scholarly journals APPROACHES TO THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL AND ORGANIZATIONAL REGULATIONS FOR MEDICAL CARE OF PATIENTS WITH SYPMPOMS OF SUSPECTED CORONAVIRUS DISEASE (COVID-19)

2020 ◽  
Vol 2 (12) ◽  
pp. 4-53
Author(s):  
Dmitro D. Dyachuk ◽  
Oleg L. Zyukov ◽  
Olena O. Oshyvalova ◽  
Lidiia M. Vovk ◽  
Oleksandr V. Naumenko ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Clinical Medicine ◽  
Integrated Approach ◽  
Health Care Facilities ◽  
The State ◽  
Care Hospital ◽  
Literary Sources ◽  
State Administration ◽  
Leading Position

Resume. Standardization occupies a leading position in the system of tools of quality management in health care. The urgency of counteracting the spread of coronavirus disease (COVID-19) poses a task for health professionals to develop a standard of medical care. The aim of the study. Development and implementation of a clinical route for a patient with acute respiratory syndrome, identified case of coronavirus disease (COVID-19) for health care facilities. Material and methods. The State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine" of the State Administration has formed a clinical route of the patient in accordance with current legislation of Ukraine and modern scientific literary sources on relevant issues of coronavirus disease (COVID-19)prevention. Results. The patient's clinical route is presented on 127 pages, which includes the organization of provision of medical care, a description of outpatient activities, emergency care, hospital care, 29 appendices, 10 flowcharts, 11 instructions and registers. Conclusions.The clinical route of a patient with acute respiratory syndrome, identified case of coronavirus disease (COVID-19) is a new clinical and organizational document that is clinical managementtoolthat manages updates in accordance with current scientific developments and underpins an integrated approach to healthcare.

scholarly journals Improving Medical Communication: Skills for a Complex (And Multilingual) Clinical World

2014 ◽  
Vol 21 (2) ◽  
pp. 89-91 ◽  
Author(s):  
Peter G Brindley ◽  
Katherine E Smith ◽  
Pierre Cardinal ◽  
Francois LeBlanc
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Communication Skills ◽  
Clinical Medicine ◽  
Significant Proportion ◽  
The State ◽  
Medical Communication ◽  
Ongoing Care ◽  
Acute Medical Care

It has been reported that suboptimal communication represents the largest source of preventable error during acute medical care. Because a significant proportion of ongoing care relies heavily on verbal communication, it is incumbent on clinicians to develop, hone and maintain these skills in the interests of their patients and, at the same time, contribute to a more reliable and patient-focused health care system. This review briefly discusses why communication matters, practical strategies from both inside and outside clinical medicine, the implications of poor translation and the state of medical communication in Canada.

Critical Care Medicine (CCM) in Czechoslovakia (CSSR): Present State and Its Development

1985 ◽  
Vol 1 (S1) ◽  
pp. 135-136
Author(s):  
Jiri Pokorny
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Present State ◽  
Clinical Medicine ◽  
Intensive Therapy ◽  
The State ◽  
Short Account ◽  
Right To Health Care ◽  
Organ Systems ◽  
The Right

Due to the development of modern resuscitation during anesthesia and surgical operations, methods of intensive therapy have been introduced in clinical medicine. Efforts, through cardiopulmonary resuscitation (CPR), to give any patient in need the chance to survive resulted in systems of emergency medical services (EMS). A short account of the present state of CCM in the CSSR is given here. The principle of “differentiated patient care” is outlined, with accepted definitions of resuscitative and intensive care. The terminology of different steps in CCM is offered for discussion.In Czechoslovakia, the Constitution of 1960 proclaims the right to health care for every citizen. Medical care is provided to all citizens free of charge by the State. The State took over the responsibility for planning, organizing and providing medical care on the highest attainable contemporary level. In the last ten years, special programs have been launched in order to cover most actual health areas such as neonatal and maternal health care, cardiovascular disease programs, oncology, geriatric care, and, last but not least, the care of patients with acute organ systems' failure.

scholarly journals Administrative and legal basis of functioning of system of healthcare institutions of the Ministry of Interior as an element of medical provision of police

2021 ◽  
Vol 1 (1) ◽  
pp. 176-181
Author(s):  
Liliya Bobrishova
Keyword(s):  
Health Care ◽  
Law Enforcement ◽  
Social Security ◽  
Medical Care ◽  
Police Officers ◽  
Health Care Facilities ◽  
The State ◽  
Treatment And Prevention ◽  
Care Facilities ◽  
Internal Affairs

