scholarly journals Possibilities, difficulties and prospects for using telemedicine technologies in the field of pediatric oncohematology

2020 ◽  
Vol 19 (3) ◽  
pp. 189-193
Author(s):  
A. A. Ivanova ◽  
E. V. Zavaleva ◽  
A. V. Pavluk ◽  
G. A. Novichkova
Keyword(s):  
Health Service ◽  
Medical Care ◽  
Critical Factor ◽  
Medical Services ◽  
Multidisciplinary Communication ◽  
Financial Costs ◽  
Therapeutic Decisions ◽  
Integral Health Service ◽  
Delivery Of Medical Care

Telemedicine is an integral health service in conditions when distance is a critical factor for both the delivery of medical care and the physicians’ trainings. Nowadays due to significant location remoteness, a pronounced personnel shortage as well as the necessity to make complex diagnostic and therapeutic decisions that often require a multidisciplinary communication, telemedicine allows to promote the quick delivery of quality medical services. Telemedicine today is a tool that may be considered to optimize the logistics of medical care and to reduce the financial costs of clinics. The article presents a brief report on the Center’s activities in the field of “telemedicine” and identifies the main difficulties and prospects for this work.

Measuring patient satisfaction with medical services using social media generated data

2018 ◽  
Vol 31 (2) ◽  
pp. 96-105 ◽  
Author(s):  
Simon Geletta
Keyword(s):  
Social Media ◽  
Patient Satisfaction ◽  
Health Service ◽  
Medical Care ◽  
Physical Therapists ◽  
Satisfaction Score ◽  
Medical Services ◽  
Content Type ◽  
Data Source ◽  
Satisfaction Surveys

Purpose The purpose of this paper is to discuss the results of an effort to use social media generated data for measuring patient satisfaction with medical care services. Traditionally, scientifically designed patient satisfaction surveys are used to provide such measurements. The goal here is to evaluate the possibility of supplementing patient satisfaction surveys with social media generated patient satisfaction measurements such that the later can be used either as validation or replacement for the former. Although surveys are scientifically designed to yield dependable results, recent studies have revealed multiple factors relating to the methods currently used for survey data collection, that may be contributing to the limitations of many survey results. In light of such criticisms, this study explored the possibility of using the increasing popular and proactively generated consumer ratings through the pervasive social media as data source for satisfaction measurement. The average satisfaction scores created from such data are then used to compare levels of satisfaction among five types of health service businesses. Design/methodology/approach The data used in this research are garnered from the consumer review social media site called “Yelp!”. Ratings and reviews that are related to health and medical services were extracted from the “Yelp!” database. The types of services that are identified by consumers are standardized to typologies that are traditionally used in health service research. Five types of services were targeted – general practice physician offices, physician specialty services, dentists, hospitals and physical therapy services. The “five-star” rating systems were re-coded to form a five-point ordinal scale variable to represent “satisfaction score”. Findings The Yelp! data-based measurement of patient satisfaction produced an overall satisfaction score of 3.8 (SD=1.7) for the sampled services. The average satisfaction score per type of service ranged from 3.16 (SD=1.83) for specialty physicians to 4.52 (SD=1.57) for physical therapists. In general, dentists and physical therapists received higher average satisfaction scores as compared to the other medical services. Research limitations/implications Because this study was meant to evaluate the utility of social media generated data to measure satisfaction, in general, the estimates cannot be construed as representative of any underlying geographically defined population. They, however, do have a “cohort” interpretability. This limitation is not inherent to the use of the data source. If some geographically identifiable representation of the measurement data is desired, identifiable business data can be generated from the Yelp! system to specifically target relevant populations following the method that are tested in this study. Practical implications Under certain circumstances, such as the size and maturity of the gathered data, social media generated data can be a useful as a “fortuitous” alternative to satisfaction surveys for evaluating patient satisfaction with medical care. This is propitious as there have been some indication by studies that the advent of communication media in the twenty-first century may be undermining the reliability of scientifically designed surveys. Originality/value The use of social media generated data as “alternative” or “secondary” data source for research use is currently being widely investigated. To the author’s knowledge, this is the only paper that evaluated the use of “Yelp!” data as a possible source for population-based formal satisfaction measurement for healthcare services.

scholarly journals ANALYSIS OF PROVISION OF MEDICAL SERVICES TO THE POPULATION BY PRIMARY MEDICAL CARE DOCTORS IN THE CONDITIONS OF HEALTH SYSTEM REFORM: REGIONAL LEVEL

