scholarly journals TOPICAL ISSUES OF IMPROVEMENT OF MEDICAL CARE FOR PATIENTS WITH INFECTIOUS PATHOLOGY IN THE REPUBLIC OF TATARSTAN

2019 ◽  
Vol 24 (3) ◽  
pp. 108-117
Author(s):  
Irina Eduardovna Kravchenko ◽  
A. M. Galieva ◽  
M. R. Gataullin ◽  
A. Y. Vafin
Keyword(s):  
Infectious Disease ◽  
Medical Care ◽  
Functional Models ◽  
Quality Of Medical Care ◽  
The Republic ◽  
Rate Of Decline ◽  
The Cost ◽  
Resource Support ◽  
Observation Period

Purpose. To develop ways to improve the regional model of providing medical care to infectious patients in the Republic of Tatarstan on the basis of the rational use of available resources and the introduction of modern medical technologies. Results and discussion. Over the analyzed observation period of 13 years (2005-2017), there was a significant reduction in the resource provision of the infectious diseases service of the Republic of Tatarstan, including the material and technical base, human resources (infectious disease doctors) and the cost of medical care infectious patients. During the same period, the primary infectious morbidity (FM) of the population tended to decrease (the rate of decline was 17.0%). The significant impact of the resource provision of the infectious service (CID, beds, infectious disease physicians) on the indicators of the IZ population (p <0.05) has been established. Effective ways to improve the ways of improving of specialized medical care for infectious patients are presented - the creation of the Republican Advisory Center for Infectious Pathology and reception and diagnostic departments based on infectious hospitals. Conclusions. The introduction of new structural and functional models in the work of the infectious service will improve the availability and quality of medical care for infectious patients throughout the territory of the Republic of Tatarstan in the context of existing resource support.

scholarly journals The effects of cardiac specialty hospitals on the cost and quality of medical care

2006 ◽  
Vol 25 (4) ◽  
pp. 702-721 ◽  
Author(s):  
Jason R. Barro ◽  
Robert S. Huckman ◽  
Daniel P. Kessler
Keyword(s):  
Medical Care ◽  
Specialty Hospitals ◽  
Quality Of Medical Care ◽  
The Cost

scholarly journals SOME ISSUES OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR THE RURAL POPULATION OF THE REPUBLIC OF TAJIKISTAN

2019 ◽  
Vol 21 (3) ◽  
pp. 415-419
Author(s):  
Amonullo Gaibovich Gaibov ◽  
◽  
Nazrullo Talbakzod Mirzoali ◽  
Kholmakhmad Karim Karimzoda ◽  
Rustam Abdusamadovich Tursunov ◽  
...  
Keyword(s):  
Medical Care ◽  
Rural Population ◽  
Quality Of Medical Care ◽  
The Republic

scholarly journals Cystic Fibrosis Patient Registries: Domestic and Foreign Experience

2017 ◽  
Vol 14 (2) ◽  
pp. 115-126 ◽  
Author(s):  
Dmitry A. Andreev ◽  
Ekaterina E. Bashlakova ◽  
Natalia V. Khachanova ◽  
Maria V. Davydovskaia
Keyword(s):  
Cystic Fibrosis ◽  
Medical Care ◽  
Cystic Fibrosis Patient ◽  
Disease Course ◽  
Patient Registries ◽  
Cost Of Treatment ◽  
Therapy Effectiveness ◽  
Quality Of Medical Care ◽  
The Cost

Cystic fibrosis is a multi-organ genetic disease that reduces life expectancy and requires costly complex therapy. The economic burden of cystic fibrosis is determined by the cost of treatment, the conditions for optimizing medical technologies based on epidemiological knowledge of the disease course nature and the therapy effectiveness. In many countries cystic fibrosis patient registries have been created that allow to assess the quality, efficiency and optimality of medical care. Registries are formed at the regional, national, and international levels, which facilitates the collection of complete and reliable patient information for subsequent analysis, comparison and synthesis of clinical and epidemiological indicators. The review is devoted to the actual principles of organization of domestic and some foreign cystic fibrosis patient registries. The article selectively provides examples of information from registries. The application of positive experience of the work of foreign registries in Russia can improve the quality of medical care for patients with cystic fibrosis.

Medical and social losses from diseases of the circulatory system in industrial regions of Kazakhstan

2019 ◽  
Vol 1 (7) ◽  
pp. 444-448
Author(s):  
Lyazat K. Ibrayeva ◽  
Dina Kh. Rybalkina ◽  
Nina M. Zhanbasinova ◽  
Elena A. Drobchenko
Keyword(s):  
Medical Care ◽  
Circulatory System ◽  
Years Of Life Lost ◽  
East Kazakhstan ◽  
Quality Of Medical Care ◽  
Industrial Regions ◽  
The Republic ◽  
Age And Sex

The analysis of the loss of years by YLL (Years of Life Lost) from the mortality of the population in the age and sex aspect of nosology class of diseases of the circulatory system in industrial regions of East Kazakhstan and Karaganda regions of the Republic of Kazakhstan (RK). In the dynamics for 2011–2014, a decrease in mortality was established, which is associated with an increase in the quality of medical care.

