RESULTS OF OPTIMIZATION OF THE MEDICAL CARE SERVICE FOR THE ADULT POPULATION OF THE PENZA REGION IN THE PROFILE "MAXILLOFACIAL SURGERY" IN 2021

2021 ◽  
pp. 131-137
Author(s):  
Lebedev M.V. ◽  
Kerimova K.I. ◽  
Zakharova I.Yu.
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Maxillofacial Surgery ◽  
Technical Equipment ◽  
Medical Organization ◽  
High Quality ◽  
Maxillofacial Region ◽  
Care System

The increase in the number of patients with pathology of the maxillofacial region necessitates improving the quality of medical care provided to the population in the field of "Maxillofacial surgery". Anatomical and physiological features of the maxillofacial region, the prevalence of pathology determine the implementation of organizational measures, the involvement of narrow specialists, the need for medical organizations in modern material and technical equipment. The indicators of medical care mainly depend on a full-fledged diagnosis, and are also determined by the availability, quality and speed of specialized medical care. In modern conditions of the development of the health care system, an integrated approach to the organization, the introduction of new methods of providing medical care and rehabilitation of patients is required. Optimization of the maxillofacial surgery service within a multidisciplinary medical organization, the introduction and development of an outpatient polyclinic link, the training of highly qualified personnel contribute to improving the quality of diagnosis, treatment and timely detection of pathology. This article presents the results of optimizing the service for providing medical care to patients with pathology of the maxillofacial region. In the Penza region, the full-fledged, high-quality functioning of the service is realized through the organization of the Center for Maxillofacial Surgery on the basis of the State Budgetary Healthcare Institution «Penza Regional Clinical Hospital named after N.N. Burdenko». The structure of the Center for Maxillofacial Surgery ensures the continuity and complementarity of specialists of a medical organization in the treatment and diagnostic process. Optimal conditions have been created for the diagnosis, treatment and rehabilitation of patients with pathology of the maxillofacial region, in order to provide the population with affordable and high-quality medical care, regardless of the category of citizens. The creation of the Center for Oral and Maxillofacial Surgery contributes to an increase in the structural efficiency and medical efficiency of the health care system of the Penza region. The results of the measures and innovations carried out can be used to eliminate the existing shortcomings in the organization of medical care for patients with pathology of the maxillofacial region in other regions.

scholarly journals Analysis of personnel resources of doctors according to «dentistry» profile in units providing medical care in outpatient and inpatient conditions

2020 ◽  
Vol 24 (1) ◽  
pp. 55-60
Author(s):  
L. E. Smirnova ◽  
V. G. Butova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Russian Federation ◽  
Dental Care ◽  
Health Workers ◽  
Dental Hygienists ◽  
The Russian Federation ◽  
Care System

In the health-care system in the Russian Federation, the units providing medical care in outpatient and inpatient conditions employ more than 55,000 individuals of dental doctors of various specialties, dental doctors and dental hygienists every year from 2014 to 2018. The availability of dentistry by doctors tends to decline from 4.20 (2014) to 3.75 (2018). By 2018, 99.45% of dentistry doctors and 99.3% of dental doctors have a specialist certificate and accreditation certificate. 38.16% of dentistry doctors and 54.88% of dental doctors confirmed their qualification category. In dynamics there is a tendency to decrease the passing of certification for obtaining qualification category by these specialists. These facts show a decrease in the availability and quality of dental care, as it is ensured by the availability of the necessary number of health workers and their level of qualification.

scholarly journals Development of electronic healthcare in Kazakhstan as a factor of improving the quality of medical services

2019 ◽  
Vol 31 (1) ◽  
pp. 3-6
Author(s):  
Z. Arynova ◽  
L. Baiguzhinova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Information And Communication Technologies ◽  
Health Care System ◽  
Access To Health Care ◽  
Communication Technologies ◽  
Population Increase ◽  
Health Technologies ◽  
Care System

The relevance of the article is determined by the priority of the task of improving the quality and availability of medical care to the population, improving medical education and the health care management system, in the context of the systemic implementation of e-health technologies. According to WHO terminology, e-health involves the use of information and communication technologies not only in the health care system, but also covers public health, health management, financial and economic, educational and scientific aspects related to this area. The article deals with the development of digital health care in Kazakhstan, the pace of development of which allows us to predict with confidence the intensive development of smart medicine in the future. The main stages of digitalization of health care were considered, while the main trends that characterize the features and problems of its development at the present stage were highlighted. It is expected that the introduction of information communication technologies into the health care system will allow a new level of quality of medical care provided to the population. The introduction of e-health technologies will allow remote monitoring of the population, increase patient awareness, improve access to health care, especially in remote areas.

