The federal project «Development of the system of primary health care» as the main reserve for increase of accessibility and quality of health care for citizens of the Russian Federation

2019 ◽  
Vol 2019 (4) ◽  
pp. 13-19 ◽  
Author(s):  
Александ Корочкин ◽  
Aleksand Korochkin ◽  
Ирина Ходырева ◽  
Irina Hodyreva ◽  
Софья Таубкина ◽  
...  

The article presents the targeted indicators and main activities of the federal project «Development of the system of primary health care», as well as Roszdravnadzors areas of control over their achievement and realization.

2019 ◽  
Vol 2019 (6) ◽  
pp. 50-54
Author(s):  
Татьяна Полинская ◽  
Tat'yana Polinskaya ◽  
Михаил Шишов ◽  
Mihail Shishov

The article deals with topical issues of the organization of a “new model” of clinical examination taking into account the requirements specified in the Message of the President of the Russian Federation to the Federal Assembly of 02/20/2019, using the example of the Rostov region.


Author(s):  
Elena Nikolaevna Dombrovskaya

The article is devoted to the features of the organization and accounting of payment for medical care provided by medical institutions. The article highlights the trends in reforming the system of payment for medical care, which include the use of per capita payment based on the principles of Fund maintenance. The review of the current regulatory framework in the field of financial support of medical care was conducted. Based on the analysis of models of per capita financing of primary health care in the subjects of the Russian Federation, their insufficient focus on achieving final results is noted. The article deals with the organizational mechanism and accounting mechanism of payment for medical care in health care institutions.


Author(s):  
M. Frances Hoyle ◽  
Lisa N. Jamieson

The North Slope Borough (NSB) Telehealth Project involves the use of slowscan (freeze-frame video) and telephone communications between 7 small villages, a central 14-bed hospital, and a large urban hospital over 700 air miles away. The project is intended to improve the quality of health care in this remote rural area in northernmost Alaska. This article describes the initial testing stages of the project and discusses applications for use of this technology. It focuses on the technological potentials for bridging cultural and linguistic differences between health care provider and client and from provider to provider for enhanced primary health care.


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Mohammed Saka ◽  
Tanimola Akande ◽  
Aishat Saka ◽  
Hassan Oloyede

The success of universal coverage of health at primary health care level depends on patient’s perceptions or judgment on quality products and service rendered by the health personnel in the hospitals. Quality of health care services can be determined by gap between perception of what is offered in term of services and expectation from the health consumers. The study examined the expectations of health consumers and perception used in judging the quality of health care services at the primary health care level. A cross-sectional study was carried out among randomly selected health consumers that had received health care services in the hospitals designated as primary health care facilities in Kwara State Nigeria. Overall health consumers’ means score expectations was 6.57 while perception was 5.80. Though was high in favour of females with no statistical significant difference. However, correlation test revealed significant association in socio-demographic variables such as age, occupation and educational status. Conversely, relationship was inverse in terms of increase in education attainment with lower perception value (p<0.001). Expectation-perception gap was a major determinant of quality of health care services at primary health care levels. Significant relationship occurred between heath consumer’s age, occupation, educational status and overall expectation-perception of quality health care received. It is recommended that hospital management need to monitor the link between the expectations including perception of services received by patients for quality improvement at primary health care level.


Author(s):  
Nick T. Matlala ◽  
Rambelani N. Malema ◽  
Mamare A. Bopape ◽  
Peter M. Mphekgwana

Background: Despite many initiatives made by the National Department of Health through the Minister of Health, the provision of quality health care services remains a serious challenge in South Africa, especially in public rural clinics.Aim: The study aims to determine the perceptions of professional nurses on the factors affecting the provision of quality health care services at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Setting: The study was conducted at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Methods: This study utilised a quantitative method, descriptive and a cross-sectional study conducted for three months at the selected public primary health care clinics. A structured self-administered questionnaire was used to collect data from 155 professional nurses who met the selection criteria. Data were analysed using Statistical Package for Social Sciences programme version 26.0.Results: The results of 155 professional nurses were only 116 (74%) and reported that the use of modern technology such as electronic blood pressure, sonar machines and pulse reading computers improves the quality of health care services. Also 129 (84%), 124 (77%) and 118 (76%) reported that they were overwhelmed by the workload, the staff attitude and cleanliness of the clinic, respectively, which all affect the quality of health care services rendered. Moreover, only about 29 (19%) were satisfied with the salary they earned.Conclusion: Despite the effort and interventions put in place by the Department of Health with regard to the Ideal Clinic Realisation and Maintenance in response to the current deficiencies in the quality of primary health care services and to lay a strong foundation for the implementation of National Health Insurance. The quality of health care services is still hindered by several factors such as an overwhelming workload, the attitude of the staff and cleanliness in the work environment, poor infrastructure and the professional nurses perceive the environment as lacking equipment.


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