USING THE PRINCIPLES AND TOOLS OF LEAN PRODUCTION IN ORGANIZING WORK IN THE CONTEXT OF PROVIDING MEDICAL CARE TO PATIENTS WITH COVID-19 INFECTION

2021 ◽  
Author(s):  
I.V. Kisel ◽  
◽  
T.M. Sharshakova ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Business Processes ◽  
Lean Production ◽  
Pilot Project ◽  
Healthcare Management ◽  
Patient Treatment ◽  
Quality Of Medical Care ◽  
The Republic

Abstract. Introduction. Improving the efficiency of the use of public resources and the quality of medical care provided in modern conditions is becoming one of the priority tasks of science and healthcare management. In industry and the service sector, different management methods are successfully applied. Lean production is considered one such example in healthcare. Lean production is a management concept based on an unswerving commitment to eliminating all types of waste, continuous improvement of processes, improvement of organization and working conditions. One of the central provisions of Lean production is the concept of value for a patient and a medical worker in the performance of a medical service [1]. In the Republic of Belarus in 2019 the implementation of the pilot project of the Ministry of Health of the Republic of Belarus "Caring Polyclinic" was started, which was based on the principles and tools of lean production. The goal of the pilot project is to increase the satisfaction of consumers of medical services with the quality and availability of medical care by optimizing business processes and eliminating losses. Research methods: the study presents a process of providing health care to the population, which can be improved based on the principles of lean production. Possible directions of using the accumulated material on the application of the principles of lean production in the healthcare system in the context of COVID-19 are considered [2]. Studied and analyzed the original publications containing information on the features of the organization of medical care in a lean production [3]. Results. The concept of lean production is able to solve the main problems of organizing the work of primary health care and demonstrates the effectiveness of this approach for optimizing the business processes of providing medical care. The use of leanproduction technologies in a polyclinic allows not only to increase the throughput of the institution, increase labor productivity, but also to ensure the quality of medical care, to increase the satisfaction of patients and employees. Conclusion. The use of the principles and tools of lean production in healthcare provides an increase in the productivity and efficiency of medical workers, optimization of work processes, which leads to a reduction in the waiting time for patient services and a reduction in the duration of patient treatment, respectively, to improve the quality of medical care, reduce costs, and increase patient and employee satisfaction.

Primary Incidence of Autoimmune Tyroiditis in the Republic of Belarus and Radiation Factor

2020 ◽  
Vol 65 (2) ◽  
pp. 27-33
Author(s):  
V. Rozhko ◽  
I. Veyalkin ◽  
T. Sharshakova
Keyword(s):  
Adult Population ◽  
Population Data ◽  
Population Based ◽  
Radiation Factor ◽  
Moderate Growth ◽  
Growth Decline ◽  
Quality Of Medical Care ◽  
The Republic ◽  
Observation Period

Actuality: In the Belarus, the primary incidence of thyroid pathology is in the 2d rank among endocrine diseases after diabetes. Studying the trends in the primary incidence of autoimmune thyroiditis (AIT) in the Belarus is important for improving organizational decisions and further improving the quality of medical care for the population. Purpose: Is to conduct a comparative analysis of the incidence of AIT in the population and in the affected population based on an epidemiological study in the Belarus, taking into account the radiation and organizational components in the formation of pathology. Material and methods: The data of the republican statistical reports and the data of the Chernobyl Register from 1997 to 2017 were analyzed. Standard methods of descriptive epidemiology were used in the work. Results: According to Chernobyl Registry, during the observation period (1997–2017), the primary incidence of AIT decreased by 1.4 times (1997 – 135.1 ± 15.77 0/0000; 2017 – 98.4 ± 7.55 0/0000). The incidence was statistically significantly higher in women than men (ratios ranged from 2.39: 1 in 2004 to 4.0: 1 in 2000). Moreover, the incidence according to Chernobyl Registry was higher than in the adult population, but in children where was no difference with population data. This indicates a high-quality clinical examination of the children’s population. Two organizational and medical approaches have been formed in the republic. The first approach (Grodno, Brest, Minsk regions and Minsk) is characterized by periods of moderate growth, decline, and growth again. In the second approach (Vitebsk, Mogilev and Gomel regions), there are two periods when the increase in incidence sharply changes to decrease before the end of the study period. An analysis of the odds ratio allowed us to conclude that insignificant effect of radioactive iodine on the incidence of AIT in children at the time of the accident and its absence in the adult population. Conclusion: The study confirms the importance of the organizational component in the early diagnosis of AIT.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care
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