scholarly journals Политика управления системой здравоохранения на территории Восточной Сибири в 1920-е годы

Author(s):  
Владимир Шаламов

The author’s aim is to study the creation and reformation of the Soviet system of healthcare in the Eastern Siberia in the 1920s. The study begins with the development of Siberia from the administration of Admiral A. V. Kolchak when the Soviet government began to form its own system of region management. The Soviet medical leadership was intended to create a unified healthcare system which involved the unification of all medical organizations subordinated to various departments. Military actions did not allow to merge military and civil medical institutions

Author(s):  
N. M. Kutukova ◽  
V. L. Shuster

The paper shows the application of modern methods for studying the structure of combined oil-traps. Methods for determining the conceptual geological model of reservoir rocks are described. The examples of the complex-constructed deposits of the Yurubcheno-Tokhomskoye oilfield (Eastern Siberia) and the deposits in the basement rocks in the fields of Western Siberia and Vietnam are considered in the paper. The creation of a conceptual geological model is also necessary for the successful localization of oil and gas deposits and the identification of promising zones in complex non-traditional traps.


Author(s):  
Yadong Niu ◽  
Ting Ye ◽  
Yan Zhang ◽  
Liang Zhang

The weak primary healthcare system in China brings challenges to the national strategy of primary medical institutions providing general health needs for patients with non-communicable diseases (NCDs). It is necessary to explore the potential discrepancies in health status for patients with NCDs if they go to primary medical institutions rather than high-level hospitals. Data was obtained from Surveillance of Health-seeking Behavior in Hubei Province. Respondents were investigated six times to collect information on health service utilization and health-related quality of life (HRQoL). Ninety-two hypertension patients who went to medical institutions of the same level were included. HRQoL was measured by the Chinese version of EQ-5D-3L. A multilevel growth curve model was applied to analyze whether provider level could influence HRQoL. The utility score and visual analogue scale (VAS) of patients varied insignificantly over six months (p > 0.05). A growth curve model showed that comorbidity was the only factor significantly influencing utility score (p = 0.019). Time and comorbidity were the only influencing factors of VAS (p < 0.05). Our findings indicated that the level of healthcare provider had no significant impact on the health status of patients with NCDs. As such, this study concludes that the primary healthcare system in China is qualified to be the health gatekeeper for NCDs patients.


1951 ◽  
Vol 5 (1) ◽  
pp. 227-229

Proposed Meeting of the Council: Meeting in Prague on October 20 and 21, 1950, the foreign ministers of Albania, Bulgaria, Czechoslovakia, Poland, Hungary, Rumania, eastern Germany and the Soviet Union issued a statement in reply to the communiqué on Germany released on September 19 by the foreign ministers of France, the United Kingdom and the United States. Charging that the position of the three western governments was merely a screen to conceal the aggressive objectives of the North Atlantic Treaty and that the creation of mobile police formations was nothing less than the reconstitution of a German army, the eight foreign ministers stated that they considered as urgent 1) the publication by the three western powers and the Soviet Union of a statement of their intent to refuse to permit German rearmament and of their unswerving determination to create a united peace-loving German state; 2) the removal of all restrictions hindering the development of the peaceful German economy and the prevention of a resurgence of German war potential; 3) the conclusion of a German treaty and the withdrawal of all occupation forces within one year of its conclusion; and 4) the creation of an all-German constituent council to prepare for a provisional German government. The text of the communiqué was communicated to the United Kingdom, the United States and France under cover of a Soviet note on November 3. Stating that the Prague declaration possessed “the greatest significance for the cause of assuring international peace and security” and touched the “fundamental national interests of the peoples of Europe,” the Soviet government proposed the convening of the Council of Foreign Ministers „for consideration of the question of fulfillment of the Potsdam agreement regarding demilitarization of Germany.”


Author(s):  
Alla Kholodnytska ◽  
Marina Lukiashko

The article is devoted to the study of the prospects of implementing a competence approach to medical institutions management at the current stage of reforming and modenrizing the Healthcare system of Ukraine. The authors outlined the reserves and ways of improving the personal qualities of the Health Care Chief Executive Officer and proved the necessity of their development. A list of practical recommendations has been drawn up on methods of using a competence approach in professional activity, which in turn gives managers the opportunity to expand their communication and entrepreneurial skills, form a coordinated teamwork, improve the quality and quantity of services.


