scholarly journals THE THIRTY YEARS’ EXPERIENCE OF SURGICAL CARE TO FOREIGN PATIENTS IN STATE ORTHOPEDICS CLINIC

2019 ◽  
Vol 62 (1) ◽  
pp. 51-56
Author(s):  
A. V. Gubin ◽  
Valentina V. Kamysheva
Keyword(s):  
Medical Care ◽  
Medical Tourism ◽  
Surgical Care ◽  
High Tech ◽  
Mass Tourism ◽  
Orthopedic Care ◽  
History Of ◽  
Scientific Technical ◽  
Main Factor ◽  
Russian Research

The history of medical tourism counts several millennia. however, medical tourism became a wide-spread occurrence only to the end of XX century, in the age of globalization that favored drastic increasing of low budget mass tourism at the expense of development of Internet and accessibility of air flights. The purpose of study. To share experience of organization of planned medical care to foreign patients in conditions of state orthopedics clinic. During 1983-2016 in the Academician G.A. Ilizarov Russian Research Center «Restorative Traumatology and Orthopedics» 1304 foreign patients coming from 82 countries were treated. In the Ilizarov Center, to resolve all paramedical issues related to stay of foreign patients, an international department is functioning since July 14 1988, organized on the basis of a group accomplishing organization of scientific technical cooperation. The major tasks of the international department are organization and promotion of development of international relationships of the Center. The international department is a unique section having no analogues in other federal health care institutions. The experience of the Ilizarov Center in rendering orthopedic care to foreign citizen is a leading one for Russia. The main factor determining attractiveness of the Center to foreigners is a uniqueness of technology of Ilizarov transosseous osteosynthesis in combination with enormous experience in treatment of orthopedic pathology. Conclusions. The medical tourism becomes one of major sections of modern global economics. The amelioration of quality and accessibility of high-tech medical care under dedicated state policy, legislation, community and mass media support can at least to shorten withdrawal of funds from our country and support one's own centers of competence.

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.

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 The rationale for dislocation of interregional specialized surgical care centers for children in the Russian Federation

2020 ◽  
Vol 10 (3) ◽  
pp. 263-274
Author(s):  
Vladimir M. Rozinov ◽  
Dmitriy A. Morozov ◽  
Sergey A. Rumyantsev ◽  
Nikolay N. Vaganov ◽  
Vladimir I. Petlakh ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Medical Care ◽  
Russian Federation ◽  
Current System ◽  
Surgical Care ◽  
Federal District ◽  
Urgent Care ◽  
High Tech ◽  
Universal Method ◽  
The Russian Federation

