of such care, however, the standards cannot cover all the options that may arise during the provision of medical care, therefore they are aimed at creating an average “sample”, to determine the approximate order of possible actions carried out by medical personnel. Attention is also paid to the consideration of the features of causing harm to the patient’s health, depending on whether the harm was caused in the provision of medical care or medical services. In conclusion, it was concluded that the conditions for bringing medical organizations to justice should include: unlawful action (inaction), harm, a causal relationship between unlawful action and harm, as well as the fault of the injurer.

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