scholarly journals Modern approaches to improving the quality of medical care for premature children in Moscow health care

2020 ◽  
Vol 65 (1) ◽  
pp. 5-10 ◽  
Author(s):  
I. M. Osmanov ◽  
A. K. Mironova ◽  
A. L. Zaplatnikov
Keyword(s):  
Health Care ◽  
Body Weight ◽  
Medical Care ◽  
Rehabilitation Center ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Quality Of Medical Care ◽  
Premature Children

This article is devoted to the issue of nursing and further monitoring of children born with very low and extremely low body weight. The article presents the data of international statistics and seven-year experience of the Rehabilitation Center for children born with very low and extremely low body weight, based on a large multidisciplinary children’s hospital. The authors pay particular attention to improvement of medical care of children born with very low and extremely low body weight.

Do multidisciplinary teams make a difference to the quality of medical care?

2019 ◽  
Vol 80 (12) ◽  
pp. 696-698
Author(s):  
Sam Marsden ◽  
Liam Dunbar ◽  
Nemandra Sandiford
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Multidisciplinary Team ◽  
Teaching Hospitals ◽  
Multidisciplinary Teams ◽  
Team Management ◽  
Treatment Pathways ◽  
Quality Of Medical Care ◽  
Centres Of Excellence

One of the major modern advances in the organization and delivery of health care has been the introduction of multidisciplinary team management. This approach has reduced mortality levels in patients suffering with cancer and other complex multiorgan pathologies. Many centres of excellence and teaching hospitals have established multidisciplinary teams in order to streamline treatment pathways and optimize patient care. This article presents an overview of multidisciplinary teams, their history, their introduction into mainstream medical care and the issues resulting from their introduction to the treating organizations as well as clinicians.

Legal and policy lessons from the Schiavo case: Is our right to choose the medical care we want seriously at risk?

2006 ◽  
Vol 4 (2) ◽  
pp. 145-153 ◽  
Author(s):  
ZITA LAZZARINI ◽  
STEPHEN ARONS ◽  
ALICE WISNIEWSKI
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Policy ◽  
Legal Status ◽  
Medical Futility ◽  
Medical Practitioners ◽  
Political Interests ◽  
Quality Of Medical Care ◽  
The Individual

The article explores the individual patient's right to refuse, withdraw, or insist on medical treatment where there is conflict over these issues involving health care personnel or institutions, family members, legal requirements, or third parties concerned with public policy or religious/ideological/political interests. Issues of physician assistance in dying and medical futility are considered. The basis and the current legal status of these rights is examined, and it is concluded that threats to the autonomy of patients, to the privacy of the doctor/patient relationship, and to the quality of medical care should be taken seriously by individuals, medical practitioners, and others concerned with developing and maintaining reasonable, effective, and ethical health care policy.

scholarly journals SUPPORTIVE SUPERVISION AS A TECHNOLOGY OF IMPROVING THE QUALITY OF HOSPITAL CARE DELIVERY

2017 ◽  
Vol 14 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Svetlana A. Mukhortova ◽  
Tatiana V. Kulichenko ◽  
Leyla S. Namazova-Baranova ◽  
Svetlana G. Piskunova ◽  
Elena A. Besedina ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Hospital Care ◽  
Care Delivery ◽  
Health Care Facilities ◽  
Cochrane Library ◽  
Supportive Supervision ◽  
Technology Application ◽  
Quality Of Medical Care

Improving the quality of medical care is a priority in countries with developed and developing health care system. There are various approaches to improve the quality and safety of patient’s care, as well as various strategies to encourage hospitals to achieve this goal. The purpose of the presented literature review was to analyze existing experience of the implementation of technology of supportive supervision in health care facilities to improve the quality of hospital care delivery. The data sources for publication were obtained from the following medical databases: PubMed, Cochrane Library, Medscape, e-library, and books on the topic of the review written by experts. The article discusses the results of the research studies demonstrating the successes and failures of supportive supervision technology application. Implementation of supportive supervision in medical facilities based on generalized experience of different countries is a promising direction in improving the quality of medical care delivery. This technology opens up opportunities to improve skills and work quality of the staff at pediatric hospitals in the Russian Federation.

scholarly journals Analysis of medical care in Ukraine for nephrological patients in 2019

2020 ◽  
pp. 11-17
Author(s):  
M. O. Kolesnyk ◽  
N. I. Kozliuk ◽  
O. O. Razvazhaieva
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Acute Kidney Injury ◽  
Kidney Disease ◽  
Medical Care ◽  
Kidney Injury ◽  
Financial Decisions ◽  
Quality Of Medical Care ◽  
Nephrological Care

The work aimed to conduct a rating of nephrological services in the regions of Ukraine by using the method of complex statistical coefficients. Methods. Evaluation of nephrological services in the regions of Ukraine was made by using indicators of the structure, health care resources, quality and efficiency of renal medical care of patients with chronic kidney disease and patients with acute kidney injury. Results. The place of each province in the national rating of the state of renal medical care was identified. Conclusions. The organization, availability and quality of medical care for nephrological patients in Ukraine do not meet existing needs. The significant differences in the specialized nephrological care between the regions of Ukraine can be solved out through the implementation of appropriate management and financial decisions.

scholarly journals The results of study of quality and accessibility of medical care in health care institutions: “Who is guilty and what to do?”