THE RESULTS OF THE IMPLEMENTATION OF AN OPTIMIZED ROUTING SYSTEM FOR ADULT AND CHILD POPULATION WITH MAXILLOFACIAL REGION IN THE TERRITORY OF THE PENZA REGION IN 2020-2021.

2021 ◽  
pp. 241-247
Author(s):  
Lebedev M.V. ◽  
Kerimova K.I.
Keyword(s):  
Medical Care ◽  
Maxillofacial Surgery ◽  
Economic Feasibility ◽  
Patient Treatment ◽  
High Tech ◽  
Technical Equipment ◽  
Medical Organization ◽  
Maxillofacial Region ◽  
Modern Material ◽  
Continuous Increase

The continuous increase in the incidence of the maxillofacial region, the peculiarities of the course and spread of the pathological process, actualize, in the context of the development of modern healthcare, the need for continuous improvement of the system of providing medical care to the population in the profile of "Maxillofacial surgery". Up-to-date patient treatment algorithms, a variety of medicines and equipment allow us to thoroughly improve the results of treatment of patients with maxillofacial pathology. However, the guarantee of the effectiveness of treatment is not only human resources, modern material and technical equipment, the development of the latest clinical recommendations for treatment and the creation of effective therapy, but also a clearly competently designed and built organization of the system of providing medical care to patients in the profile of "Maxillofacial surgery". The system of providing specialized, including high-tech, medical care is determined by the incidence, the level of development of medical care and its socio-economic feasibility. The development of maxillofacial surgery in the structure of the hospital of a multidisciplinary medical organization, the formation of outpatient clinics, the training of highly qualified personnel, the development of scientific directions, contribute to improving the quality of diagnosis, treatment and timely detection of pathology. Definitely, an important role is played by patient routing, which includes a step-by-step system of providing specialized medical care to patients with maxillofacial pathology. A systematic, step-by-step approach helps to achieve high-quality detection and treatment of diseases of the maxillofacial region, as well as reduces the frequency of complications. The stage-by-stage organization of the patient routing service, well-defined goals and objectives of each stage, and established medical organizations responsible for each stage make it possible to organize the provision of medical care to patients with maxillofacial pathology at the proper level.

New medical technologies influence on the quality of medical care in megalopolises (on the example of Moscow city)

2020 ◽  
Vol 1 (1) ◽  
pp. 8-14
Author(s):  
E.I. Aksenova ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Healthcare System ◽  
Health Care System ◽  
Clinical Medicine ◽  
Comprehensive Assessment ◽  
Medical Technologies ◽  
Quality Of Medical Care ◽  
Care System

Background. The effective development of healthcare and, in particular, clinical medicine, increasingly depends on the unique medical technologies and modern equipment used. Therefore, in order to form a competitive healthcare system in a megapolis, it is important to introduce a management mechanism that allows constant monitoring of emerging new technologies and a comprehensive assessment of their impact on changing the quality of medical care, assessing their contribution to public health, that is, creating a “technological funnel” for the healthcare system. Purpose. The purpose of this study is to identify the urgent problems in the analysis and comprehensive assessment of new medical technologies and determine the possible mechanisms for their introduction into clinical practice. Materials and methods. The methodology of this work is to study the literature and research of the most successful practices of introducing new medical technologies (on the example of the capital's healthcare), study the opinions of the population and healthcare professionals based on the analysis of social networks. Results. Based on the systematization of information obtained by the authors in the course of the study, authors identified the most important new medical technologies for the population and health care professionals, which, in their opinion, have changed the landscape of the capital's health care for the better. Authors determined significant criteria for improving the efficiency of the health care system through the search, comprehensive assessment and scaling of innovative practices in clinical medicine. Discussion. The creation of a "technological funnel" in the health care system of the capital makes it possible to conduct comparable research on the quality of medical care provided with many countries of the world. In addition, the constant search and comprehensive assessment of new medical technologies, potentially suitable for implementation in city clinics, can significantly influence the improvement of the quality of medical care provided to the population. Conclusion. Solving the problems associated with the optimization of search processes, comprehensive assessment, unification of the processes of introducing new medical technologies, can significantly improve the quality of medical care, as well as affect the contribution of health care to the health of citizens. At the same time, such studies require careful research and search for approaches that meet modern realities.