The study deals with the administrative and legal principles of the system of health care facilities at the Ministry of Internal Affairs, which are an element of medical care for employees of the National Police of Ukraine. It is noted that medical care for police officers is a component of such a common phenomenon as social security for law enforcement officers. It is noted that in the scientific work of researchers call social security also social protection, but the content of these definitions remains the same. It is emphasized that medical care is not limited to the system of medical measures carried out by the health authorities at the Ministry of Internal Affairs, it also includes the activities of governing bodies and departments of internal affairs, aimed at health or preventive measures among the staff and the elimination of harmful and health factors, and the Department of Health and Rehabilitation is implementing the state policy of the Ministry of Internal Affairs in the field of departmental health care. The definition of medical support of law enforcement agencies as a set of organizational, highly qualified forms and methods of medical care, logistics of treatment and prevention, sanitary and epidemiological and other measures, and social security of police is defined as a set of guarantees and legal norms that regulate the activities of police at the expense of the State in matters of social and material security of police in cases of disability, disability, retirement, detection of diseases related to professional duties or other circumstances, which are provided by special laws. The study provides a system of health care facilities at the Ministry of Internal Affairs according to the List of health care facilities of the Ministry of Internal Affairs of Ukraine approved by the Order of the Ministry of Internal Affairs (treatment and prevention facilities, sanitary prevention facilities, pharmaceutical facilities, medical commissions MIA).

scholarly journals Medical Care for Residents of Ivanovo, Kostroma and Yaroslavl Regions in Virgin Lands in 1954–1964 Years

2020 ◽  
Vol 20 (3) ◽  
pp. 405-410
Author(s):  
Andrei A. Rybin ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Far East ◽  
The State ◽  
Present Stage ◽  
The Far East ◽  
Medical Institutions ◽  
Qualified Personnel ◽  
Unused Land

The problem of the introduction of unused land into agricultural turnover is currently relevant in society, since at the present stage the state is implementing a campaign to develop the uninhabited territories of the Far East of the country. During this period, a large number of studies on virgin lands were published, but today many questions remain open. In particular, the problem of medical care in the virgin lands is not sufficiently studied by historians. The article defines the stages of development of medicine in the areas of development of new lands, also considers the problem of lack of medical institutions and qualified personnel. Finally, medicine was developed in the virgin lands, in particular, it was possible to move from small medical stations to the polyclinic health care system.

scholarly journals The value of an integrated approach to assessing the availability of primary health care, taking into account public opinion and EMIAS data

2021 ◽  
Vol 65 (5) ◽  
pp. 411-417
Author(s):  
Sergei S. Budarin ◽  
Andrei V. Starshinin ◽  
Andrei A. Tyazhelnikov ◽  
Elena V. Kostenko ◽  
Yulia V. Elbek
Keyword(s):  
Health Care ◽  
Public Opinion ◽  
Primary Health Care ◽  
Medical Care ◽  
Medical Information ◽  
Integrated Approach ◽  
Sociological Study ◽  
Primary Health ◽  
Level 1 ◽  
Index Value

Introduction. The study of public opinion as the basis for strategic planning of the activities of medical institutions is more relevant than ever, as it allows finding ways to solve the problems of ensuring the availability and satisfaction of citizens with medical care. Purpose. Comparative assessment of the availability of primary health care based on the results of a sociological study of public opinion and data from the Unified Medical Information and Analytical System of the City of Moscow (UMIAS). Material and methods. To study public opinion, the practice of population survey was used, which was conducted through direct interviewing with filling out questionnaires of visitors to Moscow polyclinics and the method of questioning doctors based on a questionnaire developed by researchers. To analyze the data, the authors used general scientific methods of cognition, including the dialectical method, a systematic approach, logical correspondence and harmonization, detailing and generalization. As part of the study, the index value of the patient loyalty to the medical institution (MI) was calculated according to Net Promoter Score (NPS) method as the difference between the share of the “Promoters” group and the share of the “Critics” group in the total number of responses. Results and discussion. The established correlations indicate the opinions of doctors and citizens to coincide and the UMIAS data on the issue of assessing the accessibility of admission of level 1 doctors for citizens. Based on the results of a sociological survey, the number of dissatisfied patients is mainly affected by managing medical care and its availability. The study confirmed that the higher the availability of an appointment with a level 1 doctor, the lower the number of visits the doctor on duty. Conclusion. The conducted research has shown the practicality of an integrated approach to evaluating the activities of medical organizations based on the results of public opinion research and UMIAS data.

scholarly journals Problematics of regulatory definition of categories of persons and relevant services for medical support of police

2020 ◽  
Vol 1 (1) ◽  
pp. 227-232
Author(s):  
Liliya Andrush
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Police Officers ◽  
Legal Framework ◽  
Health Care Facilities ◽  
Medical Rehabilitation ◽  
Rehabilitation Centers ◽  
Health Care Institutions ◽  
Basic Services ◽  
Definition Of

The article analyzes the legal framework for the health care of police officers and their families. Three main models of providing police officers with health services (health insurance, budgetary, mixed) are outlined, and it is noted that Ukraine finances departmental health care institutions at the expense of budgetary funds and provides basic services that are free of charge. It is emphasized that the fundamental rules governing the relevant issues are contained in the Law of Ukraine “On the National Police”. Article 95 of this Law is analyzed, according to it the main categories of persons who are entitled to free medical care in the health care institutions of the Ministry of Internal Affairs (police officers, their families - children 18 or 23 years of age in the study in higher education institutions, husband or wife) main forms, family members of the dead or missing police officers, police officers with disabilities in service). It is stated that such services are eligible for some categories of former police officers and their families. It is also about the legal provision of rehabilitation, sanitary and health resorts, wellness as well as recreation measures in departmental medical rehabilitation centers, sanatoriums, rest homes, boarding houses and health institutions of different categories of police officers, their families. Various instructions and regulations are being analyzed to clarify the categories of persons applying for medical care, rehabilitation and recreation in departmental health care facilities, conditions for free rest, etc. The study also reveals a list of institutions that are part of the departmental health care system.

