scholarly journals Modeling a Process-Oriented System for Ensuring the Guality of Medical Services in the Arctic zone of the Russian Federation

2019 ◽  
Vol 10 (2) ◽  
pp. 182-195
Author(s):  
K. N. Glazov

Purpose: the main goal is to simulate a process-oriented system for ensuring the quality of medical services in health care facilities in the Arctic zone of the Russian Federation. To achieve this goal, the following tasks were solved: formulated the main aspects of process-oriented quality assurance services in health care; a model was built for the implementation of a process-oriented system for ensuring the quality of services in the conditions of the Arctic territories; developed guidelines for the practical implementation of a process-oriented system to ensure the quality of medical services in the Arctic regions of the Russian Federation.Methods: this article is based on an interdisciplinary concept of ensuring the quality of medical services provided in relation to the specifics of the functioning and development of treatment-and-prophylactic organizations based on a process-oriented approach.Results: the most important direction of development of the national economy is to ensure an adequate level of quality of medical services provided in health care organizations and in the formation of patient-oriented service for end users (patients), which is especially important for the Arctic zone of the Russian Federation. The article analyzes foreign sources regarding the use of a process-oriented approach to the issues of ensuring the quality of medical services provided. Also in this publication a model of process-oriented quality assurance of medical services in the conditions of the Arctic territories of the Russian Federation is formed. Practical recommendations for the effective use of process-oriented mechanisms ensuring the quality of medical services in the Arctic regions of the Russian Federation have been developed.Conclusions and Relevance: the materials presented in the article show the special role of the health care system in social and economic processes. The proposed model of ensuring the quality of medical services is recommended for use not only in the represented region, it could be effective for all organizations in the field of health care, regardless of the form of ownership and organizational-legal form, as well as territorial location. Research conducted in this article represents the development of scientific ideas about modern technologies to ensure the quality of medical services in a regional perspective. The practical application of its results will improve the procedures for managing the quality of services, organizing business processes of basic medical activities, including the production of medical services, as well as their service characteristics in relation to healthcare, taking into account current economic and social trends, and as a result ensure their sustainable development.

2021 ◽  
Vol 52 (4) ◽  
pp. 108-120
Author(s):  
Irina S. Stepus ◽  
◽  
Anna V. Simakova ◽  
Evgeny A. Pitukhin ◽  
◽  
...  

Introduction. Labor markets in the regions of the Arctic zone of the Russian Federation are challenged with the needs for personnel who have to work in the extreme conditions of the Far North. This objective circumstance imposes special, often increased requirements for the qualifications and level of training of job seekers, including the quality of their education. The relevance of this study is due to the increasingly popular online form of education, which is characterized by both advantages associated with the availability of such education and its safety in the era of a pandemic, and disadvantages associated with the quality of education received. The purpose of the study is to analyze the demand for specialists who have received professional education online in the labor market of the regions of the Arctic zone of the Russian Federation. Materials and methods. The information base of the study was the results of surveys of more than 2,200 employers from the territories of all 9 constituent entities of the Russian Federation included in the Arctic zone. The surveys were conducted using online survey methods. The methods of descriptive statistics, system analysis and comparative data analysis were used when processing the survey results. Research results. The applicability of obtaining professional education in online form for the conditions of the Arctic zone is approved by 58% of the surveyed employers, and 42% have a negative attitude to this practice. Only every third employer surveyed considers the online education system existing in the RF AZ as a whole to meet their requirements for this type of training. At the same time, over 40% of employers in all Arctic regions expressed their readiness to hire specialists with a diploma in online education. The results of the survey, presented in the context of the Arctic regions and types of economic activity, showed a heterogeneous attitude of the employers to the issues under study. Discussion and conclusion. The results obtained confirmed the importance for the employers of the RF AZ of personnel training issues using online training, which has both a number of undoubted advantages for the Arctic territories and limitations. An important trend in the development of the study is to assess the capabilities of the existing system of distance online education from the perspective of the subjects of education themselves – universities and colleges located in the Arctic zone of Russia.


2018 ◽  
Vol 64 (1) ◽  
pp. 84-100 ◽  
Author(s):  
V. A. Rumyantsev ◽  
A. V. Izmailova ◽  
L. N. Kryukov

