scholarly journals Analysis of Organizational Models of Disaster Medicine Service of the Ministry of Health of the Russian Federation at Regional Level

2021 ◽  
pp. 5-10
Author(s):  
M.V. Bystrov ◽  

The results of study and analysis of organizational and functional changes in the Disaster Medicine Service of the Ministry of Health of Russia at the regional level, organizational models of the Disaster Medicine Service functioning in the subjects of the Russian Federation are presented. The study was conducted at the All-Russian Center for Disaster Medicine “Zashchita” (since 2015) and at the Federal Center for Disaster Medicine of the National Medical and Surgical Center named after N.I. Pirogov of the Ministry of Health of Russia. The purpose of the study is to analyze organizational models of the Disaster Medicine Service functioning at the regional level. Materials and research methods. The following methods were used in the study: expert evaluation, statistical, analytical, field observation, etc. The method of expert evaluation was applied through questionnaire survey of experts – Russian experts in the field of disaster medicine and emergency medical care. The questionnaires were filled in twice – questionnaire №1 – in 2015 and questionnaire №2 – in 2019-2020; a total of 529 people took part. Questionnaires № 1 and № 2 included questions and provisions relating to organizational models of the Disaster Medicine Service functioning at the regional level and to organizational and functional changes in the Disaster Medicine Service of the subjects. Results of the study and their analysis. The results of the research helped to formulate a number of principle statements on further improvement of the Disaster Medicine Service, including development of organizational structure, implementation of its organizational models at the regional level.

2020 ◽  
Vol 22 (4) ◽  
pp. 117-126
Author(s):  
R. N. Lemeshkin ◽  
P. K. Kotenko ◽  
I. F. Savchenko ◽  
G. V. Kosyakov ◽  
V. A. Blinov ◽  
...  

The health care of the Russian Federation and its medicine of accidents industry were undergoing systemic changes that required, inter alia, reappraisal of approaches to the work of specialist doctors in federal ministries, agencies and services in the implementation of joint activities during the elimination of medical and sanitary consequences of emergencies of various genesis. It is noted that during interpersonal communication, medical specialists often encounter various understandings and paths of special professional terms, which often leads to a decrease in the quality of organization of interaction and management. A particular feature of the use of military-medical terminology in the Disaster Medicine Service of the Russian Federation was its mixing with the terminological definitions of specialists from other federal ministries, agencies and services, which in some cases significantly complicates management communication. A scientific search has been carried out using content analysis, rank-based dispersion analysis of data, sociological and linguistic analysis to study the most used terms that characterize such concepts as wounded, sick and affected, injured, patient, medical and sanitary care, treatment and evacuation support, medical care, and terms characterizing types of care. The most significant, according to experts, terms that reflect the practical activities of medical specialists and allow them to master at the proper level the training programs for personnel of higher qualifications in the field of disaster medicine were the terms affected in an emergency, patient (3,770,82 points), as well as treatment and evacuation support (4,670,55 points) and medical support (4,21,1 points). Meaningful terminological contradictions that can lead to a violation of organizational integrity are also identified of the system of medical and evacuation support of troops (forces) and the population during the elimination of medical and sanitary consequences of emergency situations by the forces and means of the medical service of the Armed Forces of the Russian Federation as not always reflecting the specific conditions of activity and organization of interaction of medical specialists of federal ministries, agencies and services. All this requires harmonization (bringing to a common understanding) of the relevant terminology for the application of military-medical terminology in the Disaster Medicine Service of the Russian Federation.


2021 ◽  
Vol 1 (3) ◽  
pp. 132-133
Author(s):  
Kh. A. Tengizov ◽  
S. V. Shahidzhanova ◽  
M. A. Saidova

This paper describes the experience of teaching transthoracic echocardiography (TTE) skills on simulation equipment, accumulated over 2 years of training of residents in the direction of "Cardiology" at the Federal State Budgetary Institution "National Medical Research Center of Cardiology" of the Ministry of Health of the Russian Federation (Cardiocenter).


2021 ◽  
pp. 5-9
Author(s):  
A.S. Samoylov ◽  
◽  
A.Yu. Bushmanov ◽  
S.F. Goncharov ◽  

The article presents the history of creation, formation and development of the State Scientific Center of the Russian Federation — Federal Medical Biophysical Center named after A.I. Burnazyan of the Federal Medical and Biological Agency of Russia (A.I. Burnazyan Federal Biophysical Center, the Center). The Institute of Biophysics of USSR Ministry of Health and Clinical Hospital № 6, predecessors of the Center, were engaged in the elimination of medical and sanitary consequences of Chernobyl Radiation Accident (1986). The main directions of activities of the A.I. Burnazian Federal Medical Biophysical Center — the flagship institution of Russian health care in the field of biophysics, radiation and nuclear medicine are considered. The perspectives of scientific activity of the Center related to solving actual problems of modern radiobiology, radiation safety and biomedical technologies are outlined. It is concluded that it is expedient to create the Disaster Medicine Service of the Federal Medical and Biomedical Agency of Russia.


