SAFETY OF MEDICAL ACTIVITY IN DENTISTRY

2021 ◽  
pp. 183-190
Author(s):  
Andreeva S.N. ◽  
Furchakova A.V.
Keyword(s):  
Medical Care ◽  
Medical Personnel ◽  
Economic Security ◽  
Medical Activity ◽  
Medical Environment ◽  
Literary Sources ◽  
Dental Equipment ◽  
Quality Of Medical Care ◽  
Definition Of

Today, ensuring the safety of patients and medical personnel is an integral part of medical practice. In dentistry, this problem is especially relevant, given the fact that dentists occupy one of the leading places in terms of the frequency of professional errors among doctors who have been sued, as well as the frequency of complaints from patients about the quality of medical care. This article discusses the safety of medical activities and the safety of medical care in medical organizations, in general, and in dentistry in particular, an analysis of the regulatory documentation in relation to these concepts is carried out, and issues of terminology are considered. Analysis of literary sources shows that today there is uncertainty in the interpretation of the concept of "safety of medical activity" due to the lack of a legislatively enshrined definition of this concept. With regard to dental practice, the safety of medical activities includes the safety of the patient, the safety of medical personnel, the safety of the environment in which dental care is provided, as well as the safety of pharmaceuticals and medical dental equipment. Organizational, legal, personnel and economic security can also be considered as constituent parts of the safety of medical activities. At the same time, there is no unambiguous understanding of the relationships between the concepts of safety of medical activity, safety of medical care, safety of medical services, safety of the medical environment. An important unresolved to date task is to determine the criteria for assessing the safety of medical activities. Taking into account the versatility of the concept of the safety of medical activities and the specifics of medical activities, it is necessary to develop criteria for assessing the safety of medical activities for each specialty, including dentistry. It seems that the assessment structure should be uniform for all medical activities, but include specific elements with criteria for the safety of medical activities in individual specialties.

scholarly journals ANALYSIS OF SELF-RATED HEALTH BY RESIDENTS OF THE UNTSUKUL DISTRICT, REPUBLIC OF DAGESTAN (ON RESULTS OF THE QUESTIONNAIRE SURVEY)

2018 ◽  
Vol 13 (3) ◽  
pp. 107-119
Author(s):  
Patimat A. Bekshokova ◽  
Gayirbeg M. Abdurakhmanov ◽  
Kerim S. Bekshokov ◽  
Patimat I. Gabibova ◽  
Kazbek K. Bekshokov ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Rural Settlements ◽  
Medical Activity ◽  
Self Rated Health ◽  
Medical Institutions ◽  
Public Health Institutions ◽  
Quality Of Medical Care ◽  
Health Institutions

Aim.To carry out a comparative analysis of self-rated health, medical activity, and satisfaction with the quality of medical care in public health institutions by residents of rural settlements of the Untsukul district, Republic of Dagestan.Methods.The study was conducted by the method of questioning 2643 respondents, among them 1453 women and 1181 men.Results.According to the results of the survey, the majority of the interviewed residents of Untsukul district (68.2%) are satisfied with their health. Medical activity of the population at the time of the study was 60.6%. As to respondents who applied to the medical institutions of the Untsukul district during this period, 13.5% are not satisfied with the quality of medical care in public health institutions, 23.5% are fully satisfied, 30% are not fully satisfied.Conclusion.A social survey in the form of a questionnaire is one of the most effective methods of obtaining information about the self-rated health of the population. Timely analysis of medical activity of the population, its satisfaction with the quality of medical care will improve the efficiency of the health system.

scholarly journals Accessibility and quality of medical care in public out-patient clinics and private medical centers of the Amur oblast as reported by patients with back pain

2014 ◽  
Vol 95 (2) ◽  
pp. 257-261
Author(s):  
K Yu Dobrovinskaya ◽  
L N Voyt
Keyword(s):  
Back Pain ◽  
Medical Care ◽  
Working Hours ◽  
Medical Personnel ◽  
Medical Aid ◽  
Medical Centers ◽  
Private And Public ◽  
Quality Of Medical Care ◽  
Pain Patients