2020 ◽  
Author(s):  
Vasyl Matviyiv ◽  
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Medical Care ◽  
National Health ◽  
Primary Care Physicians ◽  
Free Choice ◽  
Medical Services ◽  
Primary Medical Care ◽  
Family Doctors

An important component of the development of the domestic medical system has been the reform of the primary level of health care facilities. The impetus for this was the adoption of the main draft laws, which significantly changed the distribution of funds for the financing of the medical sector in Ukraine. The article describes the percentage of the population that chose their primary care physician, analyzes the distribution of declarations by the number and structure of primary medical care providers who have concluded an agreement with the National Health Service of Ukraine in Ukraine and the Carpathian region. It was cleared up that both in Ukraine and in its regions the population had the right to choose primary care physicians among such specialties as family doctors, therapists and pediatricians, where as a result of compiling declarations the largest population in Ukraine chose family doctors in Transcarpathian, Lviv and Chernivtsi regionss, and the share of family doctors in these regions significantly exceeds the Ukrainian average in the country. It has been determined that an important factor is public awareness about the importance and necessity of electronic declarations. The study concludes that this, in its turn, has provided the population with a free choice of a therapist in urban areas or a family general practitioner in rural areas. It has been investigated that the population has a free choice to sign declarations with primary care doctors, and this allows each citizen to choose a doctor at his discretion, who, in turn, having the opportunity to provide services and receive a slightly higher fee according to the coefficients approved by the National Health Service of Ukraine. It has been concluded that patients have the opportunity to receive medical services from primary care physicians, as a result of which they can receive qualified medical care. Under conditions when in patients’ opinions medical care or services are not provided at the appropriate level, they can change doctors and automatically sign a declaration with another doctor.

Analysis of Current Practices of Organizing the Export of Medical Services in the United Kingdom, Italy, South Korea and China

2020 ◽  
pp. 30-42
Author(s):  
Arkady Nikolaevich Daykhes ◽  
Vladimir Anatolievich Reshetnikov ◽  
Olga Aleksandrovna Manerova ◽  
Ilya Aleksandrovich Mikhailov
Keyword(s):  
United Kingdom ◽  
South Korea ◽  
Medical Care ◽  
Medical Tourism ◽  
Value Added ◽  
External Factors ◽  
Medical Services ◽  
High Tech ◽  
Medical Organization ◽  
The United Kingdom

Aim of the study. Analysis of medical tourism’s organizational features based on the example of the large medical organizations in the United Kingdom, South Korea, Italy and China. Materials and methods. The data were collected by the authors by interviewing the heads of medical organizations and their deputies in the United Kingdom, South Korea, Italy and China (3–4 respondents per medical organization) using the developed questionnaire to identify the main mechanisms and tools for organizing the export of medical services. SWOT-analysis (Strengths; Weaknesses; Opportunities; Threats) was performed in order to comprehensively evaluate the received information. Results. Along with weaknesses and threats that slow down the development of medical services exports, strengths (internal factors) and opportunities ( external factors) that contribute to the development of medical tourism were also identified: the widespread popularity of the brand of medical organizations abroad which is associated with the provision of premium medical services; versatility and ability to conduct high-tech surgical operations; the presence of a separate premium class building and an international department for working with foreign patients and promoting a medical organization in the world market; well-established business relationships with assistance companies; foreign medical personnel who speak foreign languages and possess necessary skills to treat foreign patients; developed electronic medical care system; developed system of quality control of medical care; the presence of branches in other countries; the presence of a medical visa in the system of legislation; established cooperation with many countries at the embassy level; state licensing and accreditation for the provision of medical services to foreign citzens; the availability of a state website on the provision of medical assistance to foreign citizens; the possibility of the age of value added tax. Conclusion. We identified main patterns in the organization of export of medical services that can be applied to develop this direction in medical organizations of the Russian Federation during the analysis the strengths and weaknesses of four large medical organizations abroad, as well as external factors that affect the work of these medical organizations.

ANALYSIS OF THE MAIN INDICATORS CHARACTERIZING MEDICAL CARE FOR CHILDREN WITH CANCER IN SAINT-PETERSBURG AND IN THE LENINGRAD REGION IN 2013-2017

2019 ◽  
Vol 65 (1) ◽  
pp. 77-82
Author(s):  
Maksim Rykov ◽  
Ivan Turabov ◽  
Yuriy Punanov ◽  
Svetlana Safonova
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Statistical Data ◽  
Leningrad Region ◽  
Children With Cancer ◽  
Health Committee ◽  
The Government ◽  
Delivery Of Medical Care ◽  
One Year ◽  
The One

