scholarly journals Organization of a Hospital Ward Aimed at Admitting Patients with SARS-CoV-2: An Economic and Epidemiological Perspective

2021 ◽  
Vol 18 (18) ◽  
pp. 9446
Author(s):  
Artur Z. Białoszewski ◽  
Dorota Gołąb-Bełtowicz ◽  
Monika Raulinajtys-Grzybek
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Inpatient Care ◽  
Regional Level ◽  
Hospital Ward ◽  
Health Coverage ◽  
Case Study Method ◽  
Financial Consequences

The SARS-CoV-2 epidemic requires dynamic action on the part of the entire health care system to provide infected patients whose condition requires hospitalization with access to appropriate medical care and infrastructure, including oxygen devices and ventilators. The demand for specialized inpatient care has increased rapidly and in many areas exceeds the resources available to date. Individual hospitals must make investment and organizational decisions to increase their capacity to handle patients with SARS-CoV-2. The aim of the article is to present the organizational and investment steps taken to establish and maintain an infectious hospital ward as well as the clinical and financial consequences of this decision. The study was conducted in a hospital ward that was launched at the end of October 2020 to care for patients with SARS-CoV-2. A case study method was used. The department was characterized taking into account its importance for: (1) the regional level of health coverage of the population, (2) the organization of the hospital’s activities, (3) the financial and economic situation of the hospital.

scholarly journals Problems in the Organization of Primary Health Care for the Rural Population at the Current Stage

2020 ◽  
Vol 6 (1) ◽  
pp. 145-154
Author(s):  
E. Bekeshova
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Human Resources ◽  
Medical Care ◽  
Health Care System ◽  
Rural Areas ◽  
Health Coverage ◽  
Primary Health ◽  
Universal Health ◽  
Care System

In the article, the author conducted an analytical review of the state of primary health care in rural areas at the present stage. In modern socio–economic conditions, health care for the rural population is characterized by limited access to medical care, as well as low efficiency, both medical and social and preventive measures. In the Kyrgyz Republic, the 60.0% of the population are rural, so the organization of medical care for this category of the population is essential for the health–care system of the Republic. Both the Almaty Declaration (1978) and the Astana Declaration of 2018 reaffirm the desire to strengthen primary health care to achieve universal health coverage with key areas: making bold policy decisions to improve people’s health in all areas; Sustainable primary health care; Empowering individuals and the public; Building stakeholder support with national policies, strategies and plans. The development of family medicine allows unloading the health care system and strengthening the prevention of diseases. The PHC approach is fundamental to achieving the overall global goals of universal health coverage and health-related sustainable development goals. The poor state of health of rural residents requires the development of more effective medical care mechanisms aimed at improving the financial, material and human resources of health care. The literary review showed that the optimization of the health care system, especially in rural areas, needs to begin with a primary level of health care to improve the accessibility and quality of health care, while optimizing financial, logistical and human resources.

scholarly journals CHARACTERISTICS OF THE OPTIMIZED MODEL OF MEDICAL CARE FOR THE POPULATION WITH DISEASES OF BLOOD AND BLOOD-FORMING ORGANS AT THE REGIONAL LEVEL

2020 ◽  
Vol 8 (2) ◽  
pp. 204-209
Author(s):  
V. V. Horokh
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Reform ◽  
Health Care System ◽  
Regional Level ◽  
Structural Basis ◽  
Industry Standards ◽  
Optimized Model ◽  
Current Health Care System ◽  
Care System

The article presents an optimized model of medical care for the population with diseases of the blood and blood-forming organs at the regional level in modern conditions of health care reform based on the current legislation of Ukraine on health care reform and scientific literature on the organization of medical care for patients with diseases of the blood and blood-forming organs. The scientific substantiation of the optimized model of hematological medical care at the regional level in the conditions of reforming the health care system of the country was carried out within the existing medical-demographic and socio-economic situation, taking into account the positive changes in the future. The model envisages the structure and organization of medical care for patients at all stages and levels of medical care. The structural basis of the model of providing medical care to patients with diseases of the blood and blood-forming organs is the available resources of the current health care system. Its implementation requires additional financial resources for logistics in accordance with industry standards, which should be provided in the provision of medical care and without the implementation of the proposed model. The model provides a concentration of resources, which determines its economic efficiency. The implementation of the proposed optimized model of medical care for the population with diseases of the blood and blood-forming organs at the regional level will provide the population suffering from these diseases to provide affordable medical care in stages and levels of its provision depending on health status.

