scholarly journals ANALYSIS OF SELF-RATED HEALTH BY RESIDENTS OF THE UNTSUKUL DISTRICT, REPUBLIC OF DAGESTAN (ON RESULTS OF THE QUESTIONNAIRE SURVEY)

2018 ◽  
Vol 13 (3) ◽  
pp. 107-119
Author(s):  
Patimat A. Bekshokova ◽  
Gayirbeg M. Abdurakhmanov ◽  
Kerim S. Bekshokov ◽  
Patimat I. Gabibova ◽  
Kazbek K. Bekshokov ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Rural Settlements ◽  
Medical Activity ◽  
Self Rated Health ◽  
Medical Institutions ◽  
Public Health Institutions ◽  
Quality Of Medical Care ◽  
Health Institutions

Aim.To carry out a comparative analysis of self-rated health, medical activity, and satisfaction with the quality of medical care in public health institutions by residents of rural settlements of the Untsukul district, Republic of Dagestan.Methods.The study was conducted by the method of questioning 2643 respondents, among them 1453 women and 1181 men.Results.According to the results of the survey, the majority of the interviewed residents of Untsukul district (68.2%) are satisfied with their health. Medical activity of the population at the time of the study was 60.6%. As to respondents who applied to the medical institutions of the Untsukul district during this period, 13.5% are not satisfied with the quality of medical care in public health institutions, 23.5% are fully satisfied, 30% are not fully satisfied.Conclusion.A social survey in the form of a questionnaire is one of the most effective methods of obtaining information about the self-rated health of the population. Timely analysis of medical activity of the population, its satisfaction with the quality of medical care will improve the efficiency of the health system.

scholarly journals Evaluation of the Quality of Medical Care to the Population at the Level of Day Stations and Emergency Stations

2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Chronic Diseases ◽  
Emergency Care ◽  
Rural Population ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical Institutions ◽  
Quality Of Medical Care

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

Sanitary and hygienic regime in medical institutions of general practice

2021 ◽  
pp. 14-23
Author(s):  
Vladimir Anatolievich Klimov
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Infection Control ◽  
Medical Care ◽  
Nosocomial Infections ◽  
System Organization ◽  
Modern Medicine ◽  
Medical Institutions ◽  
Quality Of Medical Care

The problem of infectious safety is extremely urgent in modern medicine. To date, it is not possible to determine the reliable prevalence of nosocomial infections, since this indicator is significantly underestimated according to available statistical reporting. The development and implementation of a sanitary and hygienic monitoring system, organization of the work of the infection control commission is an important element in improving the quality of medical care by a general practitioner.

Assessment of the quality of medical care for children in rural areas

1997 ◽  
Vol 78 (6) ◽  
pp. 464-465
Author(s):  
E. V. Karpukhin
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Social Economic ◽  
Geographical Factors ◽  
Medical Institutions ◽  
Quality Of Medical Care

The main feature of the system of medical care for the rural population created in our country is its phased nature, starting from feldsher-midwife stations to regional, territorial and republican institutions. Due to the peculiarities of rural population settlement, large distances to medical institutions, poor roads, lack of regular transport communication, low technical availability of communication facilities, as well as a number of social, economic and geographical factors, there are problems in the organization of medical care for this contingent.

Building a Quality System in Medical Institutions. International and Russian Experience

2020 ◽  
Vol 144 ◽  
pp. 56-65
Author(s):  
Leonid M. Pechatnikov ◽  
◽  
Natal’ya V. Petrova ◽  
Artem V. Emanuel’ ◽  
Inna O. Churekova ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Management ◽  
Infectious Diseases ◽  
Medical Care ◽  
Quality Management System ◽  
Healthcare Sector ◽  
Medical Institutions ◽  
Force Majeure

The coronavirus pandemic, which covered a variety of countries with different health systems in terms of organization and development in 2020, brought to the fore not only the issues of predicting and treating mass infectious diseases, but also the problems of assessing the quality of both medical care and its effectiveness. Accordingly, building a quality management system in the healthcare sector as a whole is of paramount importance as well as the introduction of quality management in medical organizations in the new environment. In addition to solving the acute problems, which public health faced with in the fight against COVID-19, it is necessary to build long-term strategies for its functioning and development in order to avoid such force majeure in the future.

The significance of theme expertise of the quality of medical care in achieving successful results in treating patients with acute gastrointestinal bleeding

2020 ◽  
Vol 22 (3) ◽  
pp. 56-60
Author(s):  
O. N. Skryabin ◽  
K. N. Movchan ◽  
D. A. Tvorogov ◽  
V. V. Tatarkin ◽  
Yu. M. Morozov ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Medical Care ◽  
Diagnostic Process ◽  
Negative Consequences ◽  
Acute Gastrointestinal Bleeding ◽  
Abdominal Organs ◽  
Medical Institutions ◽  
Medical Diagnostic ◽  
Quality Of Medical Care

