Determination of ways of improving the system of medical provision of school-age children using swot-analysis

2021 ◽  
Vol 41 (1) ◽  
pp. 44-48
Author(s):  
T. V. Peresypkina ◽  
◽  
O. O. Holubnicha ◽  
A. M. Peresypkina ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
School Health ◽  
Swot Analysis ◽  
Health Workers ◽  
Medical Personnel ◽  
School Age Children ◽  
Educational Institutions ◽  
Medical Support ◽  
Medical Work

The search for ways to effectively provide medical care to the child population is an urgent issue of our time. With the participation of experts, a SWOT analysis of the organization of medical support for schoolchildren in modern conditions was carried out. The strengths and weaknesses, opportunities and threats of medical support for schoolchildren are identified, which contributes to the identification of promising directions for improving medical care for children in the conditions of general educational institutions. So, in the absence of an alternative system of medical support for schoolchildren, existing experience of medical personnel and institutions that have the practice of training school health workers, it is advisable to clearly build the vertical of the school health system, consolidate at the legislative level competencies of medical personnel and credentials, an algorithm for improving their skills in health matters and health-saved programs. The nearest threat is the turnover of medical personnel from educational institutions through a decrease in the attractiveness of medical work in schools, which will help to limit the preventive capabilities of the health care system for children in educational institutions. The directions determined by the results of the SWOT analysis will make it possible to make informed management decisions, to coordinate activities in a timely manner and to use the available opportunities most effectively in order to improve the system of medical support for children in the conditions of general secondary education.

scholarly journals Medical support in children's camp: problems and solutions

2021 ◽  
Vol 65 (4) ◽  
pp. 310-317
Author(s):  
Anna S. Sedova ◽  
Leonid M. Protsenko
Keyword(s):  
Medical Care ◽  
Rest Period ◽  
Medical Personnel ◽  
Legal Regulation ◽  
The State ◽  
State Of Health ◽  
Medical Support ◽  
Medical Problems ◽  
Additional Information ◽  
Problems And Solutions

Introduction. High-quality medical support is an essential component of effective and safe recreation of children in the camp. Aim is a scientific substantiation of improving the system of medical care in the camps. Material and methods. A survey of 353 directors of day and stationary camps was conducted in the fall of 2020. Results. The most pressing medical problems of the system of medical care of children in the camp were identified: lack of medical personnel (in 46.3% of camps); difficulties with licensing medical activities in the camp (in 15.8% of camps); low qualifications of medical personnel and medical literacy of pedagogical personnel in matters of medical support for camps (in 7.1% and 10.7% of camps, respectively); the inaccuracy of information available in the camp about the state of health of children in the medical certificates of children (in 22.6% of camps). 74.6% of directors pointed to the problems of interaction with the parents of children (unwillingness to provide children with medical certificates or necessary additional information about the state of health of children, refusal to receive treatment prescribed in the camp, etc.). Conclusion. It is necessary to improve the legal regulation in the field of children’s recreation; provision of camps with qualified medical personnel; educational programs on medical care for children in the camp for teachers; increasing the responsibility for the health of children during their rest period of medical organizations that draw up medical documents for children in front of the camp, as well as parents of children.

scholarly journals On the Concept of Criminological Ratios of Unintentional Crime in Medical Assistance Rendering

2020 ◽  
Vol 11 ◽  
pp. 31-34
Author(s):  
Polina G. Gabay ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Practical Significance ◽  
Healthcare Sector ◽  
Legal Analysis ◽  
Medical Assistance ◽  
Personal Relations

Purpose. To study the indices of carelessness in the provision of medical care from a criminological standpoint. Methodology: it includes the following methods: historical and legal, comparative legal, analysis and forecasting. Conclusions. 1. Elements of everyday carelessness in health care can be distinguished only conditionally and only in the sphere of relations that are within the framework of personal relations between medical personnel and patients. 2. The structure of health crime includes three groups of crimes: professional crimes of health workers; malfeasance of employees of the studied area; crimes, the responsibility for which arises for these subjects along with other persons. Scientific and practical significance. The conclusions presented in the article are aimed at increasing the effectiveness of counteracting careless criminality in the healthcare sector in the provision of medical care.

scholarly journals Harmonization of European and Russian standards of evaluation of the quality of delivery of health care in educational organizations

2019 ◽  
Vol 19 (3) ◽  
pp. 157-162
Author(s):  
V. R. Kuchma ◽  
Svetlana B. Sokolova
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Care ◽  
Health Care Workers ◽  
Health Professionals ◽  
School Health ◽  
Educational Institutions ◽  
Medical Aid ◽  
Care Workers

