scholarly journals Epidemiological Characteristics of perinatal, early neonatal Mortality and Stillbirth in the Territory of the Nizhny Novgorod region

2020 ◽  
Vol 18 (6) ◽  
pp. 53-59
Author(s):  
A. V. Sergeeva ◽  
O. V. Kovalishena ◽  
N. Yu. Katkova ◽  
A. A. Polyakova
Keyword(s):  
Medical Care ◽  
Neonatal Mortality ◽  
Perinatal Mortality ◽  
Incidence Rates ◽  
Epidemiological Surveillance ◽  
Early Neonatal Mortality ◽  
Quality Of Medical Care ◽  
Epidemiological Characteristics ◽  
Nizhny Novgorod Region

Background. The study of regional characteristics of the incidence rates of perinatal mortality, early neonatal mortality, and stillbirths is of undoubted importance, which will allow to substantiate the main directions of improving care for newborns, both at the federal and regional levels.Aims. To study the indicators of perinatal mortality, early neonatal mortality and stillbirths in the territory of the Nizhny Novgorod region in the period from 2012–2016.Materials and methods. Statistical reporting forms of the Ministry of Health of the Nizhny Novgorod region «Basic indicators of public health and the activities of state medical organizations of the Nizhny Novgorod region» for the period from 2012 to 2016. A retrospective descriptive-estimated epidemiological study of perinatal and early neonatal mortality rates and stillbirth rates was conducted. The processing of statistical indicators was carried out by generally accepted methods of variation statistics. The reliability of the indicators was estimated taking into account the confidence interval (2 errors with 95% CI).Results and conclusions. On the territory of the Nizhny Novgorod region in the period from 2012 to 2016. A high level of perinatal mortality and stillbirths was observed compared to the national indicators. The average annual rates of perinatal mortality and stillbirth were significantly higher in Diveevsky and Sokolsky districts compared with the rest of the Nizhny Novgorod region. The risk areas for neonatal mortality include Lukoyanovsky and Tonkin. It is necessary to improve the quality of medical care for pregnant women at all stages, including prenatal and, of course, obstetric care. An important role here is played by the improvement of the epidemiological surveillance system, which allows an objective analysis of the current situation and an assessment of the quality of medical care.

scholarly journals Opportunities for use the cascade model of medical care for people living with HIV

2020 ◽  
Vol 92 (11) ◽  
pp. 71-76
Author(s):  
A. V. Pokrovskaya ◽  
V. V. Pokrovskiy ◽  
V. G. Akimkin
Keyword(s):  
Medical Care ◽  
Cascade Model ◽  
Epidemiological Surveillance ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Demographic Groups ◽  
Hiv Cascade ◽  
Quality Of Medical Care ◽  
Living With Hiv

The HIV cascade model can be used as an epidemiological surveillance tool and for assessing the quality of medical care for HIV-positive people. It is possible to use the model for the entire population of people living with HIV, in various socio-demographic groups, by region, years and other indicators. This article describes the features of a HIV cascade model depending on the goals for its use.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Serum Lipids ◽  
Quality Care ◽  
Premature Death ◽  
Current Standard ◽  
Anonymized Data ◽  
Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

Quality of Medical Care and Choice of Medical Treatment in Kenya: An Empirical Analysis

1993 ◽  
Vol 28 (4) ◽  
pp. 838 ◽  
Author(s):  
Germano Mwabu ◽  
Martha Ainsworth ◽  
Andrew Nyamete
Keyword(s):  
Medical Treatment ◽  
Medical Care ◽  
Empirical Analysis ◽  
Quality Of Medical Care

Sa1297 Duration of Hospital Stay and Mortality Rate of the Appendectomy As an Indicator for Quality of Medical Care: The 2010 Nationwide Study

2014 ◽  
Vol 146 (5) ◽  
pp. S-255
Author(s):  
Sombat Treeprasertsuk ◽  
Kamthorn Phaosawasdi ◽  
Kaewjai Thepsuthammarat ◽  
Aroon Chirawatkul
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Hospital Stay ◽  
Nationwide Study ◽  
Duration Of Hospital Stay ◽  
Quality Of Medical Care

Role and significance of responsibility in medical practice

2021 ◽  
Vol 2 (88) ◽  
pp. 100-107
Author(s):  
K.P. Topalov ◽  
◽  
Ye.K. Skoromets ◽  
Keyword(s):  
Moral Responsibility ◽  
Medical Care ◽  
Medical Practice ◽  
Professional Activities ◽  
Expert Opinions ◽  
Quality Of Medical Care

The article analyzes 249 expert opinions on the quality of medical care from the standpoint of the responsibility of medical workers for their professional activities. The principles of moral responsibility for medical workers are outlined.

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