Regions of the Russian Federation classified among Arctic zone estimated to 22% of Russian territory. Arctic is characterized by the richest reserves of natural resources, and its phased, balanced development is the most important strategic task of Russia’s socioeconomic development. Production and household activities of the population of Russia living and working in the far North is associated with difficult climatic and geographical conditions. In this case, the constant cold and consumption of contaminated water can lead to aggravation of various human disease. The Arctic zone of the Russian Federation is characterized by the richness of water resources as rapidly renewable (river runoff and its underground component), and static one to which are assigned the waters of lakes, underground waters, waters (ice) of mountain and polar glaciers. A characteristic feature of water consumption in the Arctic regions is the active use of lake water, which in a number of settlements is the main source of drinking water supply. In this regard, the assessment of the lake’s fund of Arctic zone and its ecological status is extremely topical.According to the assessments, more than 2.5 million water bodies, that is a ~2/3 of all water bodies of the country, are decoded in the Arctic zone of the Russian Federation on satellite images. Mainly, these are small water bodies, only about 975 thousand of them exceed 1 ha. The total area of the water surface of Arctic lakes is ~160 thousand km2 (slightly less than a half of the total water surface of all natural water bodies of the Russian Federation), and the total volume of water enclosed in them is ~760 km3.Even in the middle of the 20th century, the lakes of the Russian Arctic, with rare exceptions, were characterized by the highest quality of their waters, but by now the ecological status of many water bodies has deteriorated significantly. The vulnerability of Arctic lakes to pollution is enhanced both by virtue of the peculiarities of their orometry and by the simplicity of the biological communities of northern ecosystems characterized by a low degree of stability. The poor knowledge of Arctic water bodies does not allow taking the necessary preventive measures for their protection and rational use. In this connection, attention to the expansion of works on the integrated study of limnology of water bodies included in the lake fund of the Arctic zone should be paid.An estimation of water resources of lakes of the Arctic zone of Russia, their ecological status and the questions of etiology of diseases on the territories of the Far North are given in this article. The morbidity of the population of the Arctic regions of Russia today is much higher than the national average. Further development of the territory and the observed warming of the climate will lead to increasing pollution of freshwater resources with toxic substances, pathogenic microorganisms and viruses. This will exacerbate the issue of ensuring environmental safety and meeting the needs of the population in quality drinking water. The situation is further aggravated by the fact that the most affordable technologies for water treatment and wastewater treatment in conditions of low temperatures and high content of humic substances in the initial water cannot ensure the proper level of disinfection. In this regard, one of the topical issues is the creation of innovative technologies for water purification that are more adequate to the conditions of the Arctic zone of Russia.


2021 ◽  
Vol 2 (71) ◽  
pp. 22-28
Author(s):  
N. Veretennikov ◽  
R. Leontiev

The article analyzes the economic aspects of mining in the Arctic zone of the Russian Federation (AZRF) on the example of industrial development of deposits of precious metals (gold, platinum and silver). The role of the mining industry in the development of the economy and social sphere of the Arctic regions is revealed.


Author(s):  
ANNA N. SHISHIGINA ◽  

Based on the analysis of the approved Strategy for the development of the Arctic zone of the Russian Federation and ensuring national security for the period up to 2035, we propose directions that determine the possibilities of improving the efficiency and quality of economic growth in the regions of the Arctic zone of the Russian Federation on the example of the Sakha Republic (Yakutia).


Author(s):  
Anastasia Fomicheva ◽  
Nikolay Pimenov ◽  
Svetlana Komarova ◽  
Aleksandr Urtikov ◽  
Olga Paevskaya ◽  
...  

Aim. To determine the epidemiological features of the hepatitis B in the Russian Arctic. Materials and methods. We carried out a retrospective analysis of the incidence of hepatitis B (acute and chronic forms) in 9 Russian Arctic regions, 3 subarctic regions (Khanty-Mansiysk Autonomous Okrug, Magadan Region, Kamchatka Territory) and Russian Federation in 1999-2019. We also studied the prevalence of chronic hepatitis B and vaccination data against hepatitis B in these territories. Results. From 1999 to 2019 the incidence of acute hepatitis B in three subarctic regions decreased 166 times (from 66.5 to 0.4 per 100 thousand population), in the Arctic zone of 73 times (from 29.8 to 0.4 per 100 thousand population) and 77 times in Russia (from 43.8 to 0.6). The incidence of chronic hepatitis forms in the same period in the Arctic zone decreased by 16.3 times (from 140.1 to 16.3), 5.8 times in the subarctic regions (from 116.6 to 20.0) and 5.7 times in Russia (from 96.3 to 16.8). In 2018, the results of the prevalence of chronic hepatitis B in the Arctic zone (697.3) was higher than in Russia by 98% (352.1) and higher than in the subarctic regions by 67% (588.6). Timely coverage of hepatitis vaccination in children aged 12 months in the Russian Federation, the Arctic zone and the subarctic regions is maintained at a high level (more than 90%) from 2004 in 2019. Coverage of children by vaccination to 17 years inclusive and adults up to 35 years on these territories also exceeded 90%. Conclusion. Vaccination against hepatitis B in the Russian Federation led to a significant decrease in the incidence of this infection in the Russian Arctic. High prevalence of infection indicates the need to continue the program of mass vaccination and the timely introduction of the first dose of vaccine newborns. To reduce the risk of cirrhosis and liver cancer, it is necessary to increase the availability of diagnosis of the disease and its possible outcomes in the Arctic regions and timely provision of antiviral treatment of all patients.


