scholarly journals Main Problems in Organization of Specialized Medical Care, Including High-Tech Traumatologic and Orthopaedic Care, to Children in Novosibirsk Region

2015 ◽  
Vol 22 (2) ◽  
pp. 60-65
Author(s):  
L. S Shalygina ◽  
T. A Myl’nikova ◽  
E. A Finchenko
Keyword(s):  
Medical Care ◽  
Rural Population ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Official Statistic ◽  
Health Ministry ◽  
Low Level ◽  
Orthopaedic Care ◽  
Novosibirsk Region ◽  
Complex Evaluation

Complex evaluation of the state and organization of specialized medical care, including high-tech traumatologic and orthopaedic care, to children in Novosibirsk region is presented. Official statistic data from CITO named after N.N. Priorov, Health Ministry of Novosiborsk region and basic indices of the Health Ministry of Novosiborsk region for 2005-2012 have been used. The main problems in organization of expert traumatologic and orthopaedic care to children in Novosibirsk region were identified: poor diagnosis of osteomuscular system diseases resulting from insufficient training of trauma and orthopaedic surgeons, general and pediatric surgeons; imbalance in territorial distribution of the staff. All that condition low availability of expert medical care for rural population, including the high-tech one; imbalance in the volume of medical care; non-compliance of bedspace structure with the recommended standards (deficit of orthopaedic beds); low level of medical rehabilitation; insufficient volumes of high-tech medical care. The revealed shortcomings should be taken in consideration at elaboration of measures directed to the perfection of specialized traumatologic and orthopaedic care to children in Novosibirsk region.

scholarly journals Main Problems in Organization of Specialized Medical Care, Including High-Tech Traumatologic and Orthopaedic Care, to Children in Novosibirsk Region

2015 ◽  
pp. 60-65
Author(s):  
L. S. Shalygina ◽  
T. A. Myl’Nikova ◽  
E. A. Finchenko
Keyword(s):  
Medical Care ◽  
Rural Population ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Official Statistic ◽  
Health Ministry ◽  
Low Level ◽  
Orthopaedic Care ◽  
Novosibirsk Region ◽  
Complex Evaluation

Complex evaluation of the state and organization of specialized medical care, including high-tech traumatologic and orthopaedic care, to children in Novosibirsk region is presented. Official statistic data from CITO named after N.N. Priorov, Health Ministry of Novosiborsk region and basic indices of the Health Ministry of Novosiborsk region for 2005-2012 have been used. The main problems in organization of expert traumatologic and orthopaedic care to children in Novosibirsk region were identified: poor diagnosis of osteomuscular system diseases resulting from insufficient training of trauma and orthopaedic surgeons, general and pediatric surgeons; imbalance in territorial distribution of the staff. All that condition low availability of expert medical care for rural population, including the high-tech one; imbalance in the volume of medical care; non-compliance of bedspace structure with the recommended standards (deficit of orthopaedic beds); low level of medical rehabilitation; insufficient volumes of high-tech medical care. The revealed shortcomings should be taken in consideration at elaboration of measures directed to the perfection of specialized traumatologic and orthopaedic care to children in Novosibirsk region.

scholarly journals SPECIALIZED MEDICAL CARE IN A ROUND-THE-CLOCK HOSPITAL FOR CITIZENS EXPOSED TO RADIATION AS A RESULT OF THE CHERNOBYL DISASTER

2019 ◽  
pp. 5-11 ◽  
Author(s):  
S. S. Aleksanin ◽  
V. Yu. Rybnikov ◽  
K. K. Rogalev ◽  
V. A. Tarita
Keyword(s):  
Medical Care ◽  
Inpatient Treatment ◽  
Nuclear Power ◽  
Surgical Care ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Severe Injuries ◽  
Chernobyl Disaster ◽  
Treatment Data ◽  
Somatic Diseases

