ANALYSIS OF THE STRUCTURAL AND ORGANIZATIONAL RESTRUCTURING OF MEDICAL CARE FOR PEDIATRIC MAXILLOFACIAL SURGERY IN THE PENZA REGION IN 2021

2021 ◽  
pp. 76-82
Author(s):  
Lebedev M.V. ◽  
Zakharova I.Yu. ◽  
Kerimova K.I.
Keyword(s):  
Medical Care ◽  
Economic Effect ◽  
Maxillofacial Surgery ◽  
Maximum Efficiency ◽  
Technical Equipment ◽  
Organizational Restructuring ◽  
Clinical Hospital ◽  
Medical University ◽  
Surgery Center

The annual increase in patients and increased requirements for the quality of medical care lead to the reorganization of the work of various departments of medical hospitals. In order to improve the quality and accessibility of specialized medical care in the profile "maxillofacial surgery" in the territory of the Penza Region, in 2020, the structure of the Center for Maxillofacial Surgery of the Penza Regional Clinical Hospital named after N. N. Burdenko will be reorganized, which allows solving a number of existing problems. An important direction in the modernization of the Center was the structural and organizational restructuring. The purpose of the study: to analyze the quality and effectiveness of providing care to children with pathology of the maxillofacial region by doctors of the Center for Maxillofacial Surgery of the Penza Regional Clinical Hospital named after N. N. Burdenko. Materials and methods. A comprehensive assessment of the quality of care for children with maxillofacial pathology from 2018-2020 in the Penza region and in the period from November 2020 to July 2021 was carried out. Center of Maxillofacial Surgery of the N. N. Burdenko State Medical University. Results and discussion. Having analyzed the existing shortcomings and problems, established connections, the growth of patients in need of treatment by a maxillofacial surgeon contributed to the opening of the Maxillofacial Surgery Center in the N. N. Burdenko State Medical University, which included 10 specialized children's beds; 2 ultra-short stay beds; an outpatient office; a rehabilitation room; material and technical equipment, tools, medicines for children; maxillofacial surgeon, pediatrician, pediatric dentist, general dentist, clinical nurses, speech therapist. Conclusion. The opening of the Maxillofacial Surgery Center in the Penza region has shown high efficiency. The economic effect in obtaining specialized treatment due to the work of an outpatient office and a rehabilitation office based on a patient-oriented model is noted. In order to achieve maximum efficiency and fully meet the need for providing medical care to the children's population of the Penza region in the profile "maxillofacial surgery", it is necessary to open a department of pediatric maxillofacial surgery due to the projected workload of open beds.

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.

DISADVANTAGES IN THE ORGANIZATION OF OUTPATIENT AND POLYCLINIC SERVICES IN THE FIELD OF MAXILLOFACIAL SURGERY FOR ADULTS AND CHILDREN IN THE GBUZ PENZA REGIONAL CLINICAL HOSPITAL NAMED AFTER V.I. N.N. BURDENKO FOR THE PERIOD 2018 -2020

2021 ◽  
pp. 6-12
Author(s):  
Lebedev M.V. ◽  
Zakharova I.Yu.
Keyword(s):  
Medical Care ◽  
Outpatient Care ◽  
Single Case ◽  
Care Service ◽  
Maxillofacial Surgery ◽  
Outpatient Service ◽  
The State ◽  
Medical Documentation ◽  
Clinical Hospital

The availability and quality of medical care is determined by the state of primary health care. Optimization and development of outpatient care is the primary task of healthcare. For the Penza region, according to the resolution of the Government of the Penza region of 02.10.2013 N 743-PP, improving the quality of outpatient care in the field of maxillofacial surgery and increasing its availability is one of the primary tasks for our region. In this regard, the assessment of the work of the outpatient office of the Department of Maxillofacial Surgery of the Consultative Polyclinic of the State Budgetary Healthcare Institution of the Penza Regional Clinical Hospital named after V.I. N.N. Burdenko. Aim: to analyze the work and effectiveness of a dentist - surgeon in the outpatient office of the consultative polyclinic GBUZ Penza Regional Clinical Hospital named after V.I. N.N. Burdenko. Materials and methods. To achieve this goal, a retrospective analysis of the primary accounting and reporting medical documentation for 2018–2020 was carried out, a questionnaire survey of patients hospitalized through an outpatient office in the Department of Maxillofacial Surgery of the N.I. N.N. Burdenko. Statistical data analysis procedures were carried out using MS Office Excel 2010 spreadsheets and PASW Statistics 18 statistical software package. Results. The analyzed accounting and reporting medical documentation for 2018–2020, the results of the questionnaire indicate the ineffective work of the doctor surgeon - dentist in the outpatient office of the consultative polyclinic GBUZ POKB im. NN Burdenko, the workload of the department with non-core hospitalizations, the increased workload on doctors - the department of maxillofacial surgery. The ways of solving the problem of replacing a dentist-surgeon with a doctor-maxillofacial surgeon are proposed; on the organization of a rehabilitation room for patients of the adult and pediatric population with pathology of the maxillofacial region; to create a single case history. Conclusion. Carrying out the above changes will reduce the burden on doctors - maxillofacial surgeons of the Department of Maxillofacial Surgery, transfer some of the manipulations from the inpatient to the outpatient service (inpatient replacement technology), thereby improving the medical care service in the field of maxillofacial surgery in the Penza region.

