scholarly journals Reform of the Russian healthcare system – threat to the security of social groups or evolution of health protection?

2020 ◽  
pp. 28-46
Author(s):  
Ivan Vsevolodovich Timakov
Keyword(s):  
Medical Treatment ◽  
Healthcare System ◽  
Healthcare Reform ◽  
Social Groups ◽  
Health Protection ◽  
Federal State ◽  
Population Groups ◽  
System Integrity ◽  
Internal Structures ◽  
Working Age

 Recent changes in healthcare system are perceived negatively by certain population groups, which results in a loss of confidence in the social system. Integrity of the reform of the Russian healthcare system depends on social stability, which is possible if results of the reform coincide with public representations on the guarantees of health protection. The goal of this work consists in determination of the eventual nature of threat to the security of social groups in the process of Russian healthcare reform using sociological methods. The subject of this research is analysis of the the nature of eventual threats to the security of population groups in the process of Russian healthcare reform. The object of this research is the problems of healthcare reform as the potential threats in perception of the respondents. In the course of this work, the author leans on the databases of comprehensive monitoring of living conditions of the population of the Federal State Statistics Service. Statistical analysis was conducted on the basis of contingency tables in dynamics of the tasks of research. Threat factors were viewed through the factors of not receiving medical treatment by the citizens. A third of respondents  above 15 years of age having health concerns, refused to apply to medical establishments. The population above working age appear to be in a vulnerable situation as a result of reform. Most of the listed factors are associated with inadequate work of medical establishments, which indicates social tension towards the reform of healthcare system. Two groups of factors are highlighted. Under the influence of external factors, the internal structures of healthcare system adapt without full consideration of possible consequences. The author underlines remaining contradictions between citizens’ expectations and changes in the practices of health protection. Changes in healthcare system are the cause of loss of confidence in healthcare institutions and refusal to seek medical treatment for certain social groups, which is a threat to their health. Realization f comprehensive guarantees within the framework of the system of Compulsory Medical Insurance requires different approaches. 

IMPROVING HEALTH PROTECTION STRATEGY OF THE NUCLEAR INDUSTRY ENTERPRISE PERSONNEL AND POPULATION LIVING WITHIN ITS CATCHMENT AREA

2021 ◽  
Vol 67 (1) ◽  
pp. 2-2
Author(s):  
D.E. Kalinkin ◽  
◽  
R.M. Takhauov ◽  
I.V. Milto ◽  
Yu.A. Samoilova ◽  
...  
Keyword(s):  
Catchment Area ◽  
Population Decline ◽  
Circulatory System ◽  
Nuclear Industry ◽  
Health Protection ◽  
Malignant Neoplasms ◽  
National Project ◽  
Protection Strategy ◽  
Working Age ◽  
External Causes

The purpose of the study is to develop approaches to improve the health protection strategy of the nuclear industry enterprise staff and population living within its catchment area in the context of the national project “Healthcare”. The material for the study was information on dynamics in population indicators characterizing health status of the nuclear industry enterprise staff and population living within its catchment area in 1970-2017. Results. The study shows that the analyzed population is characterized by a significant decrease in the birth rate, increased mortality (including people of working age) from diseases of the circulatory system, malignant neoplasms and external causes, population decline, and decreased life expectancy. Conclusion. On the basis of the results obtained, approaches have been developed to improve health protection strategy for the above contingents in the context of the National Project “Healthcare”.

scholarly journals Day Surgery Development Aspects in Slovakia

2020 ◽  
Vol 31 (2) ◽  
pp. 477
Author(s):  
Beáta Gavurová ◽  
Adela Klepáková ◽  
Ladislava Ivančová
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Pilot Study ◽  
Healthcare System ◽  
Social Groups ◽  
Day Surgery ◽  
Insurance Companies ◽  
Social Sphere ◽  
The Social ◽  
Health Insurance Companies

The day surgery is a highly effective tool for providing health care which has been used in Slovakia only for the last decade. The unified system of payment for inpatient or outpatient (day care) surgeries causes the reduction of health insurance companies´ spending. Incorrectly configured and economically demotivating system of refunding is a cause of lagging behind the European average in utilization of day surgery. Without the evaluation of day surgery it is not possible to link the progress in the social sphere, which leads to the restriction of day surgery availability for some social groups and thus the subsequent stagnation of day surgery in Slovakia. This contribution presents a pilot study conducted in Slovakia and its partial findings focused on the development and trends in the implementation of day surgery in order to increase the efficiency healthcare system.

