Pathways for the Development of Workforce Capacity of Paramedical Personnel in the System of Modern Russian Health Care System (Based on Materials from the Volga Federal District)

Author(s):  
Yu.V. Migunova
Author(s):  
О.А. Бадов

Важнейшим фактором, влияющим на состояние здоровья населения, является демографический. В связи с этим, исследование показателей естественного движения насе- ления, динамики численности и многих других являются основополагающими при определе- нии перспектив развития системы здравоохранения и многих других социальных объектов и услуг, так или иначе связанных с населением и поддержанием его здоровья на должном уров- не. Особый интерес представляют исследования динамики рождаемости и смертности за сравнительно большие промежутки времени, включающие в себя какие-либо события, так или иначе повлиявшие на рождаемость и смертность населения. В настоящей статье исследуется территориальная дифференциация рождаемости и смертности населения России в период 2005-2018 гг. Поскольку статья имеет полимасштаб- ный характер: демографические элементы рассматриваются по федеральным округам Рос- сии, ее регионам и, отдельно, по регионам Северо-Кавказского ФО. С целью возможности сопоставления регионов с различными географическо-социальными по- казателями (площадь, численность населения и т.д.) были применены относительные пока- затели (число рождений и смертей за год на 1000 жителей). Результатом исследований явилось выявление территориальной дифференциации основных демографических показателей населения России за 2005-2018 гг. и определение особенностей их влияния на состояние здоровья людей и структуру системы здравоохранения. The most important factor infl uencing the health status of the population is demographic factor. In this regard, the study of indicators of the vital movement of the population, population dynamics and many others are fundamental in determining the prospects for the development of the health care system and many other social facilities and services, one way or another related to the population and maintaining its health at the proper level. Of particular interest are studies of the dynamics of fertility and mortality over relatively long periods of time, including any events that somehow infl uenced the birth and mortality of the population. This article examines the territorial differentiation of the birth and death rates of the population of Russia in 2005-2018. Since the article is of a poly-scale nature, demographic elements are considered for the federal districts of Russia, its regions and, separately, for the regions of the North Caucasus Federal District. In order to be able to compare regions with different geographical and social indicators (area, population, etc.), relative indicators were used (the number of births and deaths per year per 1000 inhabitants). The result of the research was the identifi cation of territorial differentiation of the main demographic indicators of the population of Russia for 2005-2018 and determining the characteristics of their impact on the health status of people and the structure of the health care system.


Author(s):  
E.V REPRINTSEVA ◽  

The current health care system in Russia has a number of unresolved problems associated with a lack of financial support for the industry, which negatively affects the effectiveness of medical activities, the quality and availability of medical services [3]. The imperfection of the model of financial support for the industry, combined with underfunding and the lack of clear control over the rationality of the use of funds, became the reasons for the existing problems - the lack of a modern material and technical base, staff shortages, accompanied by ineffective healthcare and, as a result, a decrease in public confidence in the industry. In the course of the study, the current state and problems of financial support of the health care system of the Russian Federation, associated with the socio-economic differentiation of regions of the country by the level of development, were considered, the existing trends and their causes were identified. It has been established that a steady trend towards a reduction in budgetary expenditures aimed at financing the health care sector continues today. If in 2013 the volume of funding was 1.25 trillion. rubles, then to decreased to 950.7 billion rubles. The assessment of the financing of the regions of the Russian Federation in the context of the grouping by federal districts showed a widespread reduction in budgetary spending on health care, however, to the greatest extent - in the regions of the North Caucasus Federal District and the Siberian Federal District, and to the least - in the Central Federal District and the Northwestern Federal District. This indicates that there is a direct relationship between the level of socio-economic development of a subject and the volume of budgetary spending on health care.


2016 ◽  
Vol 49 (5) ◽  
pp. 305-310 ◽  
Author(s):  
Ruffo Freitas-Junior ◽  
Danielle Cristina Netto Rodrigues ◽  
Rosangela da Silveira Corrêa ◽  
João Emílio Peixoto ◽  
Humberto Vinícius Carrijo Guimarães de Oliveira ◽  
...  

Abstract Objective: To estimate the coverage of opportunistic mammography screening performed via the Brazilian Sistema Único de Saúde (SUS, Unified Health Care System), at the state and regional level, in 2013. Materials and Methods: This was an ecological study in which coverage was estimated by determining the ratio between the number of mammograms performed and the expected number of mammograms among the population of females between 50 and 69 years of age. The number of mammograms performed in the target population was obtained from the Outpatient Database of the Information Technology Department of the SUS. To calculate the expected number of mammograms, we considered 58.9% of the target population, the proportion that would be expected on the basis of the recommendations of the Brazilian National Cancer Institute. Results: In 2013, the estimated national coverage of mammography screening via the SUS was 24.8%. The mammography rate ranged from 12.0% in the northern region to 31.3% in the southern region. When stratified by state, coverage was lowest in the state of Pará and highest in the state of Santa Catarina (7.5% and 35.7%, respectively). Conclusion: The coverage of mammography screening performed via the SUS is low. There is a significant disparity among the Brazilian states (including the Federal District of Brasília) and among regions, being higher in the south/southeast and lower in the north/northeast.


2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.


2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

2007 ◽  
Vol 40 (1) ◽  
pp. 6
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

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