Relevance. About 800 thousand citizens of the Russian Federation were affected as a result of the Chernobyl disaster, almost a quarter of them were liquidators of the consequences of the disaster at the Chernobyl nuclear power plant (LCDs). LCDs are among the most affected categories of Russian citizens. They usually have up to 12-15 somatic diseases and receive specialized inpatient treatment. Data on their morbidity structure and characteristics need to be generalized and are the basis for improving the organization of specialized medical care.Intention. To identify the characteristics of morbidity and the main classes of diseases in those suffered from the Chernobyl disaster in the remote period when providing specialized medical care in a round-the-clock hospital, from 2016 to 2018. Methodology. There were analyzed 4195 medical records of the LCDs who underwent inpatient treatment in multidisciplinary clinics of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, in the framework of the activities of the Union State in 2016–2018.Results and Discussion. The features of the morbidity of those affected by the Chernobyl disaster (LCDs and residents of radiation-contaminated territories) are shown. The main classes of diseases are presented in the distant period when providing specialized medical care in the round-the-clock hospital. The features of the organization of specialized medical care have been identified, in particular, the need has been substantiated for the provision of not only specialized therapeutic, but also specialized, including high-tech, surgical care, as well as medical rehabilitation in the preoperative and postoperative periods, after severe injuries and somatic diseases. The need for the creation and use of unified standards for the provision of special- ized therapeutic treatment to those affected by the Chernobyl disaster was confirmed. The necessity of providing specialized medical assistance to those affected by the Chernobyl disaster as part of the Union State target programs (Russia - Belarus) in addition to the State Guarantees Program for providing Russian citizens with free medical care using targeted methods of prevention, diagnosis, treatment and rehabilitation is substantiated. The implementation of the proposals presented in this article will undoubtedly improve the availability and quality of specialized medical care for this cohort.Conclusion. The features of the morbidity rates and the main classes of diseases revealed and presented in the article for those affected by the Chernobyl disaster in the long-term period when providing specialized medical care in a round-the- clock hospital are the basis for planning the types of specialized medical care for this cohort within the framework of targeted programs and activities of the Union State.

scholarly journals High-tech medical care for Chernobyl accident survivors: features, profiles, types, amount

2020 ◽  
pp. 5-13
Author(s):  
S. S. Aleksanin ◽  
V. Yu. Rybnikov ◽  
Yu. V. Gudz’ ◽  
G. Yu. Sokurenko ◽  
D. F. Magdanov
Keyword(s):  
Medical Care ◽  
Chernobyl Accident ◽  
Nuclear Power ◽  
Large Scale ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Preliminary Treatment ◽  
Radiation Medicine ◽  
Important Basis

Relevance. About 5 million people suffered from the large-scale Chernobyl nuclear power plant (CNPP) accident in 1986, mainly citizens of Russia and Republic of Belarus. Governments of these states and the Union State of Russia-Belarus created on December 8, 1999 have been consistently implementing for many years a set of targeted programs and measures to provide special, including high-tech, medical assistance to the Chernobyl accident survivors. Features, profiles, types and amount of high-tech medical care for the Chernobyl accident survivors need to be summarized and are the basis for improving its budgeting within the Union State. Intention. To identify, on the basis of long-term data, the features, main profiles, types and amount of high-tech medical care for survivors of the Chernobyl accident in 2014-2020.Methodology. There were analyzed 843 medical records of Chernobyl accident survivors who received high-tech medical care in the multidisciplinary clinic N 2 of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia (St. Petersburg).Results and Discussion. High-tech medical care for Chernobyl accident survivors implies waiting lists and forecast parameters, preliminary treatment of comorbidities and medical rehabilitation afterwards. Profiles, types, amount of hightech medical care over 2014-2020 are described. Most popular high-tech care included cardiovascular, traumatology and orthopedics and ophthalmology interventions.Conclusion. Data provide an important basis for planning the types of high-tech medical care for the Chernobyl accident survivors within the framework of the targeted activities of the Union State.

scholarly journals The role of the National Scientific Center of Traumatology and Orthopedics named after academician Batpenov N.D. in the formation and development of traumatology - orthopedic service of the Republic of Kazakhstan

2021 ◽  
pp. 4-15
Author(s):  
Olzhas Bekarissov ◽  
◽  
Arman Batpen ◽  
Kuanysh Ospanov ◽  
Galina Jaxybekova ◽  
...  
Keyword(s):  
Medical Care ◽  
Scientific Activity ◽  
High Tech ◽  
Highly Qualified ◽  
Scientific Center ◽  
Orthopaedic Care ◽  
Treatment Technologies ◽  
The Republic