scholarly journals SUPPORTIVE SUPERVISION AS A TECHNOLOGY OF IMPROVING THE QUALITY OF HOSPITAL CARE DELIVERY

2017 ◽  
Vol 14 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Svetlana A. Mukhortova ◽  
Tatiana V. Kulichenko ◽  
Leyla S. Namazova-Baranova ◽  
Svetlana G. Piskunova ◽  
Elena A. Besedina ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Hospital Care ◽  
Care Delivery ◽  
Health Care Facilities ◽  
Cochrane Library ◽  
Supportive Supervision ◽  
Technology Application ◽  
Quality Of Medical Care

Improving the quality of medical care is a priority in countries with developed and developing health care system. There are various approaches to improve the quality and safety of patient’s care, as well as various strategies to encourage hospitals to achieve this goal. The purpose of the presented literature review was to analyze existing experience of the implementation of technology of supportive supervision in health care facilities to improve the quality of hospital care delivery. The data sources for publication were obtained from the following medical databases: PubMed, Cochrane Library, Medscape, e-library, and books on the topic of the review written by experts. The article discusses the results of the research studies demonstrating the successes and failures of supportive supervision technology application. Implementation of supportive supervision in medical facilities based on generalized experience of different countries is a promising direction in improving the quality of medical care delivery. This technology opens up opportunities to improve skills and work quality of the staff at pediatric hospitals in the Russian Federation.

scholarly journals Effect of in-house training of health care personnel on biomedical waste management in a tertiary care hospital, Warangal, Telangana, India

2020 ◽  
Vol 7 (3) ◽  
pp. 1110
Author(s):  
Priyanka Sriramula ◽  
Rajashekar Neelakanti ◽  
P. S. Supriya
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Tertiary Care ◽  
Specific Treatment ◽  
Health Care Facilities ◽  
Health Care Personnel ◽  
Healthcare Personnel ◽  
Care Hospital ◽  
Biomedical Waste ◽  
Post Test

Background: Every day, relatively large amount of potentially infectious and hazardous wastes is generated in the health-care hospitals and facilities around the world. Indiscriminate disposal and improper management of waste generated in health care facilities causes serious threat to environment and to human health that requires specific treatment and management prior to its final disposal.Methods: Cross-sectional study was conducted among 241 health care personnel working at Mahatma Gandhi Memorial hospital, Warangal. Data was collected and pre and post analysis was done using a pre-validated self-administered questionnaire. Data was entered in MS Excel and analysed using SPSS 17 software.Results: Among 241 respondents, 33.2% were sanitary staff, 35.3% are nursing staff and 31.5% are nursing students. Only 35.7% of participants has knowledge regarding the colour of the bag into which expired antibiotics are discarded and 45.2% of participants were aware of the colour of the bag in which IV bottles, gloves were discarded. Scoring for 10 was done in both pre and post-test and post test scores were found to be higher and there is significant increase in level of knowledge of biomedical waste management rules in study population in post-test analysis (p<0.001).Conclusions: Training program on the waste management in the health sector has significant effect in increasing knowledge of the healthcare personnel. 

scholarly journals Całkowicie prywatna opieka medyczna — próba zarysu

Ekonomia ◽  
2020 ◽  
Vol 26 (1) ◽  
pp. 155-195
Author(s):  
Stanisław Wójtowicz ◽  
Kamil Rozynek
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Service Providers ◽  
Free Market ◽  
Medical Insurance ◽  
Economic Incentives ◽  
The State ◽  
Medical Services ◽  
Market Mechanisms ◽  
Quality Of Medical Care

In this paper, we explore what the market for medical services and products could look like if the state completely withdrew from the area of medical care. In section 1, we demonstrate that medical services would be purchased mainly through direct payments and medical insurance. We analyse two models of medical insurance: guaranteed renewable insurance and health-status insurance. Other types of insurance that may emerge on the market are also discussed. In section 2, we exam-ine how the privatisation of the health-care system would affect the prices of medical services. We analyse fundamental problems of the state-run health care and discuss how they contribute to small-er supply and higher prices of medical services. We then describe how the introduction of market mechanisms would allow to solve many of these problems. We argue that internalisation of the costs of medical care in a free market order would create strong economic incentives for individuals to take better care of their health, and we contrast this with the state-run health care in which these costs are externalised. In section 3, we explore how medical services could be obtained by individuals without sufficient funds. In section 4, we discuss how the quality of medical care could be ensured without the help of the state. We argue that competition between service providers would be the main guarantor of quality. We also identify mechanisms that would lead to spontaneous emergence of a system of private medical licencing.

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