Harmonization of European and Russian standards of the quality of the delivery of school health services and competencies for school health professionals allowed to justify the concept of the evaluation of the quality of the delivery of medical help to students in educational institutions. The concept does not prescribe a concrete methodfor the organizing school health services, unified process of the activity of health professionals. The concept consists of 7 groups of indices of quality and competences of health care workers. Quality criteria include the presence of a regulatory framework, indices of benevolence towards children, social equity and access to health care for students, requirements for premises, equipment of medical rooms in schools, cooperation with the administration and teachers of schools, parents and children, the medical community, the requirements for health care workers, a minimum list of services, covering both population and individual needs of students, the secure storage, the management and use ofpersonal medical data of children and adolescents. The competences of the staff of medical units are determined by provided medical services and technologies of the work. Properly medical competences of workers of medical care units for the delivery of medical aid to students are contributed by willingness to ensure the rights of children in the process of health care delivery in the educational organization, skills in the field of communication, sharing of information with children, parents and teachers, cooperation with colleagues, planning and coordination of the organization of medical care, the provision of sanitary epidemiological well-being of students, informational-elucidative activity for shaping of healthy lifestyle, research activity. Concept is the basis of the algorithm of the evaluation of the quality of the delivery of medical aid to students and quality assessment technology as well by medical organizations and institutions, as in the form of an independent audit of the quality of the delivery of medical aid to students in educational institutions.

scholarly journals CONCEPTUAL DIRECTIONS IN ORGANIZATION OF MEDICAL ASSISTANCE FOR CHILDREN IN THE CONDITIONS OF EDUCATION

2020 ◽  
Vol 73 (6) ◽  
pp. 1124-1128
Author(s):  
Georgii M. Danylenko ◽  
Tetiana V. Peresypkina ◽  
Antonina I. Butenko ◽  
Anna M. Peresypkina ◽  
Halyna I. Holubnycha ◽  
...  
Keyword(s):  
Health Status ◽  
Conceptual Model ◽  
Social Determinants ◽  
School Health ◽  
Healthy Lifestyle ◽  
Legal Framework ◽  
Educational Institutions ◽  
Medical Support ◽  
Medical Sector ◽  
Effective System

The aim of this work is: to define the Conceptual model of medical provision of children in educational institutions in modern conditions. Materials and methods: analysis of data from a longitudinal study of children’s health; questionnaire of parents, teachers, heads of educational institutions on the volume of medical support for students; questioning students’ lifestyle and social determinants of health. Results: According to the study has determined the medical and social determinants which negative affect on health status of school age childrens; detected the most appropriate types of of school health services which based on the parents, medical and teachers opinion. The important also is monitoring of health status of children for develop of prevent measure for improove health status and forming of healthy lifestyle behavioral. Problematic issues to be addressed include: improving the legal framework on the competences and volumes of health care for pupils in educational institutions; material equipment; setting up a system for monitoring and analyzing the health status of students and educational groups, identifying health risk factors; establishing a continuous multimodal health-oriented system of student-oriented youth behavior. Conclusions: The health status of students and the level of health-oriented behavior, the reform of the medical sector require introduction of an effective system of medical support for students of organized groups, improving the system of preventive care for students, parents, which is presented in the Conceptual model.

Incidence of COVID-19 in outpatient healthcare workers

2021 ◽  
Vol 61 (8) ◽  
pp. 540-545
Author(s):  
Sergey A. Suslin ◽  
Maiia L. Sirotko ◽  
Marina N. Bochkareva ◽  
Sergey A. Babanov
Keyword(s):  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Expert Assessment ◽  
Outpatient Basis ◽  
Medical Organization ◽  
Occupational Infection ◽  
Increased Risk ◽  
Need Support ◽  
Coronavirus Infection

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

scholarly journals TINGKAT PARTISIPASI MASYARAKAT DALAM PENGEMBANGAN EKOWISATA KERUJUK BERBASIS MASYARAKAT DI DESA MENGGALA KECAMATAN PEMENANG KABUPATEN LOMBOK UTARA

2021 ◽  
Vol 22 (2) ◽  
pp. 72-86
Author(s):  
Amalia Khairunnisa ◽  
Lalu Wirasapta Karyadi ◽  
Rosiady Husaenie Sayuti
Keyword(s):  
Community Participation ◽  
Community Involvement ◽  
Formal Education ◽  
Swot Analysis ◽  
Rank Correlation ◽  
Educational Institutions ◽  
Test Analysis ◽  
The Government

