Менеджмент доступности первичного звена здравоохранения в субъектах России с высокой долей сельского населения (Primary Health Care Accessibility Management in Russian Regions With a High Share of the Rural Population)

2020 ◽  
Author(s):  
Larisa Gabueva ◽  
N Pavlova ◽  
Natalia Zubareva
2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra

2011 ◽  
Vol 4 (1) ◽  
pp. 38 ◽  
Author(s):  
Nikolaos Kontarakis ◽  
Ioanna G Tsiligianni ◽  
Polyvios Papadokostakis ◽  
Evangelia Giannopoulou ◽  
Loukas Tsironis ◽  
...  

2020 ◽  
Vol 101 (6) ◽  
pp. 890-896
Author(s):  
A A Kalininskaya ◽  
N A Bayanovа

Aim. To assess the territorial accessibility of primary health care (PHC) to the rural population in the Orenburg region. Methods. Statistical, monographic, organizational experiment research methods were applied. Statistical processing was carried out by using the Statistica 10.0 software. Basic statistics were calculated (arithmetic mean, weighted arithmetic mean). All parameters were checked by using ShapiroWilk, KolmogorovSmirnov and Lilliefors tests for normal distribution. The parametric method of statistics (Student's t-test) was used. Results. The assessment of the territorial accessibility of primary medical health care to the population of the Orenburg region was carried out using the methodology developed by us for calculating the criteria for the accessibility of primary medical health care to the rural population Rating of medical organizations according to the criterion of territorial accessibility of primary medical care to the rural population. The use the methodology allows making management decisions regarding the territorial planning of primary health care for the rural population in the selection of problem areas with low accessibility of primary medical care. In the Orenburg region, there are the following problems: different levels of accessibility of primary health care with a variety of distance up to 30 km and different population sizes in settlements create difficulties in organizing the provision of primary health care; remoteness from the regional center up to 300 km forms a personnel deficit. Conclusion. Application of the methodology Rating of medical organizations according to the criterion of territorial accessibility of primary medical care to the rural population in the Orenburg region has allowed the development of the following recommendations for making management decisions at the regional level: (1) prioritization of territories for priority measures to ensure the availability help; (2) selection of the form of primary health care organization for the timely medical care provision to the population; (3) the formation of competition among medical organizations in the ranking of the availability of primary health care.


2014 ◽  
Vol 33 (3) ◽  
pp. 39-53 ◽  
Author(s):  
Piotr Jankowski ◽  
Blake Brown

Abstract Health care accessibility can be measured by the number of prospective patients who could reach a medical facility within a prescribed time limit. The representation of health care demand in estimating accessibility is an important consideration since different spatial aggregations of demand have different consequences with regard to accessibility estimates. This article examines the effects of aggregating population demand for primary health care, ranging from census tract to aggregated census block, on estimates of primary health care accessibility. Spatial representations of aggregated demand were incorporated into a location-allocation model in order to determine a measure of accessibility represented by the unmet demand for primary health care services. The model was implemented for the U.S. State of Idaho, based on the allocation of Idaho residents’ demand for primary health care to the state’s existing primary health care facilities. The results confirm a relationship between the level of demand aggregation and the level of potential accessibility. In case of a rural state such as Idaho the relationship is positive; higher levels of aggregation result in higher measures of accessibility.


Author(s):  
Mamta Chauhan

Primary health care (PHC) center is the first point of contact between community and the medical officer at village level. The PHCs have been envisaged to provide an integrated curative and preventive health care to the rural population with emphasis on preventive and promotive aspects of health care. The PHCs are established and maintained by the State Governments under the minimum needs programme or basic minimum services programme. At present, a PHC is manned by a medical officer supported by paramedical and other staff. It acts as a referral unit for 4 to 6 sub centres. It has 6 beds for patients. The activities of PHC involve curative, preventive, promotive and family welfare services. There are 2080 PHCs functioning as on March, 2018 in the Rajasthan.


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