Assisting People With Their Living, Not Their Dying: Health Professionals’ Perspectives of Palliative Care and Opioids in ILD

2021 ◽  
pp. 104990912110186
Author(s):  
Lauren Russo ◽  
Karen Willis ◽  
Natasha Smallwood
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Palliative Care ◽  
Health Care System ◽  
Therapeutic Relationships ◽  
Specialist Palliative Care ◽  
Cross Sectional ◽  
Symptom Palliation ◽  
Care System

Objectives: Interstitial lung disease (ILD) is a debilitating and life-limiting condition, requiring multi-disciplinary care. While guidelines recommend early specialist palliative care referral to improve symptoms and quality of life, few patients access such care towards the end-of-life. This study aimed to explore clinicians’ perspectives regarding specialist palliative care and opioids to understand barriers to optimal care and guide clinical practice improvement initiatives. Methods: A cross-sectional, exploratory, qualitative study was undertaken with Australian respiratory clinicians caring for people with ILD (n = 17). In-depth, semi-structured interviews were audio-recorded, transcribed verbatim and coded. Thematic analysis was undertaken to extrapolate recurring ideas from the data. Results: Four themes were identified: 1) understanding how to improve patient care and support, 2) the need to dispel stigmatized beliefs and misconceptions, 3) the importance of trusted relationships and good communication and 4) the challenges of navigating the health-care system. Participants discussed the need to implement early specialist palliative care and symptom palliation to alleviate symptoms, provide emotional support and augment quality of life. Participants described challenges accessing palliative care and opioids due to stigmatized beliefs amongst patients and clinicians and difficulties navigating the health-care system. Trusted therapeutic relationships with patients and strong inter-disciplinary partnerships with collaborative education and communication were perceived to improve patients’ access to symptom palliation. Conclusion: Specialist palliative care and opioids were believed to improve patients’ quality of life, however, many barriers can make accessing such care challenging. To address these issues, multi-disciplinary collaboration, high-quality communication and trusted therapeutic relationships are crucial throughout the ILD illness journey.

IRRATIONAL USE OF MEDICINES IN MEDICAL ORGANIZATIONS OF THE VOLGA FEDERAL DISTRICT. (ON THE EXAMPLE OF THE PENZA REGIONAL CLINICAL HOSPITAL NAMED AFTER N. N. BURDENKO, WHEN PROVIDING SPECIALIZED CARE TO CHILDREN IN THE CONDITIONS OF THE ADULT DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY)

2021 ◽  
pp. 168-175
Author(s):  
Lebedev M.V. ◽  
Abdullina Y.A. ◽  
Zakharova I.Y.
Keyword(s):  
Medical Care ◽  
Maxillofacial Surgery ◽  
Federal District ◽  
Oral And Maxillofacial Surgery ◽  
Medical Organization ◽  
Maxillofacial Region ◽  
Clinical Hospital ◽  
Specialized Care ◽  
Rational Therapy ◽  
Medical Histories

The issues of financing in a medical organization are one of the most relevant areas of healthcare in the Russian Federation. Providing departments with the necessary financial resources to provide effective and accessible medical care to the population is important for both the administration and doctors and nurses. In some regions of the Volga Federal District, the departments are combined (Penza, Saransk), that is, all types of medical care are provided to both adults and children in one place, which leads to a number of problems associated with the irrational use of medicines. One of these is the department of Maxillofacial Surgery of the N.N. Burdenko National Clinical Hospital, on the basis of which the disadvantages of using drugs for parenteral use are considered. The purpose of this work is an economic analysis of the effectiveness of the use of solutions for parenteral use in children on the basis of an adult medical organization. The materials of the study were data from patients ' medical histories, prescribing lists, invoices from the pharmacy organization, and data on the cost of medicines. The results of the work are an analysis of the existing problems of combined type departments related to drug provision, a number of medicines for parenteral use that are not available to order, but are included in the standards of treatment of children with injuries of the maxillofacial region. The ABC - analysis of expenses under the item "medicines" is calculated, the data of the VEN – analysis is presented, which includes vital, necessary and secondary medicines for the treatment of children with injuries of the maxillofacial region. An algorithm for the selection of effective and rational therapy has been developed, using the example of antibacterial agents for parenteral administration.

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