Economic development trends and aspects of healthcare reform in Russia under COVID-2019 pandemic

2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Socioeconomic Development ◽  
Large Scale ◽  
Mutual Influence ◽  
Health Financing ◽  
The State ◽  
Point Of View ◽  
State Of The Economy ◽  
Care System

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country

On teaching surgery to seconded doctors

1934 ◽  
Vol 30 (1) ◽  
pp. 26-32
Author(s):  
V. L. Bogolyubov
Keyword(s):  
Health Care ◽  
Soviet Union ◽  
Health Care System ◽  
The State ◽  
October Revolution ◽  
General State ◽  
State Health ◽  
National Scale ◽  
Systematic Improvement ◽  
Care System

The question of the systematic improvement of doctors on a national scale arose only after the October Revolution and the transfer of the health care system into the hands of the state. The October Revolution, which brought with it the system of state health care, raised the acute and very real question of creating a cadre of doctors to carry out the tasks of Soviet health care. Thus, the training of doctors in our Soviet Union in general and their training in particular is directly dependent on the tasks of Soviet health care, which are inseparably linked in their turn to the realization of various general state tasks at a given point in time.

scholarly journals Opinions on changes in the Romanian health care system from people's point of view: a descriptive study

Health Policy ◽  
2003 ◽  
Vol 66 (2) ◽  
pp. 123-134 ◽  
Author(s):  
Ana-Claudia Bara ◽  
W.J.A van den Heuvel ◽  
J.A.M Maarse ◽  
Jitse van Dijk ◽  
Luc P de Witte
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Descriptive Study ◽  
Point Of View ◽  
Care System

scholarly journals Management of COPD within the Brazilian Unified Health Care System in the state of Bahia: an analysis of real-life medication use patterns

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Charleston Ribeiro Pinto ◽  
Antônio Carlos Moreira Lemos ◽  
Lindemberg Assunção-Costa ◽  
Aramis Tupiná de Alcântara ◽  
Laira Lorena Lima Yamamura ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Pharmacological Treatment ◽  
Real Life ◽  
The State ◽  
Public Health Care ◽  
Cross Sectional ◽  
Long Acting ◽  
Severe Copd ◽  
Care System

ABSTRACT Objective: To describe COPD pharmacological treatment patterns in the state of Bahia, Brazil, and to evaluate the extent to which these patterns conform to clinical guidelines for the management of COPD. Methods: This was a cross-sectional study of 441 patients referred from the Public Health Care Network of the state of Bahia to a public referral outpatient clinic of a COPD management program of the Brazilian Unified Health Care System. Individuals with a spirometry-confirmed diagnosis of moderate to very severe COPD were included in the study. Patients were evaluated as to whether they had used any COPD medications in the last seven days. The appropriateness or inappropriateness (undertreatment or overtreatment) of the patient’s pharmacological treatment was evaluated by comparing the patient’s current treatment with that recommended by national and international guidelines. Results: A total of 383 individuals were included in the analysis. Approximately half of the patients (49.1%) used long-acting bronchodilators. These patients were older and had had the disease longer. Of the sample as a whole, 63.7% and 83.0% did not receive pharmacological treatment in accordance with international and national recommendations, respectively. Inappropriateness due to undertreatment was indentified in more than half of the patients. Conclusions: Long-acting bronchodilators are frequently underused in individuals with moderate to very severe COPD within the Brazilian Unified Health Care System in the state of Bahia. Most patients in our sample were treated inappropriately, and undertreatment predominated. Strategies to improve access to long-acting bronchodilators and the quality of COPD pharmacological management are required.