Aim. To study the opinion of patients with low back pain of judgement of assessibility and quality of medical care in public and private medical centers. Methods. Back pain patients to assess the quality of medical care filled in specially designed questionnaires for each type of medical facilities (two types of questionnaires for each patient who underwent treatment in both outpatient public clinics and private medical centers, total of 600 questionnaires). The poll was anonymous and was performed at one of the private medical centers in august 2013. Patients were randomly picked out from all patients who seek for medical aid in private center being unsatisfied with the quality of medical aid offered at public medical centers or who were on the waiting list for a doctor visit, or with disease worsening not within the working hours of public medical centers (600 questionnaires). The poll included patients of active working age: men aged 20 to 60 years (118 patients, 39.3%) and females aged 20 to 55 years (182 patients, 60.7%). Results. The majority of patients were more satisfied with the quality of the treatment, examination and attitude of medical personnel in private medical centers compared to public institutions. The following issues of providing medical aid to back pain patients were discovered both in private and public settings: untimely referral to specialist, or consultation only by general practitioner without subsequent consultation of neurologist, long waiting lists, incomplete neurologic examination, and low qualification of doctors in choosing appropriate examinations, treatment approach and further prophylaxis. Abovementioned issues were more significant in public settings. Conclusion. The research showed that there is a need in developing uniform standards of medical care in case of a back pain in outpatients that do not yet exist.

POTENTIAL FOR IMPROVING THE QUALITY OF CANCER CARE

2021 ◽  
pp. 91-97
Author(s):  
Mushnikov D.L. ◽  
Kozlov V.A ◽  
Polacov B.A.
Keyword(s):  
Medical Care ◽  
Healthy Lifestyle ◽  
Medical Personnel ◽  
Original Method ◽  
Expert Assessment ◽  
Oncological Care ◽  
Care Outcomes ◽  
Quality Of Medical Care ◽  
Integral Assessment

The quality of medical care is one of the leading problems of both foreign and domestic healthcare. The purpose of the study: to assess the potential of the quality of medical care of the oncological profile and to give recommendations for its improvement. Materials and methods. A study was conducted on the basis of the oncological service of the Ivanovo region. The research program included the use of expert, sociological and statistical methods. A survey of 120 doctors and an expert assessment of 410 cases of oncological care were conducted. A feature of the study was the use of an original method of integral assessment of the quality potential of oncological care. The potential for improving the quality of medical care was assessed in three components: infrastructure (personnel, logistics and drug support), procedural (compliance of the technology of assistance with standards and clinical recommendations), expert (quality of examination of the quality of medical care). Outcomes. It is established that the infrastructure component of the quality of medical care is of priority importance from the point of position of improvement (reserve 11,0%), in second place – the procedural component (9,0%), on the third – expert (5,0%). The survey showed that among medical personnel there is a high prevalence of adverse socio-hygienic factors: unsatisfactory housing conditions; a high percentage of unmarried personnel; a significant number of people suffering from chronic diseases; not observing the principles of a healthy lifestyle. Findings. The developed approach to improving the quality of medical care of the oncological profile, tested in the conditions of medical organizations of the Ivanovo region, will ensure targeted correction of factors associated with quality and a steady trend towards improving the quality of medical care. The set of proposals developed during the study was tested in an organizational experiment conducted on the basis of medical organizations that provide assistance to patients of the oncological profile of the Ivanovo region in 2019. According to the results of the implementation, a positive dynamic of the potential for the quality of medical care was obtained - from 91,7% to 98,5%.

THE QUALITY OF MEDICAL CARE IN MEDICAL ORGANIZATIONS OF MOSCOW PUBLIC HEALTH CARE SYSTEM IN APPRAISALS OF PATIENTS AND PHYSICIANS

2017 ◽  
Vol 16 (2) ◽  
pp. 100-106 ◽  
Author(s):  
I. Ya Tadjiev ◽  
A. V Belostotsky ◽  
S. S Budarin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Public Health Care ◽  
Fee For Service ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Quality Of Medical Care ◽  
High Level

The article presents the analysis of results of complex medical sociological survey of effectiveness and efficiency of medical care as main criteria of its quality and accessibility. The survey comprised 1,737 patients of various social groups of population of Moscow and 203 physicians of polyclinics. At self-rating of health, 13.2% of respondents determined it as unsatisfactory, 45.1% as satisfactory and 31.3% as good. In all population groups, the most called-for proved to be polyclinic institutions. The high level of satisfaction of patients with quality of emergency medical care was established in all groups. The quality of medical care in polyclinics and hospitals was assessed significantly lower. The most negatively assessed criteria turned out transition to fee-for-service forms of medical support and time limits of waiting for all modes of medical care, except emergency medical care and district therapist. The evaluation by physicians of their own activity and present problems is characterized by their unanimity in need of increasing of salary (100%) and increasing of typical sectoral standards of time of reception of a patient (96.5%), decreasing of intensity of work of medical personal (92.3%) and reduction of some forms of record cards with the purpose of releasing of time and attention of physician for a patient (88.4%). The disrespectful attitude of patients to medical personnel was mentioned by 77.3% of physicians which is a new phenomenon testifying loss of confidence in patient-physician relationship. The quality of implemented work was assessed equally and rather high by both young and experienced physicians. The positive and negative aspects of reorganization of health care were analyzed. Two alternatives of problems were established to focus plans of development of system of Moscow health care to support accessible and qualitative medical care of population.