APPLICATION OF THE CASE STUDI METHOD IN THE EDUCATIONAL PROCESS OF PREPARING THE PROVISOR

2020 ◽  
Vol 22 (9) ◽  
pp. 4-7
Author(s):  
Nikiforova E.B. ◽  
Davitavyan N.A. ◽  
Shevchenko A.I.
Keyword(s):  
Health Care ◽  
Educational Technology ◽  
Educational Process ◽  
Professional Activity ◽  
Federal State ◽  
Case Study Method ◽  
State Budget ◽  
Educational Standard ◽  
Competency Based

The development of the pharmaceutical industry is one of the priority tasks of our state, aimed at providing the population of the Russian Federation with modern safe and effective medicines. The solution to this problem is impossible without the formation of a highly qualified personnel potential that meets the demand and expectations of the pharmaceutical market and society as a whole. In this regard, in the system of training of pharmacists in recent years, quite dynamic and flexible transformations have been taking place, dictated by the urgent needs of domestic health care. It should be noted that in the process of implementing this educational standard, the competency-based approach to organizing the process of training modern pharmacists comes to the fore. One of the effective tools for the formation of professional competencies in various educational fields is the case study method. Case study is a training method based on the analysis of real situations from various areas of professional activity and contributing to the development of specialist competency. The competency-based orientation of the case study method is in line with modern ideas about the organization of the educational process for the training of pharmacists. The case study method is actively used in the process of teaching disciplines of the curriculum of the Federal State Budget Educational Establishment of Higher Education KubGMU of the Ministry of Health of Russia, specialty 33.05.01 Pharmacy. Examples of case study tasks as educational technology are presented in the work programs of the curriculum disciplines of the specialty 33.05.01 Pharmacy developed at the Department of Pharmacy. Depending on the content of the taught discipline, these tasks simulate a particular situation from the professional activities of pharmacists, offered to students for a comprehensive analysis and evaluation. The use of this educational technology contributes to the integration of knowledge, skills acquired in the learning process and their competency-based profiling in accordance with the current level of development of domestic health care.

BME and the improvement of doctors

1929 ◽  
Vol 25 (5) ◽  
pp. 570-573
Author(s):  
R. A. Luria
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Medical Knowledge ◽  
Advanced Training ◽  
Medical Institutions ◽  
Individual Doctor ◽  
Special Scientific ◽  
Life Itself ◽  
Care System

The issues of raising the qualifications of doctors occupy a prominent place in the Soviet health care system and it can be said without exaggeration that improvement is currently the task of each individual doctor, both in the periphery and in the center. This task is given to him every day by life itself, starting with the exuberant growth of the population's needs for qualified and special medical care and ending with a huge network of preventive and medical institutions of the People's Commissariat for Health, constantly in need of not only doctors in general, but especially demanding specialists who are at the height of modern medical knowledge. The institutes for advanced training of doctors, numerous special scientific Institutes of the People's Commissariat of Health, various kinds of individual courses of all kinds are conducting intense and fruitful work to replenish the knowledge of a doctor and to develop scientifically educated specialists in all fields of medicine

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.

Monitoring Health Care System Performance in Iowa

1997 ◽  
Vol 10 (1-2) ◽  
pp. 107-112
Author(s):  
J. E. Rohrer ◽  
M. Vaughan
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Ambulatory Care ◽  
Health Care System ◽  
System Performance ◽  
Hospital Admissions ◽  
High Rate ◽  
Average Risk ◽  
Care System ◽  
Ambulatory Care Sensitive

Monitoring the performance of the health care delivery system is a public health function that becomes more important as organized delivery systems begin to take control over large portions of the medical care market. The study reported here illustrates how standard medical care epidemiology can be applied to analysis of health care system performance to aid governmental efforts to monitor new developments in the medical care market. In order to evaluate the efficiency of hospital care delivered in Iowa, age- and sex-adjusted population admission rates for five common procedures were generated for all 99 counties. The five common procedures were defined as follows: hernia, tonsillectomy, cesarean section, hysterectomy, and cholecystectomy. In addition, variations in 11 ambulatory care-sensitive condition rates were analyzed. Residents of at least 15 counties were at significantly greater than average risk for receiving each of the common procedures (χ2 test, P < 0.05). Counties that had a high rate for one procedure tended to have a high rate for at least one other procedure. Several counties had more than twice the mean rate. Even a 10% reduction, when added across all five common procedures, amounts to well over 2000 hospitalizations avoided. It is assumed that reductions would be concentrated in high-rate counties. If a 50% reduction could be achieved in only part of the ambulatory care-sensitive procedures, more than 10 000 hospital admissions could be avoided.

Crisis of Russian healthcare: ‘excess perpetration’ or pre-programmed outcome?

2021 ◽  
pp. 63-71
Author(s):  
O.A. Aleksandrova ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Reform ◽  
Health Care System ◽  
Medical Personnel ◽  
Medical Community ◽  
Russian Society ◽  
Sharp Reduction ◽  
Sociological Studies ◽  
Quality Medical Care

The COVID-19 pandemic further exacerbated the issue of the situation in the health care тsystem and the directions for its further reform. An analysis of the transformation of the health care system based on the study of regulatory and other documents, as well as data from sociological studies witnesses that such results of reform as a sharp reduction in the availability of quality medical care, a shortage of medical personnel, etc. are not a consequence of the “excess of the implementer”, but are programmed by the course of health care reform, which was a purposeful and consistent process, the customer of which was international financial organizations and transnational capital. The article examines the problems caused by the significant underfunding of health care, as well as the numerous institutional contradictions generated by the reform. It is concluded that the reforms that led to such results became possible due to, first, the reformers ignoring the opinion of the medical community and, secondly, the lack of the necessary level of solidarity in Russian society.

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