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.

THE INFLUENCE OF THE SCHOOL OF HEALTH ON THE TREATMENT OF PATIENTS ON THE EXAMPLE OF ARTERIAL HYPERTENSION

2021 ◽  
pp. 43-46
Author(s):  
К.Ю. Досмаганбетова ◽  
А.Б. Исса ◽  
И.Е. Михайлова
Keyword(s):  
Arterial Hypertension ◽  
Medical Care ◽  
Well Being ◽  
Statistical Information ◽  
Emergency Medical Care ◽  
Dynamic Changes ◽  
National Medical ◽  
Definition Of ◽  
Medical University

В статье «Влияние школы здоровья на лечение пациентов на примере артериальной гипертензии», написанной интернами 7го курса НАО «Национального Медицинского Университета им. С.Д. Асфендиярова» Досмаганбетовой К.Е., Иса А.Б под кураторством ассистента кафедры ВОП2 Михайловой И.Е., представлен обзор на школу здоровья, а именно на ее часть, занимающуюся артериальной гипертензией. Собраны статистические сведения об участниках, дано определение термина «школа здоровья» и рассмотрено её влияние на качество лечения пациентов. На основе полученных данных проведен анализ динамических изменений по части грамотности населения в вопросах «управления» артериальной гипертензией, самочувствия пациентов, частоты обращения за «скорой медицинской помощью» и развития осложнений The article "The infiuence of the School of Health on the treatment of patients on the example of Arterial Hypertension", written by interns of the 7th year of the JSC "S.D. Asfendiyarov National Medical University" Dosmaganbetova K.Y., Issa A. B. under the supervision of the assistant of the GPM-2 department Mikhailova I.E., provides an overview of the school of health, namely, its department dealing with arterial hypertension. The article includes statistical information about the participants, definition of the term "school of health", and information about its impact on the quality of treatment. On the basis of the obtained data, the analysis of dynamic changes in the population's literacy in issues of "management" of arterial hypertension, the well-being of patients, the frequency of seeking "emergency medical care" and the development of complications was carried out.

scholarly journals ON THE QUESTION ORTHODONTIC MEDICAL RECORDS COMPLETION WHEN DENTOALVEOLAR ANOMALIES AND DEFORMATIONS DIAGNOSING

2017 ◽  
Vol 25 (2) ◽  
pp. 279-288
Author(s):  
A. K. Lapina ◽  
O. N. Arharova ◽  
T. S. Rodina ◽  
V. D. Vagner
Keyword(s):  
Medical Care ◽  
Medical Records ◽  
Treatment Plan ◽  
Medical Documentation ◽  
Conflict Situations ◽  
Quality Of Medical Care ◽  
Main Instrument ◽  
The Moment ◽  
Medical University

Correct registration of primary medical documentation is very important for storage of diagnostic information, the treatment plan, information about the carrying out of medical manipulations for the elimination of dentofacial anomalies, for examination of quality of medical care in conflict situations. Medical card of the orthodontic patient (form 043- 1/у), approved by order of Ministry of Health of the Russian Federation On approval of unified forms of medical records used in medical organizations providing medical care in outpatient conditions and procedures for their filling from 15.12.2014, №834 is the main document of the orthodontist. At the moment, two years after the release of the order, you need to find out whether approved new medical report form in hospitals with orthodontic care, to determine the property of filling as the main instrument used for examination of quality of medical care provided. The article presents the results of the retrospective analysis of medical cards of the patients receiving orthodontic treatment in the dental clinic at Ryazan State Medical University. Found that detailed and properly designed, only 16,0% of medical cards. Orthodontists don't pay enough attention to the medical history, examination of patients, the conduct of clinical trials and the use of special additional methods of examination of patients, such as cephalometry and functional diagnostics.

scholarly journals The evaluation of quality of medical care and labor process according results of survey of physicians