2021 ◽  
Vol 11 (1) ◽  
pp. 19-29
Author(s):  
Е.V. Smirennikova ◽  
◽  
A.V. Ukhanova ◽  
L.V. Voronina ◽  
◽  
...  

The article assesses the demographic potential of the Arctic regions of the Russian Federation, taking into account the stages of its innovative development. The relevance of the study is due to the need for the formation of an innovative economy, which will help reduce its resource dependence and increase diversification, as well as improve the quality of life of the population. Recently, there has been a “devastation” of the country’s Arctic territories, which jeopardizes their integrated development, including the introduction of an innovative vector into it. In this regard, a comprehensive assessment of the existing demographic potential on the territory of the Arctic zone of the Russian Federation in conjunction with the assessment of the innovative development of the economy in the area is required. The suggested assessment methodology includes a system of indicators characterizing the natural and mechanical movement of the population, gender and age structure and health of the population, marriage rate, divorce rate and the level of its education, as well as reflecting the creation, implementation and use of innovations. The authors propose to carry out the assessment using scoring methods, natural groups, statistical analysis, interregional comparison, and expert assessments. The final stage of the assessment is the calculation of integral indices for assessing the demographic potential and innovative development of the country’s Arctic territories, presented graphically. Based on the assessment results, the authors divide all subjects into nine clusters. The old-developed regions of the European part of the Russian Arctic during the second stage of the country’s innovative development “lost ground” in most indicators of demographic potential assessment, despite the relatively high estimates of the innovation sphere. The leading positions according to the results of the demographic potential assessment in the context of innovative development belong to the Arctic regions of new development. However, in terms of the development of innovations they are among the outsiders. Thus, the authors outline a weak connection between the demographic and innovative development of the territories of the country’s Arctic zone, or predict a “delayed” effect from the introduction of innovations over time. The authors suggest applying the assessment results in the adjustment and designing of program and strategic documents of state policy in the field of demographic and innovative development of the Arctic territories of Russia.


Author(s):  
A.A. Yuzhakov ◽  
K.A. Layshev ◽  
G.F. Detter ◽  
S.M. Zuev

The article presents the results of evaluating selection and breeding work in reindeer farms in the Arctic zone of the Russian Federation. The research was carried out by general scientific methods of historical, statistical and expert analysis. It is noted that at present, 4 breeds of reindeers are officially registered in Russia: Nenets, Chukchi, Evenk and Even. As of the beginning of 2020, the breeding base of northern reindeer breeding includes 26 farms. The article analyzes the state of selection and breeding work in the regions. All breeding farms of the Arctic zone work according to long-term and annual work plans agreed with the Ministry of Agriculture of the Russian Federation, they carry out in-depth breeding work based on the selection of animals according to phenotypic characteristics. Individual animal registration and ear tagging are applied. The animals are graded annually with class assignment. Before the rut, castration is carried out in order to cull out non-cool and unsuitable breeding bulls. To reduce the likelihood of closely related crossings and increase the heterogeneity of the breeding stock, an inter-herd and inter-farm exchange of sire bulls is carried out. Among the problems that hinder the development of selection and pedigree work in northern reindeer husbandry and hinder the realization of the genetic potential of pedigree animals are: an acute shortage of pasture feed in the tundra zone during the snowy period; mass cutting of antlers (growing horns) from producers, which reduces the quality of the seed and reproductive rates; imperfection and low reliability of breeding records; lack of a unified genetic monitoring system; an acute shortage of specialists with the necessary competencies; lack of the development of the market for breeding animals; insufficient level of financing of breeding farms by region. In addition, it is especially emphasized that breeding work in reindeer herds is often carried out without scientific support and supervision by specialists. Genetic examination of the origin of animals, assessment of producers by the quality of seed and offspring is poorly introduced.


2021 ◽  
Vol 1 (11) ◽  
pp. 47-55
Author(s):  
Asya A. Shchegol'kova ◽  

The article analyzes the formation of processes of institutional regulation of socio-economic activity in the Arctic Zone of the Russian Federation. An assessment of state support measures for the eco-nomic development of the Arctic space, business stimulation, increasing the investment and social attractive-ness of the Arctic Zone of the Russian Federation was given. It was revealed that the formation of the institu-tional space of the Arctic Zone of the Russian Federation would allow the Arctic regions of Russia to become the world's largest economic zone with a single set of administrative, tax and investment preferences, as well as a geopolitical tool for strengthening the regional presence of Russia in the Arctic.


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