Author(s):  
Olga Shinkareva

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.


2020 ◽  
Vol 27 (6) ◽  
pp. 37-55
Author(s):  
E. V. Zarova ◽  
E. I. Dubravskaya

The topic of quantitative research on informal employment has a consistently high relevance both in the Russian Federation and in other countries due to its high dependence on cyclicality and crisis stages in economic dynamics of countries with any level of economic development. Developing effective government policy measures to overcome the negative impact of informal employment requires special attention in theoretical and applied research to assessing the factors and conditions of informal employment in the Russian Federation including at the regional level. Such effects of informal employment as a shortfall in taxes, potential losses in production efficiency, and negative social consequences are a concern for the authorities of the federal and regional levels. Development of quantitative indicators to determine the level of informal employment in the regions, taking into account their specifics in the general spatial and economic system of Russia are necessary to overcome these negative effects. The article proposes and tests methods for solving the problem of assessing the impact of hierarchical relationships on macroeconomic factors at the regional level of informal employment in constituent entities of the Russian Federation. Majority of the works on the study of informal employment are based on basic statistical methods of spatial-dynamic analysis, as well as on the now «traditional» methods of cluster and correlation-regression analysis. Without diminishing the merits of these methods, it should be noted that they are somewhat limited in identifying hidden structural connections and interdependencies in such a complex multidimensional phenomenon as informal employment. In order to substantiate the possibility of overcoming these limitations, the article proposes indicators of regional statistics that directly and indirectly characterize informal employment and also presents the possibilities of using the «random forest» method to identify groups of constituent entities of the Russian Federation that have similar macroeconomic factors of informal employment. The novelty of this method in terms of research objectives is that it allows one to assess the impact of macroeconomic indicators of regional development on the level of informal employment, taking into account the implicit, not predetermined by the initial hypotheses, hierarchical relationships of factor indicators. Based on the generalization of the studies presented in the literature, as well as the authors’ statistical calculations using Rosstat data, the authors came to the conclusion about the high importance of macroeconomic parameters of regional development and systemic relationships of macroeconomic indicators in substantiating the differentiation of the informal level across the constituent entities of the Russian Federation.


Author(s):  
D.O. Shkvorchenko ◽  
◽  
I.M. Gorshkov ◽  
S.A. Kakunina ◽  
K.S. Norman ◽  
...  

Purpose. To evaluate the clinical and functional results of the technique of transcleral fixation of the artificial iridochrustalic diaphragm during its decentration in a patient with aniridia and aphakia. Material and methods. Under observation was a 32-year-old patient K. with a diagnosis on the right eye: iridochrustalic diaphragm decentralization, posttraumatic aniridia, posttraumatic aphakia, who underwent a method of transcleral fixation of a displaced artificial iridochrustalic diaphragm developed at the Academician S. N. Fedorov Eye Microsurgery of the Moscow Ministry of Health of the Russian Federation. Results. Patient K. is subjectively satisfied with the visual functions obtained in the right eye. Conclusion. Thus, this clinical case demonstrates a very successful implementation of the fixation of the iridochrustalic diaphragm with its displacement to obtain satisfactory visual functions in the patient. Key words: aniridia, iridochrustalic diaphragm, transcleral fixation.


Author(s):  
Zhanna Vladimirovna Gudinova ◽  
Galina Nikolaevna Zhernakovа ◽  
Irina Vladimirovna Gegechkori ◽  
Elena Ivanovna Tolkova ◽  
Yuliya Sergeevna Vaskovskaya

This research analyses school physical evaluation forms obtained from one of Omsk public schools’ roll books as well as the physical development assessment of 820 students of this school. The findings uncovered a violation of the requirements of SanPiN, the provisions of the Russian Federation Ministry of Health orders regarding the maintenance of physical evaluation forms, the definition of medical groups for students in physical education, and conflicting information about the children’s health, which may cause severe clinical conditions in physical education classes. The noncompliance of the regulatory framework for RPN (in terms of the Health List) and the Russian Federation Ministry of Health (in terms of physical education regulation for children with accommodations) was also uncovered.


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