2019 ◽  
Vol 60 (6) ◽  
pp. 293-297
Author(s):  
S. V. Evstigneev ◽  
Valery V. Vasilyev
Keyword(s):  
Medical Care ◽  
Labor Process ◽  
Working Process ◽  
Clinical Hospital ◽  
Survey Results ◽  
Quality Of Medical Care

The article presents results of sociological survey of opinions of physicians concerning quality of medical care and working process in the N.N. Burdenko Penza regional clinical hospital. The factors mainly impacting these appraisals. The survey results testify alteration in positive way the opinions of physicians concerning this problem as following increasing of level of organization of medical care in hospital.

scholarly journals Assessment of the quality of the dental orthopedic care provision to the population of the Lviv region

2020 ◽  
Vol 5 (5) ◽  
pp. 212-218
Author(s):  
B. R. Malanyak ◽  
Keyword(s):  
Medical Care ◽  
Medical Staff ◽  
Statistical Data ◽  
Medical Center ◽  
Outpatient Service ◽  
National Medical ◽  
Orthopedic Care ◽  
High Level ◽  
Medical University

In the process of reforming the outpatient service, arrangement of the complex of measures to improve the system of dental care in Ukraine is still actual. The purpose of this study was to analyze the relationship between quantitative and qualitative indicators of dental orthopedic care in the Lviv region according to medical statistical data. Material and methods. The statistical data of the Stomatological Medical Center of the Danylo Halytskyi Lviv National Medical University and the operation indicators of the dental orthopedic service of the Lviv region, as well as the statistics of the Ministry of Health of Ukraine were selected for analysis. According to an open written survey, 240 patients were reviewed on the main “inducement factors” when seeking medical care at the SMC and 64 of the Stomatological Medical Center employed dentists regarding the “contending advantages” of this facility. Results and discussion. The organization of medical care, human resources, treatment and diagnostic procedures in accordance with protocols and medical standards, relevant quantitative and qualitative data reflect the quality of the structure, process and operation results of the health care institution. Thus, the number of people who were delivered dentures in the Lviv region decreased from 17 422 in 2013 to 13 859 (by 20.5%) in 2018, and the number of fabricated dentures, decreased from 36 884 to 32 201 (by 12.7%). According to the results of the survey, among the determining components of ensuring the qualitative operation of the Stomatological Medical Center, according to patients’ and doctors’ opinions, the high level of qualification of medical staff prevailed. With a significant improvement in the material and technical condition of medical institutions in Lviv region, the number of fixed dental constructions made by advanced technologies (wholecast, metal-free) fell, respectively, from 15.6% in 2016, and 15.4% in 2017 to 13.9% in 2018. Despite the fact that in Ukraine in general in recent years there has been a decrease in the number of fabricated dentures by 11.5%, the portion of wholecast fixed dental prostheses increased by 8.4%, and metal-ceramic and ceramic constructions – by 21.4%, which indicates an increase in the quality of orthopedic care for the population of Ukraine. Conclusion. Quantitative indicators of dental orthopedic care in the Stomatological Medical Center of Danylo Halytskyi Lviv National Medical University meet the basic provisions and requirements of current statutory regulations, at the same time qualitative indicators signify an insufficient level of orthopedic treatment advanced modern technologies implementation. The high level of qualification of the Stomatological Medical Center medical staff is not only the main "inducement factor" for patients when visiting a dentist and the main "contending advantage" of the medical institution, but also the basic component of rendering dental orthopedic care

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.

Frequency and structure of purulent inflammatory diseases of the maxillofacial region

2020 ◽  
pp. 73-84
Author(s):  
B. K. Normurodov ◽  
J. A. Djuraev ◽  
A. Z. Shaumarov ◽  
J. M. Akhmedov
Keyword(s):  
Medical Care ◽  
Inflammatory Diseases ◽  
Maxillofacial Surgery ◽  
Medical Documentation ◽  
Oral And Maxillofacial Surgery ◽  
Maxillofacial Region ◽  
Factors Affecting ◽  
Medical Academy ◽  
Multidisciplinary Clinic

The frequency and structure of purulent-inflammatory diseases of maxillofacial region are analyzed. Medical documentation of patients with purulent-inflammatory diseases of maxillofacial region was studied. According to the Department of Oral and Maxillofacial Surgery, multidisciplinary clinic of Tashkent medical academy (TMA) from period 2017–2018yy. specialized medical care for purulent-inflammatory diseases was provided to 593 patients. Some causes of the development of purulent-inflammatory diseases are determined taking into account the spectrum of identified microorganisms. Factors affecting of timing and quality of treatment of purulent inflammatory diseases have been established.

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