scholarly journals Problems of Soviet Medicine in Readers' Letters in Connection with the Interview of Minister B. V. Petrovsky to Literaturnaya Gazeta (1974): Documents from the Fonds of the Russian State Archive of Contemporary History

2021 ◽  
pp. 105-117
Author(s):  
Nikita Yu. Pivovarov ◽  
◽  
Vitaly V. Tikhonov ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Rural Areas ◽  
Central Committee ◽  
Fee For Service ◽  
Contemporary History ◽  
State Archive ◽  
Russian State ◽  
Care System

The article is devoted to the problem that remains virtually unknown to the scholarship, i.e. the ordinary citizens’ assessment of the quality of late-Soviet medical system. It is to introduce into scientific use and to analyze a complex of letters from the readers of several Soviet newspapers concerning the state of Soviet health care system, which were received in response to the Soviet Minister of Health B. V. Petrovsky’s interview to the Literaturnaya Gazeta in the spring of 1974. The letters were deposited in the fond of the Central Committee of the CPSU in the Russian State Archive of Contemporary History (RGANI). The interview aroused great interest among its readers, as evidenced by numerous letters received in Soviet newspapers and transmitted to the Central Committee of the CPSU. The authors of many letters were critical of the existing health care system in the USSR. They complained of lack of information about treatment, lack of medicines, poor conditions in hospitals and clinics (especially in rural areas), lack of modern medical devices, and insufficient number of ambulances. Some letters defended non-traditional methods of treatment, homeopathy in particular. A special group consisted of complaints about violations of medical ethics: negligence of doctors, their rudeness and callousness, and “impunity” of doctors who committed medical errors. The letters described cases of doctors’ inaction that resulted in patient’s death. Some letters called for authorizing fee-for-service medicine and providing a right to choose one’s doctor. The deluge of letters prompted inspection at the highest level. Employees of the Department of Science and Educational Institutions of the Central Committee of the CPSU and those of the Ministry of Health confirmed most described facts. Following the inspection resolutions were prepared in order to improve the quality of medical personnel’s work. The article concludes that the analyzed letters complex demonstrates problems of the Soviet health care system and population’s dissatisfaction with it, and, furthermore, calls for public discussion and serious reform.

IoT Based E-Health Care System for Telemedicine

2020 ◽  
Vol 17 (4) ◽  
pp. 1628-1632
Author(s):  
M. Prabu ◽  
P. Chella Pandi ◽  
V. A. Sarath ◽  
R. Subash
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Rural Areas ◽  
Low Cost ◽  
Standard Test ◽  
Technological Advancement ◽  
Sensor Platform ◽  
Care System

The Technological and economical advancement needs enhanced healthcare system. Telemedicine healthcare system provides the provision of medical treatment from a remote distance. The telemedicine research and product development has embarked immense growth during the past decade primarily due to tremendous technological advancement in automation. The aim of IoTbased health care system is to ensure and increase the welfare of patients and the quality of life in rural areas. In this paper we present a low cost Health sensor platform and sugar level without blood for rural health monitoring with a well-structured and secure interface between medical experts and Cellular and WLAN for sharing of important medical parameters. In our proposed and implemented model we developed separate interface for medical experts and medical server, Caregiver, Emergency other then physician and introduced a new algorithm for implementation. Features like live video streaming, automatic prescription generation and push notification to allotment are included. The prototype is used for trial under the supervision of medical experts and the data are compared with standard test done in pathological laboratory. The result is satisfactory with good level of acceptance.

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.

The role of transformative healthcare technology on quality of life during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Asif Salam ◽  
Saleh Bajaba
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Saudi Arabia ◽  
Service Delivery ◽  
Health Care System ◽  
Service System ◽  
Content Type ◽  
Care System