2019 ◽  
Vol 60 (4) ◽  
pp. 219-224 ◽  
Author(s):  
O. S. Kobyakova ◽  
I. A. Deev ◽  
Evgeniy S. Kulikov ◽  
E. A. Starovoytova ◽  
K. V. Khomyakov ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Organizations ◽  
Actual System ◽  
Managerial Decision ◽  
Real Situation ◽  
Managerial Decision Making ◽  
Tomsk Region ◽  
Quality Of Medical Care

The actual system of evaluation of quality of medical care includes analysis of indices of official statistical reporting, external and internal expertise and significantly more rare analysis of satisfaction of patients as immediate consumers of medical services. The study was carried out to compare opinions of patients and administrators of medical organizations about quality and accessibility of medical care in number of health care organizations in the Tomsk region. The most of the administrators significantly overestimate the level of quality and accessibility of medical care in organizations that permits drawing a conclusion about absence of understanding of real situation. This situation results in restrictions of selecting necessary vectors of amelioration offunctioning of organization and proper managerial decision-making.

scholarly journals ASSESSMENT OF THE QUALITY OF CARE FOR PATIENTS WITH MYOCARDIAL INFARCTION

2020 ◽  
Vol 73 (6) ◽  
pp. 1234-1236
Author(s):  
Viktor A. Ohniev ◽  
Anna A. Podpriadova ◽  
Kateryna H. Pomohaibo
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Quality Of Care ◽  
Health Status ◽  
Medical Care ◽  
Self Monitoring ◽  
Quality Of Medical Care

The aim of the work was to study and evaluate the quality of medical care provided to patients with myocardial infarction. Materials and methods: A sociological survey was conducted in 310 people with myocardial infarction and the copying of data from 318 statistical maps of patients who left the hospital. Results: It was defined that the majority of patients, 57.7 ± 2.8%, were not offered psychological rehabilitation, only 42.3 ± 2.8% were recommended the consultation of a psychologist; most of patients, 89.3±1.78%, were unaware of the possibility of self-monitoring of their health status after myocardial infarction and 10.7 ± 1.8% kept selfcontrol diaries; 88.4±1.9% of patients were under monitoring supervision, while 11.6 ± 1.9% were not under it. Conclusions: Identification of the quality of care makes it possible to optimize the system of providing health care for patients with myocardial infarction.

scholarly journals The justice as key principle of humanitarian model of quality management of health care system from position of sociology of medicine

2016 ◽  
Vol 15 (1) ◽  
pp. 41-47
Author(s):  
N. G Kaleva ◽  
O. F Kalev
Keyword(s):  
Health Care ◽  
Quality Management ◽  
Medical Care ◽  
Medical Documentation ◽  
Rural Regions ◽  
Large Cities ◽  
Rural Districts ◽  
Sociology Of Medicine ◽  
Quality Of Medical Care

The problem of detection, measurement, evaluation and elimination of inequity and injustice related to health continues to be unresolved in all countries. The study was carried out to evaluate situation related to quality of medical care in primary health care at the regional level and to determine means of its amelioration on the basis of humanitarian model of system of quality management from positions of sociology of medicine. The materials of territorial foundation of mandatory medical insurance of the Chelyabinskaia oblast were taken as basis for analysis. The sampling consisted of 54 383 acts of expertise of quality of medical care, including 42 998 expertises of medical care provided by pediatricians and 61 860 by therapists. The design related to type of clinical audit of medical documentation of completed case in polyclinic practice. The significant differences were established concerning rate of defects of quality of medical care in oblast centers, large cities, towns ans rural regions. The phenomenon of sub-optimization of quality of medical care in towns, and rural districts during period of financing increase of health care is established. The results of study testify availability of injustice in issues of health care of population residing in unfavorable social economic conditions. To support justice related to health the concept of humanitarian model of system of management of quality from positions of sociology of medicine was developed.

scholarly journals ОСОБЛИВОСТІ ВПРОВАДЖЕННЯ Е-МЕДИЦИНИ В УМОВАХ ДЕРЖАВНО-ПРИВАТНОГО ПАРТНЕРСТВА

2017 ◽  
Author(s):  
N. O. Sinyenko ◽  
G. V. Zagoriy ◽  
S. I. Mokhnachov
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Effective Control ◽  
State Control ◽  
Private Partnership ◽  
Mobile Medicine ◽  
Quality Of Medical Care ◽  
Specialized System ◽  
New System

It was discussed the possibilities and the reality of the e-medicine challenges through technology of public-private partnership (PPP). It is shown that the use of e-medicine is one of the most important levers of improving the quality of medical care in Ukraine. Taking into account that the computerization of health care is extremely expensive project its rapid implementation is possible for the widest possible PPP. It is believed that mobile medicine is the best example of modern PPP. It is postulated that for the effective control of the quality of medical care it should be created specialized expertise and advisory mechanisms in a specialized system of state control of the new system of electronic health systems with strictly defined principles such as objectivity, complimentarily, law and so on.

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