Organization of the activities of mid-level medical staff in providing care to urological patients

2021 ◽  
pp. 14-22
Author(s):  
Maya Andreevna Kuzmina ◽  
Dariya Dmitrievna Vasina
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Staff ◽  
Medical Personnel ◽  
Ethical Standards ◽  
Quality Of Medical Care ◽  
Low Efficiency ◽  
Psychological Assistance ◽  
Goals And Objectives

In the last decade, the health care system has been suffering from an imbalance of medical personnel and low efficiency in the use of nursing personnel in practical health care, which significantly affects the quality of medical care. The article reveals the main goals and objectives of the activity of mid-level medical staff in the system of providing medical care to patients in a urological hospital. The need for nurses to comply with the formulated standards is a central link in the process of organizing their activities. The effectiveness of treatment and recovery of patients without reducing the further quality of their lives depends on timely measures for care, psychological assistance, tact and compliance with ethical standards by nurses. All these factors directly affect the prospects for the treatment and rehabilitation of patients with urological pathology, as well as the performance indicators of the urological hospital.

THE QUALITY OF MEDICAL CARE IN MEDICAL ORGANIZATIONS OF MOSCOW PUBLIC HEALTH CARE SYSTEM IN APPRAISALS OF PATIENTS AND PHYSICIANS

2017 ◽  
Vol 16 (2) ◽  
pp. 100-106 ◽  
Author(s):  
I. Ya Tadjiev ◽  
A. V Belostotsky ◽  
S. S Budarin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Public Health Care ◽  
Fee For Service ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Quality Of Medical Care ◽  
High Level

The article presents the analysis of results of complex medical sociological survey of effectiveness and efficiency of medical care as main criteria of its quality and accessibility. The survey comprised 1,737 patients of various social groups of population of Moscow and 203 physicians of polyclinics. At self-rating of health, 13.2% of respondents determined it as unsatisfactory, 45.1% as satisfactory and 31.3% as good. In all population groups, the most called-for proved to be polyclinic institutions. The high level of satisfaction of patients with quality of emergency medical care was established in all groups. The quality of medical care in polyclinics and hospitals was assessed significantly lower. The most negatively assessed criteria turned out transition to fee-for-service forms of medical support and time limits of waiting for all modes of medical care, except emergency medical care and district therapist. The evaluation by physicians of their own activity and present problems is characterized by their unanimity in need of increasing of salary (100%) and increasing of typical sectoral standards of time of reception of a patient (96.5%), decreasing of intensity of work of medical personal (92.3%) and reduction of some forms of record cards with the purpose of releasing of time and attention of physician for a patient (88.4%). The disrespectful attitude of patients to medical personnel was mentioned by 77.3% of physicians which is a new phenomenon testifying loss of confidence in patient-physician relationship. The quality of implemented work was assessed equally and rather high by both young and experienced physicians. The positive and negative aspects of reorganization of health care were analyzed. Two alternatives of problems were established to focus plans of development of system of Moscow health care to support accessible and qualitative medical care of population.

scholarly journals Organization, problems and development prospects of endocrinology care and specialist training

2020 ◽  
Vol 66 (3) ◽  
pp. 4-5
Author(s):  
Ekaterina A. Pigarova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Professional Training ◽  
Quality Care ◽  
Medical Personnel ◽  
Primary Health ◽  
Quality Of Medical Care ◽  
Staffing Needs ◽  
Development Prospects

Currently, among the priority tasks of the health care system is to improve the quality of medical care provided to the population and the accessibility of services. Incomplete staffing is a serious slowdown to the provision of quality care. The shortage of medical personnel is widespread in medicine, which is especially pronounced in primary health care, and endocrinology is no exception. The shortage of personnel is directly related to the problems of accessibility and quality of medical care. Reorganizing the system of professional training, retraining and continuing medical education in a volume that allows eliminating quantitative and qualitative defects in providing care for people with endocrine diseases, as well as analyzing staffing needs and planning based on the real needs of the population, will help to achieve the solution to the set tasks of the healthcare system.

scholarly journals Modern approaches to improving the quality of medical care for premature children in Moscow health care

2020 ◽  
Vol 65 (1) ◽  
pp. 5-10 ◽  
Author(s):  
I. M. Osmanov ◽  
A. K. Mironova ◽  
A. L. Zaplatnikov
Keyword(s):  
Health Care ◽  
Body Weight ◽  
Medical Care ◽  
Rehabilitation Center ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Quality Of Medical Care ◽  
Premature Children

This article is devoted to the issue of nursing and further monitoring of children born with very low and extremely low body weight. The article presents the data of international statistics and seven-year experience of the Rehabilitation Center for children born with very low and extremely low body weight, based on a large multidisciplinary children’s hospital. The authors pay particular attention to improvement of medical care of children born with very low and extremely low body weight.

Do multidisciplinary teams make a difference to the quality of medical care?

2019 ◽  
Vol 80 (12) ◽  
pp. 696-698
Author(s):  
Sam Marsden ◽  
Liam Dunbar ◽  
Nemandra Sandiford
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Multidisciplinary Team ◽  
Teaching Hospitals ◽  
Multidisciplinary Teams ◽  
Team Management ◽  
Treatment Pathways ◽  
Quality Of Medical Care ◽  
Centres Of Excellence

One of the major modern advances in the organization and delivery of health care has been the introduction of multidisciplinary team management. This approach has reduced mortality levels in patients suffering with cancer and other complex multiorgan pathologies. Many centres of excellence and teaching hospitals have established multidisciplinary teams in order to streamline treatment pathways and optimize patient care. This article presents an overview of multidisciplinary teams, their history, their introduction into mainstream medical care and the issues resulting from their introduction to the treating organizations as well as clinicians.