This study aims to: (1) analyze the level of community participation in the development of ecotourism referrals; (2) analyze what factors are related to the level of community participation in the development of referred ecotourism; (3) analyze what strategies can be applied to increase community participation in the development of ecotourism referrals. The research method used in this research is descriptive method. The research was conducted in Kerujuk Hamlet, Mengala Village which was selected by purposive sampling with the consideration that the hamlet has an ecotourism program that involves the community. The determination of the number of respondents was determined by proportionate stratified random sampling using the Slovin formula and the number of respondents was determined to be 43 respondents. The collected data was then analyzed using a scoring system, Spearman rank correlation test analysis and SWOT analysis. The results showed that the level of community participation was included in the low category because community involvement was still lacking in all stages of activities carried out in an effort to develop ecotourism referrals. Factors related to the level of community participation are non-formal education (skills), income, length of stay and age. The strategy that can be applied in an effort to increase community participation is the WO strategy or weakness-opportunity, where cooperative efforts with the government or educational institutions are carried out to improve the quality of human resources to be more independent in managing creative and innovative referral ecotourism.    

scholarly journals THE ROLE OF PUSKESMAS IN THE IMPLEMENTATION OF PHBS AT SLB ALPA KUMARA WARDANA II

2018 ◽  
Vol 6 (1) ◽  
pp. 59
Author(s):  
Adila Rahana ◽  
Rachmat Hargono
Keyword(s):  
Health Promotion ◽  
Public Schools ◽  
School Health ◽  
Sampling Technique ◽  
Community Action ◽  
School Age Children ◽  
Healthy Public Policy ◽  
Personal Skills

Puskesmas as a health service facility, organized public health effort and individuals in the first level. As a first-rate health facility, puskesmas are responsible for health in their working area. School is one of the institutions that become the responsibility of puskesmas. Health efforts in schools are realized through the development of health promotion. The development of school health promotion is implemented through a health program, UKS. UKS targets are all schools which means not only public schools but also specials schools (SLB) are included. Children with special needs is one of the human resources whose quality must be improved. Such quality improvement can be done through basic behavioral cultivation, including health behavior. PHBS in school is an absolute necessity. This can be said because the various diseases that often attack school-age children associated with PHBS. SLB Alpa Kumara Wardana II is one of the target schools of Puskesmas Pucang Sewu so that the implementation of PHBS from the school is also the responsibility of Puskesmas Pucang Sewu. This study aims to analyze the role of puskesmas in the implementation of PHBS in schools at SLB based on Ottawa Charter. The method used in this research is qualitative with the determination of informants using purposive sampling technique. The results obtained from this research is the role of puskesmas in the implementation of PHBS in schools at SLB Alpa Kumara Wardana II is still less than optimal in the implementation of PHBS in schools. Implementation of PHBS in SLB is still need to improved application from the aspect of build healthy public policy, create supportive environtment, reorient health services, strengthen community action, and develop personal skills.

scholarly journals The Study of the Awareness of Healthcare Workers on Organizational Aspects of Vaccination

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Kateryna Bulavinova ◽  
Oryna Detsyk ◽  
Zoya Tsikhon
Keyword(s):  
Medical Care ◽  
Health Professionals ◽  
Primary Care Physicians ◽  
Healthcare Workers ◽  
Health Workers ◽  
Medical Personnel ◽  
Cold Chain ◽  
Health Care Managers ◽  
Knowledge And Beliefs ◽  
Care Managers

Aim. To analyze the awareness of healthcare workers on the organization of vaccination. Materials and Methods. In 2018 – 2019 sociological survey was conducted among 1384 healthcare workers from 4 Ukrainian regions: 353 primary care physicians, 233 specialized medical care doctors, 88 healthcare managers, 700 nurses, and 10 others. Results. Gaps in the knowledge and beliefs of health professionals associated with the organization of vaccination were founded: less than half of the surveyed health workers understand that vaccination is carried out with any certified vaccine, regardless of the country of origin; a significant part of respondents tend to prescribe drugs not recommended by international guidelines (53.6%), antihistamines (15.9%) and anti-inflammatory (8.0%) drugs before vaccination; do not know about the possibility of doing several vaccinations in one visit (47.3%) and that the cold chain breach affects the effectiveness of the vaccine (52.4%). It was found that the most knowledgeable about the organization of immunoprophylaxis of the population are the health care managers and medical personnel who have passed special training on vaccination vs the least informed specialized medical care doctors. Conclusions. It is necessary to develop a set of scientifically based measures to improve the awareness of health professionals about the organization of vaccination in order to improve the coverage of the population with immunoprophylaxis.

scholarly journals Implementasi Kebijakan Pembuatan Surat Tanda Registrasi (STR) Bagi Tenaga Kesehatan Provinsi Kalimantan Tengah