Abstract. This piece of work has evaluated the quality of medical care provided in 2015 to 1,158 patients with acute gastrointestinal bleeding in 11 medical institutions of Saint Petersburg that are licensed to provide in-patient examination and treatment for people with acute surgical diseases abdominal organs. The data on the possible correlative relationship of negative consequences for the implementation of the medical treatment and diagnostic process in cases of insufficient activity in terms of conducting clinical expert work on the profile of emergency abdominal surgery have been analysed in particular. It has been shown that providing medical care to patients with gastrointestinal bleeding is associated with defects in the medical diagnostic process in almost every second case. In the structure of inaccuracies, there prevailed cases of improper examination and treatment of patients (48 and 36%, respectively). Defects in making diagnosis and providing continuity comprise 13 and 3% respectively. The most significant drawback in providing medical care to patients with gastrointestinal bleeding was the use of low-effective anti-ulcer drug therapy schemes (16% of observation cases) and attempts to perform hemostasis by using outdated technologies of intraluminal endoscopy (16% of cases). It is noted that in cases of providing medical care to patients with acute gastrointestinal bleeding, a differentiated principle should be observed. It is proved that the proper quality of medical care for patients with acute gastrointestinal bleeding can be achieved by consistent, programmed provision of it with coordinated activities not only of surgeons directly involved in the treatment and diagnostic process, but also with their purposeful interaction with specialists of other medical fields.

scholarly journals RESULTS OF MEDICAL-SOCIAL RESEARCH ON MEDICAL CARE QUALITY FOR PATIENTS WITH COVID-19 OF INPATIENT HOSPITAL DEPARTMENTS IN SUMY REGION

2021 ◽  
Vol 74 (5) ◽  
pp. 1057-1060
Author(s):  
Natalia O. Dryha ◽  
Alla V. Stepanenko ◽  
Lesia A. Rudenko ◽  
Daria O. Zhaldak ◽  
Svitlana M. Piven ◽  
...  
Keyword(s):  
Medical Care ◽  
Social Research ◽  
Care Quality ◽  
Viral Infectious Disease ◽  
Working Age ◽  
Quality Of Medical Care ◽  
Bed Days ◽  
Health Institutions ◽  
The Relationship

The aim: The aim of the study is to assess the quality of medical care and determine the relationship between treatment outcomes of patients and acute respiratory viral infectious disease caused by SARS-CoV-2,depending on patients` age, the time from onset of symptoms to hospitalization, and the presence of comorbidity. Materials and methods: According to the specially designed form, a retrospective analysis of primary accounting documents was carried out (f. No. 103/o) in 158 patients with COVID-19. The research was carried out in specialized inpatient infectious diseases wards of health institutions of the Sumy region during the period from April to September 2020. The study used a systemic approach, bibliosemantic, comparative and statistical analyses, logical generalization methods. Results: Among the study group of patients, namely 158 people, a bigger number of women (56.33±3.95%) than men (43.67±3.95%) were recorded. Patients of working age (from 18 to 64 years old) took 70.89±3.61% of all patients, and people aged 65 years and older – 29.11±3.61%. The time from the beginning of symptoms to hospitalization in each second patient (49.37±3.98%) lasted 5-7 days. In most cases, the patient’s stay in the hospital equaled 13-15 bed-days – 32.28±3.72%. The index of patients with severe and critical state was 20.89±3.23% (33 patients). In 8.23±2.19% (13 people) of treated cases of hospital stay ended in death. A large index of patients with a severe course of the disease, the treatment of which ended in discharge, were in hospital for more than 13 bed days – 12.03±2.59% (19 people). All of these patients were older, had CNCDs (chronic non-communicable diseases), half of them were hospitalized on day 7 and later from the onset of symptoms. Conclusions: In older people, the disease progresses faster and complications are developing more often. Also, the severity of the SARS-CoV-2 pattern and the length of staying in the hospital are affected by the time starting the onset of symptoms till hospitalization and the presence of CNCDs. The hereinafter data allows to increase knowledge about spreading of COVID-19, to improve the quality of organizational and preventive events in the provision of medical care, and reducing mortality.

scholarly journals Features of assessing the quality of medical care for patients with prostate cancer in the late stages of the oncological process

2020 ◽  
Vol 22 (1) ◽  
pp. 53-59
Author(s):  
K N Movchan ◽  
K E Chernov ◽  
B S Artyushin ◽  
A V Zharkov ◽  
V V Tatarkin ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Medical Care ◽  
Diagnostic Process ◽  
Treatment And Prevention ◽  
Modern Computer ◽  
Medical Institutions ◽  
Patient Health ◽  
Quality Of Medical Care ◽  
Health Managers

Despite the successes in the examination and treatment of patients with prostate cancer, the problems associated with the organization of medical care for patients suffering from this disease remain. Defects in the verification of oncological diseases of the prostate often cause a decrease in parameters reflecting the quality and life expectancy of men. The data on the clinical case presented in the work demonstrate the difficulties of verifying a disease of a patient with prostate cancer, despite the involvement of many specialists of several medical institutions in the diagnostic process. With significant amounts of medical measures, the quality of the medical care provided at all stages can be considered inappropriate, primarily due to a violation of continuity in the management of the patient. Health care resources were used irrationally despite the fact that attempts were made to save the patient’s life at all levels and stages of medical care. Probably, defects in the provision of medical care could have been prevented by applying unified approaches in the diagnostic and treatment process using the advantages of information technology in modern computer databases of medical institutions, which make it possible to monitor the stages and volume of medical care provided to patients individually. In addition, the proper organization of medical care, as well as the targeted routing of patient flows should be provided not so much by clinicians as health managers. In the absence of opportunities in the treatment and prevention facilities, where patients are sometimes unplanned in urgent cases, the possibilities for carrying out diagnostic and treatment procedures, the healthcare organizers, together with the clinicians, must find reserves for referring patients to specialized medical organizations, in which examination and treatment of patients can be guaranteed. At the same time, the role, importance and effectiveness of the activities of health managers in the examination of the quality of medical care in each case should be evaluated separately.

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