2019 ◽  
Vol 5 ◽  
pp. 44-51
Author(s):  
Alla Nemchenko ◽  
Viktoriya Nazarkina ◽  
Yuliia Kurylenko ◽  
Nataliia Teterych ◽  
Lyubov Tereschenko

Today, in the field of healthcare of the leading countries of the world there is a technological breakthrough due to the use of modern electronic systems. Thanks to the use of medical electronic technologies, it is possible to improve the quality of medical and pharmaceutical care for all segments of the population. The eHealth system provides opportunities for direct participation of patients in their health, which involves organization of a healthy lifestyle and disease prevention. The aim of the study was to analyze the experience of implementation of mobile medical applications and electronic medical systems within eHealth in the healthcare systems of the leading countries of the world and Ukraine. Materials and Methods of the Ministry of Health of Ukraine, FDA, WHO, NHS, ABI Research and other open information databases and statistical agencies were used in the work. The analytical, comparative and generalization of scientific information methods were chosen for the research. Results and Discussion. Modern reformation and further development of the healthcare system of Ukraine provides for the introduction of not only government programs of reimbursement, but also the introduction of electronic information systems, mobile applications for medical, pharmaceutical workers and patients at all stages of medical and pharmaceutical care. The integrated implementation of eHealth determines availability of the necessary healthcare management information system, which should have the following components: registers of medical institutions, services, doctors, patients, diagnosis coding system and electronic medical documentation (electronic medical records and prescriptions). Currently, 1472 medical institutions, 24506 doctors and 21068249 patients have joined eHealth in Ukraine. Conclusions. It has been determined that information electronic technologies allow not only to reduce government spending on the healthcare, but also to achieve a reduction in the number of errors in prescriptions, visits to doctors without the necessary needs and decrease the total number of deaths. The introduction of electronic technologies, in particular mobile applications for the national healthcare system in Ukraine should be controlled by state authorities and independent international organizations on the control and development of information electronic systems.


The article studies the development of the Kharkiv medical infrastructure after the Second World War. The author argues that war destructions caused the disruption of medical network zoning as well as equal access of residents from different Kharkiv districts to health care, shortage of hospitals’ spaces, and difficulties in further modernization of medical facilities. Despite the intensive construction of hospitals since the 1960s, the situation had not changed significantly due to population growth and rapid industrial and housing construction that outstripped the medical infrastructure development. The article provides evidence that the main contributor to technological renovation of Kharkiv healthcare system were the local industrial enterprises. In the period of 1970-80s, the policy in development of medical infrastructure made an important turn: the local Communist Party executives had realized the need for advanced planning of the health care development in the city and oblast with the implementation of the best domestic and world experience. The priorities of the long-term development plan of the health facilities in Kharkiv were the creation of the ambulance system, large multi-profile medical complex, specialization, and proximity of the outpatient and polyclinic care to the population. Studying the history of plan development and implementation is vital for an understanding of the degree of freedom in actions of local authorities on the background of centralization and the Communist Party control in the late USSR. On the one hand, the history of the post-war Kharkiv medical infrastructure confirms the typical for large Soviet cities lagging of services behind industry and housing development. At the same time, the implementation of the long-term plan for the health care system development led to the creation of the integral, available, and modern healthcare system that is naturally included in the spatial configuration of Kharkiv.


2019 ◽  
Vol 34 (1) ◽  
pp. 71-76
Author(s):  
Fran Ellen Cogen ◽  
Priya Vaidyanathan

Purpose The purpose of this paper is to describe a successful model of shared medical leadership within an academic division of an urban children’s hospital. Design/methodology/approach Experience and outcomes were tracked over a three-year period during which two physicians shared the role of interim division chief of pediatric endocrinology and diabetes, resulting in a working model of shared leadership. Findings An evolutionary trajectory occurred over three years in which the strengths of the leaders were combined to optimize decision making in a complex medical division. Improvements in team satisfaction and additional positive outcomes were achieved. Practical implications Benefits of and challenges tackled by the strategic approach to shared leadership are identified to inform other medical institutions, particularly those with many team members or combined programs that include strong clinical and research components. Originality/value Little has been written within medical literature regarding shared leadership. The shared leadership model described in this paper can be implemented by others in a complex academic setting and will hopefully lead to more robust divisions.


2015 ◽  
Vol 43 (6) ◽  
pp. S15-S16
Author(s):  
Julia Moody ◽  
Scott Cormier ◽  
Jason Hickok ◽  
Edward Septimus ◽  
Ravi Chari ◽  
...  

Author(s):  
Uktamjon Kodirovich Ubaydullaev

In this article is investigated establishment and functioning of the organizations “national charge” and “national independence” against the soviet system by the helping archive sources and historical literatures as well. KEY WORDS: establishment, organization, soviet system, national scientists, Jadids, soviet government.


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