Legal and policy lessons from the Schiavo case: Is our right to choose the medical care we want seriously at risk?

2006 ◽  
Vol 4 (2) ◽  
pp. 145-153 ◽  
Author(s):  
ZITA LAZZARINI ◽  
STEPHEN ARONS ◽  
ALICE WISNIEWSKI
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Policy ◽  
Legal Status ◽  
Medical Futility ◽  
Medical Practitioners ◽  
Political Interests ◽  
Quality Of Medical Care ◽  
The Individual

The article explores the individual patient's right to refuse, withdraw, or insist on medical treatment where there is conflict over these issues involving health care personnel or institutions, family members, legal requirements, or third parties concerned with public policy or religious/ideological/political interests. Issues of physician assistance in dying and medical futility are considered. The basis and the current legal status of these rights is examined, and it is concluded that threats to the autonomy of patients, to the privacy of the doctor/patient relationship, and to the quality of medical care should be taken seriously by individuals, medical practitioners, and others concerned with developing and maintaining reasonable, effective, and ethical health care policy.

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 Accessibility and quality of medical care in public out-patient clinics and private medical centers of the Amur oblast as reported by patients with back pain

2014 ◽  
Vol 95 (2) ◽  
pp. 257-261
Author(s):  
K Yu Dobrovinskaya ◽  
L N Voyt
Keyword(s):  
Back Pain ◽  
Medical Care ◽  
Working Hours ◽  
Medical Personnel ◽  
Medical Aid ◽  
Medical Centers ◽  
Private And Public ◽  
Quality Of Medical Care ◽  
Pain Patients

Aim. To study the opinion of patients with low back pain of judgement of assessibility and quality of medical care in public and private medical centers. Methods. Back pain patients to assess the quality of medical care filled in specially designed questionnaires for each type of medical facilities (two types of questionnaires for each patient who underwent treatment in both outpatient public clinics and private medical centers, total of 600 questionnaires). The poll was anonymous and was performed at one of the private medical centers in august 2013. Patients were randomly picked out from all patients who seek for medical aid in private center being unsatisfied with the quality of medical aid offered at public medical centers or who were on the waiting list for a doctor visit, or with disease worsening not within the working hours of public medical centers (600 questionnaires). The poll included patients of active working age: men aged 20 to 60 years (118 patients, 39.3%) and females aged 20 to 55 years (182 patients, 60.7%). Results. The majority of patients were more satisfied with the quality of the treatment, examination and attitude of medical personnel in private medical centers compared to public institutions. The following issues of providing medical aid to back pain patients were discovered both in private and public settings: untimely referral to specialist, or consultation only by general practitioner without subsequent consultation of neurologist, long waiting lists, incomplete neurologic examination, and low qualification of doctors in choosing appropriate examinations, treatment approach and further prophylaxis. Abovementioned issues were more significant in public settings. Conclusion. The research showed that there is a need in developing uniform standards of medical care in case of a back pain in outpatients that do not yet exist.

POTENTIAL FOR IMPROVING THE QUALITY OF CANCER CARE

2021 ◽  
pp. 91-97
Author(s):  
Mushnikov D.L. ◽  
Kozlov V.A ◽  
Polacov B.A.
Keyword(s):  
Medical Care ◽  
Healthy Lifestyle ◽  
Medical Personnel ◽  
Original Method ◽  
Expert Assessment ◽  
Oncological Care ◽  
Care Outcomes ◽  
Quality Of Medical Care ◽  
Integral Assessment

The quality of medical care is one of the leading problems of both foreign and domestic healthcare. The purpose of the study: to assess the potential of the quality of medical care of the oncological profile and to give recommendations for its improvement. Materials and methods. A study was conducted on the basis of the oncological service of the Ivanovo region. The research program included the use of expert, sociological and statistical methods. A survey of 120 doctors and an expert assessment of 410 cases of oncological care were conducted. A feature of the study was the use of an original method of integral assessment of the quality potential of oncological care. The potential for improving the quality of medical care was assessed in three components: infrastructure (personnel, logistics and drug support), procedural (compliance of the technology of assistance with standards and clinical recommendations), expert (quality of examination of the quality of medical care). Outcomes. It is established that the infrastructure component of the quality of medical care is of priority importance from the point of position of improvement (reserve 11,0%), in second place – the procedural component (9,0%), on the third – expert (5,0%). The survey showed that among medical personnel there is a high prevalence of adverse socio-hygienic factors: unsatisfactory housing conditions; a high percentage of unmarried personnel; a significant number of people suffering from chronic diseases; not observing the principles of a healthy lifestyle. Findings. The developed approach to improving the quality of medical care of the oncological profile, tested in the conditions of medical organizations of the Ivanovo region, will ensure targeted correction of factors associated with quality and a steady trend towards improving the quality of medical care. The set of proposals developed during the study was tested in an organizational experiment conducted on the basis of medical organizations that provide assistance to patients of the oncological profile of the Ivanovo region in 2019. According to the results of the implementation, a positive dynamic of the potential for the quality of medical care was obtained - from 91,7% to 98,5%.

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