The modification of predictors of course of acute period of craniocerebral trauma under implementation of stream model of medical care support

2021 ◽  
Vol 29 (4) ◽  
Author(s):  
A. A. Kosolapov ◽  
◽  
V. A. Lukyanchikov ◽  
G. B. Artemjeva ◽  
R. A. Zorin ◽  
...  
Keyword(s):  
Medical Care ◽  
Craniocerebral Trauma ◽  
Acute Period ◽  
Stream Model ◽  
Care Support

scholarly journals The dynamics of age structure of out-patient visits and calls of emergency medical care in population of small town during 2011-2015

2019 ◽  
Vol 61 (1) ◽  
pp. 17-22
Author(s):  
I. P. Artyukhov ◽  
F. V. Kapitonov ◽  
Vladimir F. Kapitonov
Keyword(s):  
Medical Care ◽  
Age Structure ◽  
Emergency Care ◽  
Small Town ◽  
Working Hours ◽  
Small Towns ◽  
Emergency Medical Care ◽  
Primary Medical Care ◽  
Emergency Medical ◽  
Care Support

The shortcomings offunctioning of ambulatory polyclinic service and overrated volume ofprovided emergency medical care became actual propblemin primary medical care support of population in small towns due to age structure of population. Purpose of study. To investigate dynamics of age structure of out-patient visits and calls of emergency care by population of small town in 2011-2015. The analysis of out-patient visits and calls emergency care in 2011-2015 demonstrated that during five years number of visits to polyclinic decreased up to 5.3% mainly (14%) at the expense of residents of able-bodied age while number ofpatients of junior and senior able-bodied age increased on 1.5% and 5.1% correspondingly. The analysis of calls of emergency medical care revealed shortcomings in organization of ambulatory polyclinic care: more than a half (70.4%) of all calls because of instant diseases and conditions falls on the period of working hours of polyclinic (from 8 to 20 h.) The occasion of call by population of junior able-bodied age in 68.7% became acute diseases of respiratory organs (acute respiratory viral infection - in 93.6%) and by patients of senior ablebodied age in 72.6% - exacerbation of chronic pathology (ischemic heart disease, hypertension disease). The correction of these calls could be implemented by ambulatory polyclinic service itself. The acquired data corresponds to publication data and indicates to existing problems of primary medical care support of rural population in various regions of the Russian Federation. The investigation of age structure of out-patient visits, calls of emergency medical care of data of sociological survey of respondents revealed shortcomings in organization of functioning of municipal polyclinic related to population of senior able-bodied age that result in increasing of volume of work implemented by teams of emergency care.

scholarly journals THE CHARACTERISTICS OF MANY YEARS DYNAMICS OF MORBIDITY OF INFECTIONS RELATED TO MEDICAL CARE SUPPORT IN THE REPUBLIC OF TATARSTAN

2019 ◽  
Vol 61 (3) ◽  
pp. 133-137
Author(s):  
V. B. Ziatdinov ◽  
G. M. Trukhina ◽  
Gulnara G. Badamshina ◽  
L. V. Krestnikova
Keyword(s):  
Medical Care ◽  
Adult Population ◽  
Well Being ◽  
Parasitic Infections ◽  
Epidemiological Monitoring ◽  
Significant Damage ◽  
Annual Population ◽  
The Republic ◽  
Derived Data ◽  
Care Support

The retrospective epidemiological study was carried out concerning infections related to medical care support registered in population on the territory of the Republic of Tatarstan in 2002-2015. The reason of such a study was because of late identification and registration of infections related to medical care support, significant damage to population health, development of complications in significant percentage of hospitalized patients and necessity of investigation of patterns of development and outspread of nosocomial infections. The epidemiological analysis was implemented using report form of the Federal statistical observation № 2 of the Federal service of control of sector of defense of rights of consumers and human well-being “The data of infectious and parasitic infections”. The dynamics, structure of many years morbidity and main parameters of manifestation of epidemic process were investigated. The derived data was used as a basis to provide epidemiological characteristic of many years' dynamics of various classes of infections related to medical care support. The indices of morbidity are calculated with consideration for average annual population size. The priority nosologic forms of infections related to medical care support were established concerning newborns (pyodermatitis, conjunctivitis, pneumonia, omphalitis, sepsis, etc.), puerpera (pyo-septic infections, mastitis, sepsis), adult population (postoperative and post-injection complications, infections of urinary tracts, nosocomial pneumonia, viral hepatitis, etc.) which dynamics was characterized by positive and negative rate of increment of indicator. The obtained data was compared with indices represented in national and foreign publications. The implemented study testifies the necessity of development of measures epidemiological monitoring of decreasing of morbidity because of infections related to medical care support in medical organizations.

THE MEDIATION IN HEALTH CARE: FROM LAW ENFORCEMENT TO DIALOG ABOUT RIGHTS

2017 ◽  
Vol 16 (2) ◽  
pp. 75-81
Author(s):  
Tz. A Shamlikashvili ◽  
A. N Ostrovsky ◽  
E. A Kabanova ◽  
A. S Silnitskaia
Keyword(s):  
Health Care ◽  
Law Enforcement ◽  
Medical Care ◽  
Medical Error ◽  
Legal Practice ◽  
Settlement Of Disputes ◽  
The Given ◽  
Care Support

The normative base and publications were analyzed to review present notions «defect of medical care», «medical error». The absence of unified comprehension of the given definitions in the Russian legal practice was established. The established situation has advantages of pretrial and extrajudicial mode of settlement of disputes (mediation) in case of consideration of conflicts related to medical care support as an instrument directed to quick searching of decision mutually acceptable for both sides, including necessity of compensation of damage done.

scholarly journals THE LEGISLATIVE FOUNDATION OF EXPERTISE OF MEDICAL CARE QUALITY ACCORDING CASES OF LETHAL OUTCOMES

2019 ◽  
Vol 62 (2) ◽  
pp. 95-102
Author(s):  
Konstantin V. Polyakov ◽  
N. M. Gayfullin ◽  
Zh. A. Akopyan ◽  
P. G. Mal'kov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Quality Evaluation ◽  
Evaluation Criteria ◽  
Care Quality ◽  
Icd 10 ◽  
Quality Of Medical Care ◽  
The Russian Federation ◽  
Care Support

The article presents analysis of national and foreign legislative documents concerning issues of expertise of quality of medical care according cases of lethal outcomes (Universal Declaration of Human Rights, the Constitution of the Russian Federation, ICD-10, Federal laws and sectoral orders). It is established that key elements of system of medical care quality control (levels of control, authorized authority, forms of control, sources of development of criteria of quality evaluation, criteria of quality evaluation) are determined legislatively and reflect main requirements of international documents. The criteria of medical care quality evaluation are developed by groups of diseases of conditions on the basis of corresponding of medical care support Procedures, medical care Standards, Rules of implementation of laboratory, instrumental, pathologico-anatomic and other forms diagnostic analysis and Clinical Recommendations (records of treatment) related to issues of medical care support. The shortcoming of the Russian Federation legislation is an inadequate reflection of sources of development of criteria of medical care quality evaluation and relevant incompleteness of the very criteria of medical care quality evaluation. Therefore, their application by experts to issues of evaluation of medical care quality is complicated that effects formation of expert conclusion and negatively affects detection and prevention of possible violations during medical care support. The outdated normative regulation of clinical pathologic anatomic conference is noted as an important form of control of medical care support according cases of lethal outcomes. The necessity of alterations and additions in particular currently in force documents concerning issues of expertise of medical care quality, including according cases of lethal outcomes.

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