The 20-year period of work of the National Center for Traumatology and Orthopedics named after academician Batpenov N.D., determined its role as an advanced center for the training of highly qualified scientific and pedagogical personnel, for the development and implementation of innovative diagnostic and treatment technologies in the field of traumatology and orthopedics. The material presents the results of the analysis of the center's activities, including its contribution to the development of the national traumatology and orthopedic service, as well as the scientific and pedagogical contribution. Keywords: organization of traumatological and orthopaedic care, traumatism, scientific activity, high-tech medical care, Kazakhsta

scholarly journals ANALIZ SOSTOYaNIYa OKAZANIYa MEDITsINSKOY POMOShchI I ISKhODOV U BOL'NYKh S PERELOMOM PROKSIMAL'NOGO OTDELA BEDRA (DANNYE POPULYaTsIONNOGO ISSLEDOVANIYa)

2011 ◽  
Vol 14 (3) ◽  
pp. 7-10 ◽  
Author(s):  
E. N. GLADKOVA ◽  
V. N. KhODYREV ◽  
O. M. LESNYaK
Keyword(s):  
Primary Care ◽  
Hip Fracture ◽  
Medical Care ◽  
Operative Treatment ◽  
Hip Fractures ◽  
Primary Care Physicians ◽  
Surgical Care ◽  
Epidemiological Data ◽  
Official Statistic ◽  
Low Level

The aim of this study was to analyze the medical care and determinants of outcomes in patients with hip fracture. Epidemiological data was received from official statistic for cases of hip fractures and from primary care physicians. 208 cases of hip fractures were revealed during 2008-2009 (52 men and 156 women). The part of the hospitalized patients comprised 37,0%. Other patients either didn‘t apply to a hospital (57 people), or were refused in hospitalization (74 people). Operative treatment was received by 12,5% of patients with hip fracture. The lethality after a hip fracture within 1 year was high — 41,4°%. Thus, the low level of surgical care and the serious consequences of hip fractures and low level of the surgical help dictate the need for the development of the Russian standard to help these patients.

Meaning of innovative technologies for improvement of results in treating burned patients

2020 ◽  
pp. 44-47
Author(s):  
A. A. Alekseev ◽  
A. E. Bobrovnikov ◽  
V. V. Bogdanov
Keyword(s):  
Clinical Practice ◽  
Medical Care ◽  
Clinical Effectiveness ◽  
High Tech ◽  
Comprehensive Treatment ◽  
Case Histories ◽  
Innovative Technologies ◽  
Treatment Technologies ◽  
Burn Disease ◽  
Complications And Mortality

In order to include innovative technologies in clinical recommendations, confirmation of their clinical effectiveness in comprehensive treatment of burned patients is necessary. 1,696 case histories of patients with burns were audited, which are divided into two groups depending on peculiarities of treatment. The use of innovative treatment technologies for burned patients has reduced the incidence of burn disease complications and mortality. Introduction of innovative technologies in treating burned patients into broad clinical practice improves results of provision of specialized, high-tech medical care for victims of burns.

Medical Care for Children with Cancer in the Donetsk People’s Republic: Results of an Ecological Study in 2014–2017

2018 ◽  
Vol 5 (3) ◽  
pp. 145-154
Author(s):  
M. Yu. Rykov ◽  
I. N. Inozemtsev ◽  
S. A. Kolomenskaya
Keyword(s):  
Medical Care ◽  
Pediatric Patient ◽  
Ecological Study ◽  
Medical Service ◽  
Care Delivery ◽  
Benign Tumors ◽  
High Tech ◽  
Malignant Neoplasms ◽  
Children With Cancer ◽  
Patient Capacity

Background.Analysis of medical care delivery for children with cancer in armed conflict is highly important because the high-tech treatment in this context is extraordinary difficult and challenging task. Objective. Our aim was to analyze the morbidity and mortality rates in children with malignant tumors, to assess the pediatric patient capacity and medical service density in the Donetsk People’s Republic.Methods.The ecological study was conducted where the units of analysis were represented by the aggregated data of the Republican Cancer Registry on the number of primary and secondary patients with malignant and benign tumors, the deceased patients in the DNR in 2014–2017, pediatric patient capacity, and medical service density.Results.The number of pediatric patient capacity for children with cancer was 10 (0.27 per 10,000 children aged 0–17), pediatric patient capacity for children with hematological disorders — 40 (1.37 per 10,000 children aged 0–17). The treatment of children with cancer was performed by 5 healthcare providers: 1 pediatric oncologist (0.02 per 10,000 children aged 0–17), 3 hematologists (0.08 per 10,000 pediatric population aged 0–17), and 1 practitioner who did not have a specialist certificate in oncology. Morbidity rate for malignant neoplasms from 2014 to 2017 decreased by 25% (in 2014 — 9.6 per 10,000 children aged 0–17; in 2017 — 7.2). In the morbidity structure, the incidence proportion of hemoblastoses was 68.4%, brain tumors — 2.6%, other solid tumors — 29%. The death rate due to malignant neoplasms decreased by 37% (in 2014 — 2.7; in 2017 — 1.7).Conclusion.Low levels of the incidence rate and pattern of morbidity indicate defects in the identification and recording of patients. This explains the performance of the bed: low average bed occupancy per year and low turnover. For a reliable analysis of mortality statistical data is not available: in 2014–2015 only the number of in-hospital deceased patients is presented. Limited data is due to the lack of reliable patient catamnesis which is explained by the high rate of population migration. 