scholarly journals Development and Replication of Effective Projects for the Organization of Medical Care by the Example of Mining Region Kuzbass

2021 ◽  
Vol 278 ◽  
pp. 02009
Author(s):  
Galina Tsarik ◽  
Olga Barkova ◽  
Tatiana Gracheva
Keyword(s):  
Medical Care ◽  
Process Model ◽  
System Analysis ◽  
Control Mechanism ◽  
Management Algorithm ◽  
Current State ◽  
Operational Management ◽  
Quality Of Medical Care ◽  
Definition Of

The aim of the study is to develop technologies for operational management of processes and projects that increase the efficiency of medical organizations by replicating automated systems of “hyperresonant solutions” and monitoring achievements to improve activities aimed at improving the quality and availability of medical care. The object of researching the control mechanism is represented by 104 medical organizations of primary care, introducing lean technologies. The study of the current state of accessibility, satisfaction and quality of medical care was carried out by the method of direct observation and timing of receiving medical services by patients. To ensure the optimization of management on the basis of materials characterizing the current state of accessibility, satisfaction and quality of medical care, it was supposed to form a process model of the organization, including a classifier of activities. The use of a system analysis matrix, MS Excel tables and hyperlinks contributed to the definition of priorities and the development of improvement projects, which ensured the formation of management algorithm for the organization development.

scholarly journals Epileptic status: reality 2021

2021 ◽  
Vol 40 (4) ◽  
pp. 59-68
Author(s):  
Sergey N. Bazilevich ◽  
Mikhail Yu. Prokudin ◽  
Dmitriy A. Averyanov ◽  
Dmitriy E. Dyskin
Keyword(s):  
Medical Care ◽  
Antiepileptic Drugs ◽  
Early Stage ◽  
Treatment Protocol ◽  
Case Series ◽  
Medical Personnel ◽  
General Anesthetics ◽  
Quality Of Medical Care ◽  
The Russian Federation

Epileptic status is one of the urgent conditions in neurology that requires clear and urgent measures at any stage of medical care. It ranks second among all urgent neurological conditions. The therapeutic principle time-brain is applicable not only for urgent measures in acute cerebrovascular accident, but also for the relief of epileptic status, since the worst prognosis is associated with an increase in the duration of seizure activity. According to the standards proposed in the world for the treatment of epileptic status, benzodiazepines, intravenous forms of antiepileptic drugs, and general anesthetics are used. In the Russian Federation, the use of many drugs is limited due to the lack of registration, their lack in standards, and unavailability in hospitals. Due to the lack of studies on the treatment of epileptic status that go beyond the early stage of status, most of the recommendations presented worldwide remain based on case series or expert judgment. The efficacy benefits of anti-status drugs used in the second and third stages of epileptic status therapy remain unclear. Therefore, if there is a choice of anti-status drugs, the decision of which drug, in what dose and in what sequence will be used, should be made by the senior and most trained doctor in this matter, taking into account the characteristics of each patient. Based on modern international and personal experience, the paper presents a step-by-step protocol for the treatment of generalized convulsive epileptic status, discusses the successes and problems of providing care to patients with this pathology in Russia. The quality of medical care in epileptic status can be significantly improved provided that medical personnel at all stages of the treatment protocol are required to evacuate patients with epileptic status to specialized centers of multidisciplinary hospitals with the possibility of examination and therapy, including the availability of EEG monitors, neuroimaging and laboratory capabilities, and also access to modern antiepileptic drugs (1 table, bibliography: 30 refs)

Main causes of parents dissatisfaction by the accessibility and quality of ambulatory-polyclinic care for children

2017 ◽  
Vol 8 (6) ◽  
pp. 24-29 ◽  
Author(s):  
Vadim K. Yuryev ◽  
Vera V. Sokolova
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Home Visiting ◽  
Medical Personnel ◽  
Study Patient ◽  
Sociological Research ◽  
The Social ◽  
Legitimate Interests ◽  
Quality Of Medical Care