2019 ◽  
Vol 6 (1) ◽  
pp. 26-34
Author(s):  
Bulkani Bulkani ◽  
Agus Harianto
Keyword(s):  
Health Workers ◽  
Medical Personnel ◽  
Healthcare Personnel ◽  
Factors Affecting ◽  
The Public ◽  
Edward Iii ◽  
Key Informant ◽  
Bureaucratic Structure ◽  
Initial Survey

A person who has graduated and holds a degree in healthcare personnel, before contact directly with the community or provides public services and according to the health LAW mandate must have a registration letter/STR. Based on the initial survey in STR making still, have complaints or difficulties from the applicant medical personnel registration and considering the area and payment through the Bank becomes a separate obstacle for health workers in obtaining the registration letter. This research is to find out how the registration policy is implemented in the provincial health office of Central Kalimantan and the factors affecting the policy. Four factors influencing the implementation of the policy according to the theory of George C. Edward III, namely: communication, resources, disposition, and bureaucratic structure. The method used is a qualitative determination of the descriptive snowball informant while the key informant is a section of the head of the HUMAN Data collection techniques with observation, interviews, and documentation. The results of this study concluded that the implementation of the Register of registration letter policy has been executed in accordance with the mandate of law and regulation of the Minister of Health, but not in accordance with what is expected by the public, because there are Factor IE resources, especially the source of funds and facilities are still limited, servers are often disruptions. So even though the human resources are adequate, communication factors are good, the disposing factor and bureaucratic structure are also good, but if not supported by resources and facilities are adequate especially the source of funds then the policy Can not be implemented properly.

scholarly journals Medical Encounters During the United States Army Special Forces Assessment and Selection Course

2019 ◽  
Vol 184 (7-8) ◽  
pp. e337-e343
Author(s):  
Joseph J Knapik ◽  
Emily K Farina ◽  
Christian B Ramirez ◽  
Stefan M Pasiakos ◽  
James P McClung ◽  
...  
Keyword(s):  
Contact Dermatitis ◽  
Medical Care ◽  
Health Workers ◽  
Respiratory Infections ◽  
Standard Form ◽  
Medical Personnel ◽  
The United States ◽  
Care Providers ◽  
Medical Problems ◽  
Special Forces

Abstract Introduction The Special Forces Assessment and Selection (SFAS) is an extremely physically and mentally demanding 19- to 20-day course designed to determine whether Soldiers are qualified to enter the Special Forces Qualification Course. As a first step to understand medical problems during SFAS, this study examined injuries, illnesses, and activities associated with injuries during the course. Materials and Methods Medical events during the SFAS course were compiled from Sick Call Trackers (a log of medical encounters maintained by medical personnel in the field) and Chronology of Medical Care (Standard Form 600). Descriptive statistics were calculated for each injury and illness and injuries were compiled by the activities performed when the injuries occurred. Results Of the 800 Soldiers who volunteered for the study, 38% (n = 307/800) and 12% (n = 97/800) experienced one or more injuries and/or illnesses, respectively. The most common injuries were blisters and abrasions/lacerations with incidences of 20% (n = 158/800) and 13% (104/800), respectively. The most common illnesses were respiratory infections, other infections, contact dermatitis, and allergies with incidences of 7% (n = 57/800), 2% (n = 14/800), 2% (n = 14/800), and 2% (n = 13/800), respectively. Among all injuries recorded (n = 573), the most common were blisters (46%), abrasions/lacerations (24%), pain (not otherwise specified) (19%), tendonitis (3%), and sprains (3%). Among all illnesses recorded (n = 133), the most common were respiratory infections (56%), allergies (11%), contact dermatitis (11%), and other infections (11%). Most injuries were experienced during land navigation (44%), team events (20%), and foot marching (11%), running (6%), and the obstacle course (5%), but when the estimated time involved for each event was considered, activities with the highest injury rates were the obstacle course (65 injuries/hr), running (27 injuries/hr), the Combat Readiness Assessment (activity involving combat-related tasks) (20 injuries/hr), and foot marching (16 injuries/hr). Conclusion The major limitations of this investigation were: 1) the low specificity with regard to many of the diagnoses/complaints; and 2) the fact that the medical problems reported here are only those seen by medical care providers and are likely an underestimate of the total morbidity in the SFAS course. Soldiers often self-treat and some may be reluctant to see medical personnel because of how it might affect their rating in the course. Nonetheless, this investigation alerts medical personnel to the injuries and illnesses to expect, and public health workers and leadership with activities to target for injury prevention measures during SFAS.

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