Background: St. Petersburg is a city of federal importance with a large number of primary patients, identified annually. Objective: analysis of the main indicators characterizing medical care for children with cancer in St. Petersburg and the Leningrad region. Methods: The operative reports for 2013-2017 of the Health Committee of the Government of St. Petersburg and the Health Committee of the Leningrad Region were analyzed. Results. In 2013-2017 in the Russian Federation, 18 090 primary patients were identified, 927 (5.1%) of them in the analyzed subjects: in St. Petersburg - 697 (75,2%), in the Leningrad Region - 230 (24,8%). For 5 years, the number of primary patients increased in St. Petersburg - by 36%, in the Leningrad Region - by 2,5%. The incidence increased in St. Petersburg by 18,1% (from 14,9 in 2013 to 17,6 in 2017 per 100 000 of children aged 0-17). The incidence in the Leningrad Region fell by 4.9% (from 14.4 in 2013 to 13.7 in 2017). Mortality in 2016-2017 in St. Petersburg increased by 50% (from 2 to 3), in the Leningrad Region - by 12,5% (from 2,4 to 2,7). The one-year mortality rate in St. Petersburg increased by 3,9% (from 2,5 to 6,4%). In the Leningrad Region, the one-year mortality rate decreased from 6,5% in 2016 to 0 in 2017. The number of pediatric oncological beds did not change in St. Petersburg (0,9 per 10,000 children aged 0-17 years) and the Leningrad Region (0). In St. Petersburg patients were not identified actively in 2016-2017; in the Leningrad Region their percentage decreased from 8,7 to 0. The number of oncologists increased in St. Petersburg from 0,09 to 0.12 (+33,3%), in the Leningrad Region - from 0 to 0,03. Conclusion: Morbidity in St. Petersburg and the Leningrad region is significantly different, which indicates obvious defects in statistical data. Patients were not identified during routine preventive examinations which indicate a low oncologic alertness of district pediatric physicians. Delivery of medical care for children with cancer and the statistical data accumulation procedures should be improved.

The Delivery of Medical Care in China

1974 ◽  
Vol 230 (4) ◽  
pp. 19-27 ◽  
Author(s):  
Victor W. Sidel ◽  
Ruth Sidel
Keyword(s):  
Medical Care ◽  
Delivery Of Medical Care

How Much does Improved Medical Service Affect Infant Mortality?

PEDIATRICS ◽  
1972 ◽  
Vol 49 (4) ◽  
pp. 638-638
Author(s):  
Arnold Gilbert
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Community Health ◽  
Medical Service ◽  
Health Programs ◽  
Community Health Programs ◽  
Delivery Of Medical Care

The meaning of the article by Dr. Chabot in Pediatrics, June 1971 concerning improved infant mortality between 1964 and 1968 in Denver puzzled me. I wonder whether there is any relation between the improved community health programs described and the happy results presented. Surely, many factors other than medical care affect infant mortality. For example, I wonder whether the author would suggest that the startling (to me) rise in infant mortality noted in Table II for Boston, Buffalo, Phoenix, Pittsburgh and Seattle, resulted from poorer delivery of medical care.

THE ROAD AHEAD TO BETTER MEDICAL CARE FOR CHILDREN

PEDIATRICS ◽  
1950 ◽  
Vol 6 (3) ◽  
pp. 553-556
Keyword(s):  
Child Health ◽  
Medical Care ◽  
Medical Center ◽  
Point Of View ◽  
Medical Services ◽  
High Quality ◽  
The Road ◽  
Provide Child Care ◽  
Ultimate Objective ◽  
The Many

THE road to better child health has been discussed in relation to the doctor and his training, health services and their distribution. We have dealt with the unavoidable question of costs. Particular attention has been given to some of the advantages and dangers of decentralization of pediatric education and services. Each of the various subjects has been discussed from the point of view of its bearing on the ultimate objective of better health for all children and the steps necessary to attain this goal. Now, we may stand back from the many details of the picture, view the whole objectively and note its most outstanding features. First is the fact that the improvement of child health depends primarily upon better training for all doctors who provide child care, general practitioners as well as specialists. This is the foundation without which the rest of the structure cannot stand. The second dominant fact is the need for extending to outlying and isolated areas the high quality medical care of the medical centers, without at the same time diluting the service or training at the center. The road to better medical care, therefore, begins at the medical center and extends outward through a network of integrated community hospitals and health centers, finally reaching the remote and heretofore isolated areas. Inherent in all medical schools is a unique potential for rendering medical services as well as actually training physicians. The very nature of medical education—whereby doctors in training work under the tutelage of able specialists in the clinic, hospital ward, and out-patient department—provides medical services of high quality to people in the neighboring communities.

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