Article 35 CFR

2019 ◽  
Author(s):  
Tobias Lock
Keyword(s):  
Health Care ◽  
Medical Treatment ◽  
Human Health ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Health Protection ◽  
The Right ◽  
High Level ◽  
Right Of Access

Everyone has the right of access to preventive health care and the right to benefit from medical treatment under the conditions established by national laws and practices. A high level of human health protection shall be ensured in the definition and implementation of all the Union’s policies and activities.

scholarly journals Has the Efficiency of China’s Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach

2019 ◽  
Vol 16 (23) ◽  
pp. 4847 ◽  
Author(s):  
Guangwen Gong ◽  
Yingchun Chen ◽  
Hongxia Gao ◽  
Dai Su ◽  
Jingjing Chang
Keyword(s):  
Data Envelopment Analysis ◽  
Healthcare System ◽  
Health Expenditure ◽  
Healthcare Reform ◽  
Healthcare Systems ◽  
Network Data ◽  
Data Envelopment ◽  
Tobit Regression ◽  
Network Data Envelopment Analysis ◽  
Overall Efficiency

Background: A healthcare system refers to a typical network production system. Network data envelopment analysis (DEA) show an advantage than traditional DEA in measure the efficiency of healthcare systems. This paper utilized network data envelopment analysis to evaluate the overall and two substage efficiencies of China’s healthcare system in each of its province after the implementation of the healthcare reform. Tobit regression was performed to analyze the factors that affect the overall efficiency of healthcare systems in the provinces of China. Methods: Network DEA were obtained on MaxDEA 7.0 software, and the results of Tobit regression analysis were obtained on StataSE 15 software. The data for this study were acquired from the China health statistics yearbook (2009–2018) and official websites of databases of Chinese national bureau. Results: Tobit regression reveals that regions and government health expenditure effect the efficiency of the healthcare system in a positive way: the number of high education enrollment per 100,000 inhabitants, the number of public hospital, and social health expenditure effect the efficiency of healthcare system were negative. Conclusion: Some provincial overall efficiency has fluctuating increased, while other provincial has fluctuating decreased, and the average overall efficiency scores were fluctuations increase.

Physicians' Duty of Compassion

1995 ◽  
Vol 4 (4) ◽  
pp. 426-433 ◽  
Author(s):  
Charles J. Dougherty ◽  
Ruth Purtilo
Keyword(s):  
Healthcare System ◽  
Healthcare Reform ◽  
System Support ◽  
Market Forces ◽  
Patient Relationship ◽  
Traditional Values ◽  
Moral Obligations ◽  
Physician Patient Relationship ◽  
Moral Value ◽  
Physician Patient

This is a time of change in American healthcare. Market forces are restructuring local delivery systems around competing managed care networks. Many leading proposals for healthcare reform intend a reshaping of the national healthcare marketplace itself. Periods of change create an opportunity to reassess traditional values and practices. Such reassessments can be used to help insure that current innovations and proposed reforms preserve and strengthen the best in the traditions of medicine. A legitimate focus of concern in the medical and medical ethics community has been the effect of these delivery system changes on the physician-patient relationship. For example, will the future American healthcare system support and encourage compassion by physicians? Suppose it does not. Would something of significant moral value have been lost? More pointedly, would a system that undervalued or frustrated physician compassion be incompatible with the moral obligations of physicians? In order to address these questions, we examine the meaning of compassion and the role it should play in the physician-patient relationship. We argue that compassion is a duty of all physicians. Because this is so, we believe that changes in the healthcare system must be judged, in part, by how well they protect and encourage compassionate conduct by physicians.

Monitoring Quality in a Federal State with Shared Powers in Healthcare: The Case of Belgium

2011 ◽  
Vol 18 (4) ◽  
pp. 413-422 ◽  
Author(s):  
Diego Fornaciari ◽  
Arthur Vleugels ◽  
Stefaan Callens ◽  
Kristof Eeckloo
Keyword(s):  
Healthcare System ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Federal State ◽  
Flemish Community ◽  
The Government ◽  
Regulatory Powers ◽  
Monitoring Quality

AbstractThe Belgian healthcare system consists of a complex of more or less autonomous groups of healthcare providers. It is the responsibility of the government to ensure that the fundamental right to qualitative healthcare is secured through the services they provide. In Belgium, the regulatory powers in healthcare are divided between the federal state and the three communities. Both levels, within their area of competence, monitor the quality of healthcare services. Unique to the Belgian healthcare system is that the government that providers are accountable to is not always the same as the government that is competent to set the criteria. The goal of this article is to provide an overview of the main mechanisms that are used by the federal government and the government of the Flemish community to monitor healthcare quality in hospitals. The Flemish community is Belgian’s largest community (6.2 million inhabitants). The overview is followed by a critical analysis of the dual system of quality monitoring.

scholarly journals The morbidity, disability, and mortality associated with respiratory diseases in the Russian Federation (2015 – 2019)