One of the main tasks of the national healthcare is to increase the accessibility and quality of medical care to the population. One way of assessing the quality of care is to study patient satisfaction with medical care through sociological research. The degree of patient satisfaction reflects not only the social effectiveness of medical organizations, but also the work of all health systems. The bulk of medical care a child receives in the conditions of the polyclinic. Parents, being legal representatives of the child, can objectively assess the quality of medical care provided to them in the children's polyclinic, and, if necessary, protect his legitimate interests. With a view to identifying the main causes of the dissatisfaction of the child population of Saint Petersburg by the accessibility and quality of ambulatory-polyclinic care, the anonymous questionnaire of 1488 parents of children receiving the medical care in outpatient polyclinics was conducted. It found that in children's polyclinics parents often face difficulties when calling the doctor home, visiting a pediatrician and subspecialties doctor, passing medical examinations and procedures. Parents were not always satisfied with the preventive activities and sanitary and hygienic condition of the polyclinic. There are cases of inattentive and mistreatment by medical personnel. In General, over half (53.2%) parents have remained completely unsatisfied or not fully satisfied by the quality of provided ambulatory-polyclinic care.

Medical card - a guarantor of social and legal protection of a medical worker and an indicator of the quality of medical care

1997 ◽  
Vol 78 (4) ◽  
pp. 304-304
Author(s):  
T. F. Safin ◽  
F. N. Samigullina ◽  
I. F. Khisamutdinov ◽  
B. Kh. Kim ◽  
G. R. Kadyrov ◽  
...  
Keyword(s):  
Medical Care ◽  
Medical Records ◽  
Legal Protection ◽  
Medical Worker ◽  
Medical Activity ◽  
Record Keeping ◽  
Effective System ◽  
Quality Of Medical Care ◽  
Constant Improvement

Maintaining medical records is one of the most important responsibilities in the medical activity of medical and preventive institutions, regardless of their departmental affiliation and form of ownership. Constant improvement of the technology of medical care requires a more effective system of medical record keeping. Computing equipment currently used in medical practice makes it possible to introduce new forms of documents that are convenient and easy to process statistically.

Effects of labor satisfaction of medical personnel for the quality of providing medical care

2021 ◽  
pp. 65-72
Author(s):  
Larisa Arkadyevna Karaseva ◽  
Tatyana Vladimirovna Bessonova
Keyword(s):  
Job Satisfaction ◽  
Comparative Analysis ◽  
Medical Care ◽  
Medical Personnel ◽  
Medical Services ◽  
Nurse Leader ◽  
Quality Of Medical Care ◽  
Practical Recommendations

The aim of the study the influence of job satisfaction of medical personnel on the quality of medical care. Results: the role of the nurse-leader in increasing the job satisfaction of medical personnel was studied; a comparative analysis of the attitude to work of medical personnel and their satisfaction in commercial and non-commercial medical organizations was carried out; formulated practical recommendations aimed at increasing the job satisfaction of medical personnel and the quality of medical services. Conclusion: formulated practical recommendations aimed at increasing job satisfaction of medical personnel and improving the quality of medical services provided to them.

scholarly journals Availability and quality of medical care to children according to estimates of their parents

2019 ◽  
Vol 19 (2) ◽  
pp. 97-102 ◽  
Author(s):  
I. A. Shmelyov ◽  
Oleg E. Konovalov
Keyword(s):  
Medical Care ◽  
Medical Personnel ◽  
Level Of Satisfaction ◽  
Positive Assessment ◽  
Free Care ◽  
Quality Of Medical Care ◽  
High Degree ◽  
Regional Programs ◽  
Monitoring Information

Introduction. Process of reforming of health care causes the need of the use of medico-sociological methods for the analysis of efficiency of medical care and search of ways of its improvement. There are presented data of Estimation of Parental Valuation of the quality and availability of the out-patient and polyclinic care for children. Materials and methods. The questionnaire survey of 478 lawful representatives of minor patients (residents of the samara region) was performed. Results. Respondents in general were established to give a positive assessment to the assurance of the quality of medical care for their children: relationships with the doctor were characterized by high degree of trust, attentive and respect, full understanding of problems of the patient from the medical personnel. Among the positive aspects the survey participants pointed out the possibility of obtaining expert assistance, free care, and certain availability, the possibility of the contact with a doctor as needed. The lack of a variety of specialists, safeguarding the confidentiality of the information, scarcity of medicines, and poor organization of rehabilitation are negatively perceived by parents. Parents see the achieving high quality of care in the improvement in working conditions for medical staff (including financial stimulation of employees) and increasing of the professionalism of doctors. Conclusion. Primary out-patient and polyclinic care for the children’s population in general is highly appreciated by parents enough as quite corresponds to individual needs of patients and in most cases helps to cope with their problems. Inconstancy of the level of satisfaction characterizing the quality of medical care determines the need of its regular monitoring. Information on the quality and availability of the out-patient and polyclinic care can be used in forming regional programs of the prevention of noninfectious diseases among the children’s population.

Sign in / Sign up

Export Citation Format

Share Document