Recommendations of the Ministry of Health of the Russian Federation on the formation of a temporary staff table of a medical organization providing medical care to citizens with coronavirus infection COVID-19

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 ◽  
pp. 16-25
Author(s):  
Larisa Karaseva

The article presents the stages of implementation of the principles of lean production in the healthcare of the Russian Federation, outlines the goals and prospects of projects to optimize the quality and safety of medical care, emphasizes the role of nursing specialists in improving the ideology of a patient-oriented medical organization.


2018 ◽  
Vol 24 (3) ◽  
pp. 146-150
Author(s):  
Boris K. Romanov ◽  
N. B Dmitrieva ◽  
T. A Zatsepilova

The article presents the review of antitumoral medications for treatment registered in Russia nowadays and being at the final stage of their development - clinical studies in authorized testing centers for subsequent registration. The summarized information is presented by official sources - the State register of medications of the Ministry of Health of the Russian Federation, the Electronic Subject Heading List of Clinical Recommendations and Clinical Handbooks and prepared on their basis Orders on Standards of Medical Care. The place and role of chemotherapeutic remedies are demonstrated in relation to therapy of oncologic patients and typical schemes of application of anti-blastoma remedies in case of the most prevalent and most severe nosological forms of neoplastic diseases.


Author(s):  
M. Yu. Rykov ◽  
O. A. Manerova ◽  
I. A. Turabov ◽  
V. V. Kozlov ◽  
V. A. Reshetnikov

.Objective. To study the opinion of parents (legal representatives) on the problems of medical care for children with oncological diseases.Methods. The study was based on the Questionnaire for parents (legal representatives) on medical care children with cancer. The questionnaire consisted of 27 questions, the respondents were asked to choose one or several answers or to enter their own option.Results. This medical and social study demonstrated that 81.1±1.9% of respondents are not satisfied with the attitude of doctors and nurses towards them and their children, 15.9±1.8% of respondents are partially satisfied and only 3±0.8% of respondents are fully satisfied. The reasons for dissatisfaction were as follows: rude communication (35.8±2.4%), inadequate attention of medical personnel (21.3±2.0%) and lack of interest in the treatment success (19.7±2.0%). The combination of these options was noted by 23.2±2.0% of the respondents. 63.7±2.4% of respondents would prefer to treat their children at a medical organization of federal subordination, 33.9±2.4% – at medical organization outside the territory of the Russian Federation, of which 57.4±2.4% would like to receive a patient-oriented service and simplified routing between medical organizations during treatment. 12.7±1.6% mistrust in the qualifications of medical personnel in the Russian Federation, 11.8±1.6% of respondents indicated the lack of comfortable conditions for examination and treatment, 5.3±1.1% of respondents indicated the lack of necessary diagnostic and treatment methods and 12.8 1.6% of respondents indicated a combination of the above options.Conclusion. The results obtained indicate the need to implement patient-oriented approaches and to improve the routing of children with cancer.


2019 ◽  
Vol 2019 (6) ◽  
pp. 7-14
Author(s):  
Михаил Мурашко ◽  
Mihail Murashko ◽  
Ирина Серегина ◽  
Irina Seregina ◽  
Игорь Иванов ◽  
...  

In order to form common approaches for organization and conduction internal control of the quality and safety of medical care, and to assuring mechanisms for continuous improvement of medical processes in medical organizations of the Russian Federation, the Ministry of Health of Russia, together with Roszdravnadzor, developed an Order of June 7, 2019 No. 381n “On Approval of Requirements for organization and conduction internal control of the quality and safety of medical care in hospitals”.


2019 ◽  
Vol 8 (6) ◽  
Author(s):  
Artur I. Khabirov ◽  
Gulnara M. Khamitova

The relevance of the chosen topic is due to increased legal literacy of patients, the need to respect their rights and increase the responsibility of a medical institution in matters of observing the rights of patients. According to the current legislation of the Russian Federation in the field of health protection, the right of citizens to information about their state of health includes two main components: informing the patient by the attending physician and familiarization with medical documentation.In the first case, the attending physician or medical worker directly providing medical assistance to the citizen is obliged to inform the citizen or his legal representative of the information about the state of his health available in the medical organization, including: information on the results of a medical examination; the presence of disease; about the established diagnosis; on the prognosis of the development of the disease; methods of medical care related to their risk; possible types of medical intervention, its consequences; the results of medical care. The procedure for familiarizing patients with the originals of medical records is also regulated by law. This study touched upon the implementation of the patient’s rights to familiarize themselves with the patient’s medical records, obtain copies of medical documents, and introduce electronic medical records.


2020 ◽  
Vol 19 (1) ◽  
pp. 53-59
Author(s):  
Maxim Y. Rykov ◽  
Olga A. Manerova ◽  
Ivan A. Turabov ◽  
Vasily V. Kozlov ◽  
Vladimir A. Reshetnikov