Struggle and Revolt in the Spanish Health Policy Process: The Changing Role of the Medical Profession

1992 ◽  
Vol 22 (1) ◽  
pp. 19-44
Author(s):  
Josep A. Rodríguez
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Profession ◽  
The State ◽  
Political Organization ◽  
Political Activity ◽  
Professional Status ◽  
Political Role ◽  
Care System

Many changes have taken place in the professional status and political role of the Spanish medical profession during the process of construction of the health care system (1940–1990). There is a strong correlation between the different characteristics of the several phases of construction of the national health care system and some of the changes in the status, organization, and political activity of the medical profession. The democratic transition coincided with changes in the orientation of the system brought about by financial imperatives, which forced readjustments in the survival and political projects of the profession. The creation of a democratic regime has allowed the medical profession to create its own independent mechanisms of interest representation and has given rise to a process of negotiation of the new political relations (and their mechanisms) between the State and the profession. The last 15 years have witnessed important transformations in some parameters of the profession, in its political organization, its political role, and its relation with the State.

Health Care System Structure in the State of Israel

2019 ◽  
Vol 88 (1) ◽  
pp. 39-46
Author(s):  
Mohammad Yasser Sabbah
Keyword(s):  
Health Care ◽  
Medical Treatment ◽  
Health System ◽  
Health Care System ◽  
The State ◽  
The Public ◽  
The Right ◽  
To Receive ◽  
State Of Israel ◽  
Care System

The health care system in the State of Israel consists of two sectors - the public sector, which includes government-owned hospitals and medical institutes. The public health sector includes the community health system, health funds, family medicine, the general care system and the mental health care system. The second sector is the private sector, which includes private hospitals and medical institutes. Both sectors are supervised by the Israeli Ministry of Health, which is the supreme governmental authority through which it implements its policy in the entire health system in Israel. The law provides and guarantees medical insurance for every resident of Israel, the right to receive medical treatment, the prohibition of discrimination, informed consent to medical treatment, the right to receive an additional medical opinion, the dignity and privacy of the patient and the right to attend. Health funds in Israel were established before the State of Israel was established. The ideological concept of the health funds was based on the principle of equality and mutual assistance.

scholarly journals ДЕТЕРМІНАНТИ СИСТЕМИ ОХОРОНИ ЗДОРОВ’Я В ПРОБЛЕМАТИЦІ ЗБАЛАНСОВАНОГО РОЗВИТКУ

Economical ◽  
2020 ◽  
Vol 1 (1(22)) ◽  
pp. 36-47
Author(s):  
Катерина Ягельська ◽  
Keyword(s):  
Health Care ◽  
Sustainable Development ◽  
Health Care System ◽  
Initial Conditions ◽  
Institutional Development ◽  
Global Scale ◽  
The State ◽  
Health Care Market ◽  
Effective Health Care ◽  
Care System

The issue focuses on the health care system as a key element of the structure of the sustainable development economy. The first stage of the study was to determine the factors and initial conditions for building an effective health care system in Ukraine. It is argued that the initial conditions for building the effective health care system in countries vary widely and are characterized by varying strengths of challenges and threats. It is concluded that Ukraine’s economic development is largely determined by global determinants along with national ones, among them the most influential are: capital, success and effectiveness of structural reforms, effective changes in industrial policy, transformations in public consumption, investment-innovation and technological policy, institutional development infrastructure of small and medium business. The systemic problems of the domestic economy and the health care system have been identified. The planned financing of health care elements for 2021 has been analyzed and its weaknesses have been identified. Emphasis is placed on the contradictions between the priorities of the state budget and its coverage. The problem of potential sources of expansion of general expenses is considered. The basic elements that are necessary for the development of the health care system of Ukraine in modern conditions have been identified. The content of economic, ecological and social components of the transformation of the health care system, which are realized through the active participation of the state, private sector and society in the development of the medical sphere of the country, is revealed. The environmental component in the aspect of health care is revealed through crisis determinants that qualitatively change the indicators of health system efficiency. A set of determinants of health care functioning on a global scale is described, among which economic, political, ecological threats, educational crisis; threats of global terrorism are singled out. The basic requirements to the health care system are defined and substantiated on the basis of the analysis of the health care market of Ukraine, the analysis of the purposes of the health care system functioning and the purposes of sustainable development in Ukraine. The content of the basic requirements for the health care system, which corresponds to the formulated basic principles of the effective health care system, is revealed. The priorities for formulating the requirements for the health care system in the conditions of sustainable development of economic relations have been formulated.

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