Introduction. In Russia, there is a need to reorganize the system of providing specialized surgical care to children, primarily in emergency and urgent care and in remote, sparsely populated, and hard-to-reach areas. This need is evidenced by the significant persisting disparities in the mortality rate in the countrys various regions. Purpose of the study. This study aims to provide multifactorial substantiation of the expediency, profile, and location of specialized (surgical) interregional centers (MRC), including high-tech, medical care for children, by the priority profiles of activity, about medical organizations of the federal districts (FD) of Russia. Materials and methods. The study design included a two-level (regional and federal) system of professional expertise and justification in terms of the profile, location, and area of responsibility of the MRC in the federal district of the country. At the regional level, Delphi technology was implemented with a mathematical and statistical analysis of 103 expert opinions from 85 constituent entities of Russia, the result of which activities priority profiles were substantiated (newborn surgery, neurosurgery, thoracic surgery, oncology, combustiology) and patient routing preferences. At the second stage of the work, with the involvement of federal experts, the SWOT analysis technology was implemented as a universal method of strategic planning, with the justification of the location and number of MRCs in individual FD of the country, about specific medical organizations where they are based. For an objective (quantitative) assessment of the provision of the Federal District of Russia with the MRC of specialized medical care for children according to the established profiles of activity, we have proposed a calculated indicator the regional contingency coefficient (CRC), representing the ratio of two uniformly calculated values the number of MRCs and regions in a particular Federal District, or the country as a whole. Results. The consolidated position of federal experts regarding the location of the MRC was formulated according to the established profiles of activity about FD and specific medical organizations in the Russian Federation constituent entities. The cattle in the profile of the activity of neonatal surgery was 0.14, and about neurosurgery, thoracic surgery, and oncology, respectively, 0.12, 0.11, and 0.11 for Russia as a whole. The lowest (0.09) cattle in the country characterized the situation with the combustiology profile. In the overwhelming majority (76.0%), the location of the MRC is tied to the administrative centers of the Federal District or cities of federal significance. Among the 50 MRCs of all priority profiles, 43 (86%) were potentially designated by experts based on multidisciplinary pediatric medical organizations. Discussion. The effectiveness of the MRC functioning is due to the organization of medical and evacuation support for children with diseases and injuries. The development of consultative and resuscitation centers in the primary hospital structure is promising. Its functionality, along with remote counseling, treatment, and evacuation activities, includes monitoring the condition of sick and affected children at the place of primary hospitalization. An alternative is a presence on the clinical base of the MRC of a structural unit or a branch of the regional center for emergency medical care and disaster medicine. Conclusion. Overcoming the inequality in the availability and quality of medical care for children in certain FD and regions of Russia is necessary to reorganize the current system of staged medical care. Optimal logistics of medical and evacuation support for specialized patients and injured people include the MRC as a collector for children in need of specialized care, including high-tech medical care, with the implementation of the predominant principle of evacuation of oneself.

scholarly journals INTERREGIONAL CENTERS OF HIGH-TECH CHILDREN’S SURGERY – MORTGAGE OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR RUSSIAN CHILDREN

2018 ◽  
Vol 8 (3) ◽  
pp. 6-17 ◽  
Author(s):  
V. M. Rozinov ◽  
D. A. Morozov ◽  
S. A. Rumyantsev ◽  
N. N. Vaganov ◽  
D. R. Azovskiy ◽  
...  
Keyword(s):  
Medical Care ◽  
Information Exchange ◽  
Surgical Care ◽  
High Tech ◽  
Medical Evacuation ◽  
Medical Institutions ◽  
Quality Of Medical Care ◽  
Regional Centers ◽  
Surgical Conditions

The article starts with a summary of the international experience in making medical care both accessible and high quality for children with surgical conditions and trauma by concentrating patients in specialized trans-regional centers. The authors give results of the retrospective analysis of the reasons for failure when implementing the concept of trans-regional specialized medical care in the Russian healthcare system. The paper lists problems with legislative control over these aspects: supplying the centers with resources, medical evacuation processes, distribution of responsibility by areas, and the information exchange with local medical institutions (hospitals, clinics, etc). The article also illustrates similarities and differences on how the trans-regional centers for pediatric surgical care function inRussiaand in other countries. The authors outline high priority measures for creating trans-regional centers for specialized medical assistance for children inRussia. The systematic review includes 16 domestic and 28 foreign literature sources, 8 references to Russian laws and regulations. 

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.

Book reviews

2018 ◽  
pp. 150-152
Author(s):  
L. M. Besov
Keyword(s):  
History Of Science ◽  
State Institution ◽  
National Academy Of Sciences ◽  
Fundamental Science ◽  
Technical Potential ◽  
History Of ◽  
Scientific Technical ◽  
Academy Of Sciences

Presidents of the Academy of Sciences of Ukraine for 100 years of its existence: Scientific and organizational cont ribution to the progress of fundamental science / VN Gamalia, Yu. K. Duplenko, V. I. Onoprienko, S. P. Ruda, V. S. Savchuk; for ed. V.I. Onoprienko; National Academy of Sciences of Ukraine; State Institution "G. M. Dobrov Institute Research of Scientific-Technical Potential and History of Science". - Kyiv: SE "Inf.-analytical Agency ", 2018. - 215 p.

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