To study the opinions of parents (legal representatives) on the problems of organizing medical care for children with oncological diseases, a medical and social study was conducted. This study aims to examine the opinions of parents on the problems of organizing medical care for children with oncological diseases. This study was conducted based on the developed questionnaire for recording the opinions of parents (legal representatives) on improving the organization of medical care for children with cancer. The questionnaire comprised 27 questions, in which the respondents were asked to choose one or more answer options for each of them. For objectivity, the questionnaires were filled in anonymously. This medical and social study showed that 81.1 1.9% of the respondents are not satisfied with the attitude of doctors and nursing staff toward them and their children, 15.9 1.8% are only partially satisfied, and 3 0.8% are fully satisfied (roughness in communication (35.8 2.4%), lack of sufficient attention from medical personnel (21.3 2.0%), and lack of interest in the success of treatment (19.7 2.0%)). The combination of these options was noted by 23.2 2.0% of respondents. As the preferred treatment site for their children, 63.7 2.4% of the respondents indicated a medical organization of federal subordination and 33.9 2.4% a medical organization located outside the territory of the Russian Federation, in which 57.4 2.4 % of the respondents mentioned the possibility of receiving a patient-oriented service and complex routing during treatment between the medical organizations in the Russian Federation as a reason for choosing. Furthermore, 12.7 1.6% of the respondents indicated a lack of confidence in the qualifications of medical personnel in the Russian Federation; 11.8 1.6%, the lack of comfortable conditions for examination and treatment; 5.3 1.1%, the lack of necessary diagnostic and treatment methods; and 12.8 1.6%, a combination of the listed options. Overall, the findings of this study indicate the need to further improve the organization of medical care for children with cancer: introducing patient-oriented approaches and improving patient routing to create a patient-centric health care system for organizing medical care for children with cancer are necessary.


2020 ◽  
Vol 22 (2) ◽  
pp. 146-148
Author(s):  
P. I. Konstantinova

Currently, much attention is paid to the preservation of vision in the Russian Federation. Of particular importance are corneal diseases requiring surgical treatment (keratoplasty). In this regard, the identification of problems in the organization of specialized ophthalmic care for patients in need of keratoplasty is extremely relevant, and their solution will ensure the proper level of quality and accessibility of medical care provided to them. A survey of 840 ophthalmologists from different regions of the Russian Federation was conducted. Problems with obtaining donor material (53,6 per 100 respondents), inaccessibility of keratoplasty in the region (28,6 per 100 respondents), imperfection of the legal framework for corneal transplantation (26,2 per 100 respondents), long waiting times for the operation were identified patients (22,6 per 100 respondents), the lack of equipping a medical organization with modern medical equipment (20,2 per 100 respondents) and an insufficient number of quotas for operations (20,2 per 100 respondents). The absence of a donor tissue bank significantly affects the availability and quality of specialized ophthalmic medical care and requires the adoption of appropriate organizational measures. Experts note the need to provide medical organizations with an adequate amount of donor material. In this case, the improvement of the regulatory framework governing the issues of donation and corneal transplantation is of great importance. The creation of tissue banks in various constituent entities of the Russian Federation will shorten the waiting time for keratoplasty by patients and increase the degree of satisfaction rendered to them by medical care.


2020 ◽  
Vol 10 (2) ◽  
pp. 87-93 ◽  
Author(s):  
V. V. Nikiforov ◽  
T. G. Suranova ◽  
T. Yu. Chernobrovkina ◽  
Y. D. Yankovskaya ◽  
S. V. Burova

Environmental change, climate warming, population density increase, high migration activity of the population and other factors provoke the emergence and spread of new infections around the world. The emergence in December 2019 of diseases caused by the new coronavirus («coronavirus disease 2019») has already gone down in history as an emergency of international importance. It is known that the most common clinical manifestation of a new infection is pneumonia, and also in a significant part of patients — respiratory distress syndrome. Our article provides a brief analytical review of these temporary guidelines Ministry of Health of the Russian Federation «Prevention, Diagnosis and Treatment of a New Coronavirus Infection (COVID-19)», version 3 (03.03.20) and other published sources. The team of authors expresses the hope that these data will be useful to doctors in providing medical care to patients with a new coronary virus infection, as well as to teachers in preparing students and residents. Source: Ministry of Health of the Russian Federation. Temporary guidelines «Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)», version 4 (27.03.20). Available on: https://static-3.rosminzdrav.ru/system/attachments/attaches/000/049/881/original/COVID19_recomend_v4.pdf   


2021 ◽  
Vol 18 (4) ◽  
pp. 41-54
Author(s):  
Alexandr Kaisinovich Dulaev ◽  
Denis Igorevich Kutyanov ◽  
Sergey Viktorovich Iskrovskiy ◽  
Natalia Timofeyevna Menshova ◽  
Pavel Viktorovich Zhelnov

Objective. To evaluate the composition and content of the recommendatory base for delivery of specialized medical care to patients with spine and spinal cord injury on the territory of the Russian Federation.Material and Methods. The published recommendations specifying the content of the diagnostic, therapeutic, rehabilitation and preventive components of the provision of medical care to patients with spine and spinal cord injury were reviewed. The search for information was carried out in the eLibrary.ru bibliographic resource, documents of the Ministry of Health of the Russian Federation, publications of specialized medical professional non-profit organizations, and other manuals. The depth of information selection was 18 years (since 2003). The review was prepared following the PRISMA-ScR and PRISMA-S guidelines.Results. The current Russian recommendatory base in the field under consideration includes articles in peer-reviewed scientific journals, practical guidelines, regulatory documents and eight clinical guidelines prepared by the Association of Traumatologists and Orthopedists of Russia and by the Association of Neurosurgeons of Russia approved or submitted for approval by the Ministry of Health. A significant degree of cross-use of information has been established, in general covering a wide range of diagnostic, therapeutic, rehabilitation and preventive issues.Conclusion. Most of the Russian recommendations on the provision of medical care to patients with spine and spinal cord injury do not have high strength, are not based on high-certainty evidence, are general in nature, especially in terms of diagnostic and therapeutic tactics, and are created without consideration of the medical care delivery setting. The methodology for their development is reported extremely poorly.


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