2021 ◽  
Vol 31 (5) ◽  
pp. 551-561
Author(s):  
Elena V. Bystritskaya ◽  
Tatiana N. Bilichenko
Keyword(s):  
Mortality Rate ◽  
Russian Federation ◽  
Respiratory Diseases ◽  
Maximum Level ◽  
Federal State ◽  
Female Population ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population ◽  
Far Eastern

Respiratory diseases (RD) represent one of the most urgent issues in Russian health care and have high socio-economic significance.The aim. To study the dynamics of total morbidity and mortality in the Russian Federation, as well as the mortality associated with RD in the working-age population in 2015 – 2019.Methods. The official statistical data of the Ministry of Health of the Russian Federation and the Federal State Statistics Service were analyzed.Results. In 2019, the total RD-associated morbidity increased by 5.4%, and the prevalence of pneumonia increased by 29.0% compared to 2015. In 5 federal districts (FD), the morbidity exceeded the average Russian morbidity in 2019 (40,694.7). The maximum level was observed in the North-Western FD (50,224.1). The prevalence of pneumonia (Russia – 524.4) in 4 FDs exceeded the average Russian prevalence. The maximum level was reported in the Far Eastern FD (749.2 cases per 100 thousand of the total population). The RD-associated mortality rate in Russia was 51.8 cases per 100 thousand in 2015 and 41.6 cases per 100 thousand in 2018 (–19.7%). In 2018, the highest RD-associated mortality was observed in the Siberian FD (68.0) and Far Eastern FD (57.8 per 100 thousand people). From January to December 2019, the highest mortality associated with pneumonia in the working-age population was observed in the Far Eastern FD (28.2 per 100 thousand people). The RD-associated mortality rate in the male population was 4.2 times higher than in the female population (26.7 and 6.3, respectively, per 100 thousand persons of matching age).Conclusion. The highest morbidity was found in 2018 and 2019 in the Northwestern FD and Far Eastern FD. The RD-associated mortality in the Siberian FD and Far Eastern FD exceeded the average Russian values. This last observation requires additional research to improve the quality of medical care.

scholarly journals Analysis of morbidity with poisonings with ethanol and surrogate alcohols in irkutsk region between 2010 and 2017

2019 ◽  
Vol 10 (2) ◽  
pp. 36-44
Author(s):  
E. I. Loskutnikova ◽  
A. U. Gil ◽  
I. N. Alekhin ◽  
R. A. Khalfin
Keyword(s):  
Ethyl Alcohol ◽  
Control Policy ◽  
Acute Poisoning ◽  
Control Measures ◽  
Morbidity And Mortality ◽  
Federal State ◽  
Alcohol Control ◽  
Irkutsk Region ◽  
High Incidence ◽  
Working Age

Aim. Poisonings with ethanol and surrogate alcohols are preventable causes of morbidity and mortality posing a serious threat to population health. The aim of the study was to analyze the dynamics of the incidence of acute poisoning with ethyl and surrogate alcohols in the Irkutsk region for the period from 2010 to 2017, and to discuss it in the context of the regional and federal policy aimed at regulation of the alcohol - containing products. Materials and methods. The data of the statistical reporting form No. 12-15 “Information on the results of toxicological monitoring” in the Irkutsk region for the period from 2010 to 2017, the data of the Federal State Statistics Service RosStat on the incidence of acute chemical poisoning, and on incidence of acute poisoning with ethyl alcohol and surrogate alcohols were analyzed. Subsequent interpretation of the results in the context of the regional and federal alcohol control policy has been performed. Results. In the Irkutsk region, during the analyzed period of time there was observed a high incidence of acute poisonings with ethanol and surrogate alcohols with territorial differences within the region, and with positive dynamics of reduction of incidence by 38.7% in 2017 in comparison to 2010. Poisonings with ethanol occupy a leading place in the structure of the incidence in comparison with poisoning with other alcohols. The Irkutsk region was ranked 9th among all other subjects of the Russian Federation in 2017 by level of morbidity with alcohol poisonings. Among all cases of poisonings the proportion of the adult working age population was 89.1%, males - 77%, and unemployed population - 57.8%, which suggests that these categories of population are under the highest risk of acute poisoning with ethanol and surrogate alcohols. Conclusion. Strengthening control over the illegal distribution of ethyl alcohol and alcohol - containing products, especially in the territories situated along the Federal highways is seen as a priority area for action. Control of distribution of alcohols between 2010 and 2017 on the territory of the Irkutsk region allowed reducing incidence of poisonings by 38.7%. To maintain the positive dynamics of reducing morbidity and mortality from acute poisoning of alcohol etiology, to preserve the labor potential of the population of the Irkutsk region, it is necessary to further strengthen and reinforce control measures at the regional level.

Sign in / Sign up

Export Citation Format

Share Document