Purpose The purpose of this study is to investigate the role of the COVID-19 health-care system quality (HSQ) and its impact on the individual (satisfaction) and social (quality of life [QOL]) outcomes in the context of a transformative health-care delivery system using service-dominant logic (SDL). Design/methodology/approach A sample consisting of 1,008 individuals who have experienced the COVID-19 health-care system was drawn from four different regions of Saudi Arabia using the simple random sampling technique. The survey was conducted using an online survey and 1,008 respondents answered, based on their experience and knowledge of the COVID-19 health-care system. Partial least squares structural equation modeling was applied to test the proposed research model. Findings The study findings suggest that service system satisfaction (SAT) significantly mediates the role of the HSQ in delivering and enhancing the QOL. HSQ also has a significant role to play on the SAT as well as the QOL. These findings contribute to the body of knowledge on SDL in the context of HSQ in understanding the significant role of technologies can play in enhancing service satisfaction and better QOL during a crisis such as COVID-19. This study also improves the understanding of the importance of customer-centricity, real-time visibility through tracking and tracing of service flow, agile decision-making, fewer but better-defined service objectives, and finally shaping mindsets and behaviors of all the relevant parties involved in the HSQ service delivery process. Research limitations/implications One of the major limitations of this study is that, although COVID-19 is an ongoing global pandemic, cross-sectional data were collected in only one country. The findings may not be generalizable across subsequent waves of the pandemic. The best practices of HSQ could be studied around the globe and the results used to support continuous improvement. Originality/value This study advances the understanding of the SDL in the context of a transformative health-care system for a transitional economy by focusing on individual and social well-being during an unexpected crisis such as the COVID-19 pandemic. This study also contributes toward the understanding of the roles of enabling technologies to improve the service delivery system which results in an improved SAT, as well as better QOL for the society at large. Based on SDL this research validates the HSQ model, relevant measures and its overall impact on SAT and QOL in the context of a transformative health-care service system in Saudi Arabia.

Medical standard as a historical component on the way of clinical audit

2020 ◽  
Vol 26 (4) ◽  
pp. 108-115
Author(s):  
А.B. Zimenkovsky ◽  
◽  
T.G. Gutor ◽  
Keyword(s):  
Health Care ◽  
Great Britain ◽  
Health Care System ◽  
Clinical Audit ◽  
Medical Aid ◽  
The World ◽  
The Usa ◽  
Medical Standard ◽  
Care System

Aim - the search, analysis and systematization of historical facts concerning the formation and evo-lution of the world medical standartization; severance of its certain long-standing models for the optimization of settling and introduction of the existing, and future analogs, particularly, in the clinical audit format. Material and Methods. In order to study the medical standard as a historical component the fol-lowing methods were used: bibliographic, historical, analytical and methods of systematization and comparison. Results and Discussion. As a result of the conducted research the main historical events in the world development of the medical standartization starting from 1500 up till nowadays were col-lected. In order to study the evolution of the medical standartization, the analysis of the normative documents that have regulated the process of standartization, especially the Doctor's statute(s) in Russia, Minimal standard of the medical equipment and works of the American college of surgeons, was carried out. The scientific works that initiated the introduction of the clinical audit in the Health Care system in Ukraine, Turkey, the USA and Great Britain were throroughly analyzed. Conclusions. The improvement of quality as to rendering the medical aid is a job priority in the health care systems in many countries. For that reason, the search for its optimization was and is still retrieved for many centuries. The territorial formation of medical standartization is associated with England, Russia and the USA, but the occurrence of clinical audit is connected with Ukraine, Turkey, the USA and Great Britain. The foundations of the medical standardization was lauched in 1500 year, while the clinical audit - in 1854 year. The medical standartization is a reflection of the history of development of the organization of health care system, that's why the expertness (knowl-edge) of historical stages concerning the setting and the introduction of medical standartization may give a new impulse in its improvement and development under present-day conditions of reforma-tion in the medical sphere in Ukraine. The earlier beginning of implementation of the medical stan-dartization in the health care system in different countries makes it possible to actualize its introduc-tion into the clinical audit format, that, in its turn, allows to improve the quality of rendering the medical aid. Key words: medical standartization, clinical audit, quality of medical aid

The essence, content and characteristics of medical services’ quality

2021 ◽  
pp. 40-43
Author(s):  
Constantin Etco ◽  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care System ◽  
Health Care Quality ◽  
Services Quality ◽  
Care Quality ◽  
Medical Services ◽  
Total Quality ◽  
Care System

One of the priorities of the health care system in Moldova is the medical services’ quality improvement. Th is article presents various defi nitions for health care quality and the principles connected with quality improvement. An important part in this article is allocated to the structure and main principles of total quality management in the health care system. Th is part reveals the problems of the commissions that are studying the quality of medical services in healthcare establishments.

Specialty Health Care in Rural Areas of West Bengal (India)

2016 ◽  
Vol 6 (2) ◽  
pp. 56-62
Author(s):  
Ashok Kumar Biswas ◽  
Edward Gebuis ◽  
Petrica Irimia
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Rural Health Care ◽  
Rural Areas ◽  
West Bengal ◽  
Specialty Care ◽  
Policy Document ◽  
Massive Change ◽  
Improve Health ◽  
Care System

The health care system of WB needs a massive change from every aspect. However, changing a system which is running for years is in itself a challenge. Therefore, change in the health policy needs to begin either from the foundation up or according to the importance of proposed legislation. Rural health care system without specialty care has always been the underdog of WB health system. However, most improvement can be made there. This policy document proposes a basic specialty care in rural areas of WB, intended to improve health care for a maximum possible population.

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