RURAL MEDICINE. CONDITION AND ISSUES

2020 ◽  
pp. 103-110
Author(s):  
Yuliya M. Beglyakova ◽  
◽  
Aleksander S. Shchirskii ◽  
Keyword(s):  
Health Services ◽  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Rural Medicine ◽  
Self Medication ◽  
Medical Facilities ◽  
Treatment Facilities ◽  
Number Of Treatment ◽  
The Village

The article analyses the accessibility of medical facilities in rural areas of modern Russia and the specifics of their organization and development. The authors reveal causes why rural residents have much less opportunities to seek quality medical care than urban ones, what leads to a disparity between the inhabitants of the city and the village. The thesis is substantiated that state programmes that should make health services accessible to the rural population to a greater extent do not cope with the task at hand. An attempt is made to highlight the public’s response to the existing disparity in the health services of the villagers compared to urban dwellers. Such a reaction can be considered an outflow of people from rural areas, and an increase in self-medication among rural people as a result of the difficulty in obtaining health services. The decrease in the number of treatment facilities in rural areas leads to a deterioration in the medicine situation in rural areas. That, according to the authors of the article, justifies the need to study the issues associated with the provision of medical care to the rural population.

Analysis of Current Practices of Organizing the Export of Medical Services in the United Kingdom, Italy, South Korea and China

2020 ◽  
pp. 30-42
Author(s):  
Arkady Nikolaevich Daykhes ◽  
Vladimir Anatolievich Reshetnikov ◽  
Olga Aleksandrovna Manerova ◽  
Ilya Aleksandrovich Mikhailov
Keyword(s):  
United Kingdom ◽  
South Korea ◽  
Medical Care ◽  
Medical Tourism ◽  
Value Added ◽  
External Factors ◽  
Medical Services ◽  
High Tech ◽  
Medical Organization ◽  
The United Kingdom

Aim of the study. Analysis of medical tourism’s organizational features based on the example of the large medical organizations in the United Kingdom, South Korea, Italy and China. Materials and methods. The data were collected by the authors by interviewing the heads of medical organizations and their deputies in the United Kingdom, South Korea, Italy and China (3–4 respondents per medical organization) using the developed questionnaire to identify the main mechanisms and tools for organizing the export of medical services. SWOT-analysis (Strengths; Weaknesses; Opportunities; Threats) was performed in order to comprehensively evaluate the received information. Results. Along with weaknesses and threats that slow down the development of medical services exports, strengths (internal factors) and opportunities ( external factors) that contribute to the development of medical tourism were also identified: the widespread popularity of the brand of medical organizations abroad which is associated with the provision of premium medical services; versatility and ability to conduct high-tech surgical operations; the presence of a separate premium class building and an international department for working with foreign patients and promoting a medical organization in the world market; well-established business relationships with assistance companies; foreign medical personnel who speak foreign languages and possess necessary skills to treat foreign patients; developed electronic medical care system; developed system of quality control of medical care; the presence of branches in other countries; the presence of a medical visa in the system of legislation; established cooperation with many countries at the embassy level; state licensing and accreditation for the provision of medical services to foreign citzens; the availability of a state website on the provision of medical assistance to foreign citizens; the possibility of the age of value added tax. Conclusion. We identified main patterns in the organization of export of medical services that can be applied to develop this direction in medical organizations of the Russian Federation during the analysis the strengths and weaknesses of four large medical organizations abroad, as well as external factors that affect the work of these medical organizations.

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