scholarly journals IMPROVEMENT OF EFFICIENCY OF MEDICAL INSTITUTION ACTIVITIES DEPENDING ON PERSONNEL STRUCTURE BY THE LEVEL OF INNOVATIVE ACTIVITY

Author(s):  
I.A. Rudaleva ◽  
I.A. Kabasheva ◽  
L.F. Zulfakarova

The large-scale implementation of innovative digital products and technologies in a healthcare facility has a huge impact on the workforce. At the same time, this requires active involvement of medical personnel in the development of innovative technologies, continuous professional development of their work and interest in increasing professionalism and digital literacy, and expanding opportunities for realizing their research potential. The article defines a direct relationship between the innovative readiness of medical staff and the effectiveness of the medical institution as a whole. To achieve this, a classification and typologization of medical personnel was carried out according to their readiness and ability to implement innovations in the institution. The barriers that hinder the innovative activity of employees were identified and recommendations for management decisions at the level of medical institutions of the regional health system were developed.

2020 ◽  
Vol 27 (4) ◽  
pp. 134-148
Author(s):  
E. A. Perevezentsev ◽  
V. M. Levanov

Aim. To assess the importance, role, methods and conditions for creating and sustaining positive motivation of medical personnel in deploying a modern management system based on lean production to optimise the production flow in medical institutions, improve quality, availability and efficiency of public medical care.Materials and methods. The authors employed historical, bibliometric and statistical methods to analyse domestic and foreign scientific archives on lean production, motivation and motivational risks as key factors in implementing lean technologies in medical institutions.Results. Implementation of lean production (LP) as a manufacturing management system is among key conditions for creating a new model of the medical institution. Principles of LP are applied at three interfaces: with patients, personnel and resources. Positive motivation of employees is prerequisite for accomplishing a project, which requires supervisors to know and leverage the basics of motivational management. Creation of a motivating environment for various categories of employees in developing a LP system requires taking into account the type and management culture level of a medical institution.Conclusion. In order to create and sustain motivation for realising creative potential of the team, it is necessary to account for the motivation risks, develop and implement a motivation system differentially by employee categories and project stages. Effective motivational measures are necessarily based on a system of material and non-material incentives with clear and achievable criteria, amounts and forms valued by employees and rooted in medical and economic feedback of implementing the LP principles.


2020 ◽  
pp. 41-52
Author(s):  
Olga Doshchannikova ◽  

The study determines the impact of regional measures of socio-economic stimulation of medical personnel on the process of employment in medical institutions in rural areas. The analysis of Federal and regional legislation regulating the process of encouraging doctors to find employment in the rural health system is carried out. It was found that measures of socio-economic support for the provision of ready-made housing in the framework of regional events, contributed to a more active involvement and long-term consolidation of medical personnel in rural areas.


2020 ◽  
Vol 65 (3) ◽  
pp. 79-84
Author(s):  
A. Bushmanov ◽  
I. Galstyan ◽  
V. Solov'ev ◽  
M. Konchalovsky

Purpose: The article is devoted to the analysis of organizational measures to overcome the medical consequences of two large-scale events: the Chernobyl accident on 26.04.1986 and the COVID-19 pandemic. Results: A comparison of the causes, key factors, numbers affected and involved in these events persons, and the availability of the source of knowledge about the clinical picture, diagnosis, prevention and treatment of diseases, developing as a result of radiation exposure and the virus SARS-Cov-2. The article considers the availability of special medical institutions, the infectability of medical workers, the presence of long-term consequences for the health of victims and for the economy. Conclusions: In the development of such catastrophic events, an important role should be played by 1) Timely and adequate information to the population. 2) It is necessary to have a sufficient number of beds that can be repurposed in accordance with the needs and provided with appropriate equipment to support the vital functions of the body. 3) Planned training of qualified medical personnel should be carried out. 4) It is necessary to have stocks of emergency drugs close to the institutions where it is possible to receive victims.


2021 ◽  
Vol 65 (1) ◽  
pp. 5-11
Author(s):  
Valery I. Vechorko ◽  
Igor S. Kitsul ◽  
Elizaveta G. Zakharova ◽  
Evgeniya V. Borovova

Introduction. During the expanding epidemic of the new coronavirus infection COVID-19 in our country, medical workers were one of the groups at the increased risk of infection. Simultaneously, certain information about the number of cases and duration of this disease in medical workers is not available in official sources. However, this information is necessary to develop effective preventive measures, assess economic damage from a temporary disability, and the planning of medical personnel in emergency epidemic conditions. Purpose of study. To investigate the incidence of the temporary disability of employees of a medical institution with a new coronavirus infection connected with the performance of their occupational duties to assess the health risks for medical workers, develop appropriate measures to improve the safety system of their work. Material and methods. The study was conducted by a continuous process based on the country’s largest repurposed infectious diseases hospital to treat COVID-19 patients using the classical method of analyzing morbidity rates with the temporary disability. Results. The dynamics of the main indices of the morbidity with the temporary disability since the beginning of the COVID-19 epidemic was revealed. Features of the morbidity by groups of personnel working in the ”red“ and ”green“ zones of the infectious hospital are established. The incidence of medical personnel providing medical care to patients with COVID-19 was proved to be associated with the implementation of professional activities, but not in all cases. This type of personnel is also subject to risks of infection outside the medical institution. Conclusion. For effective prevention, it is necessary to consider that working in the “red” zone significantly increases the risk of COVID-19, regardless of the category of medical personnel.


Author(s):  
A. B. Tsvetkova ◽  
B. V. Musatov ◽  
L. A. Danchenok ◽  
Zh. B. Musatova

In order to attract the attention of customers and build their loyalty the trade enterprise should stand out at the background of others. One factor promoting attainment of this goal is the shop atmosphere. This category is essential for the service sector. The idea of atmosphere is also topical for medical institutions as enterprises of the service sector. What are its components in the field of public health and how can they be used? Can the atmosphere of the medical institution influence patients’ mood? You can find answers to these questions in this article. Analysis of the degree of this problem development in Russian and overseas publications allow us to speak about insufficient attention to its marketing component. In overseas literature the atmosphere of medical institutions is discussed only from the point of view of its therapeutic effect for patients and medical personnel, while Russian publications have not considered this issue. The list of atmosphere parameters consists of well-known elements. Traditionally it is investigated in the field of retail trade, as it makes possible to create and strengthen communication with clients in places of goods selling, to increase sales of the product range and profit. Is the list of parameters the same in medical institution? This question is still topical. The authors identify important parameters of the atmosphere in the medical institution influencing the younger generation – customers of medical services.


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


Author(s):  
Ekaterina V. Shulyak

Development of health care of Siberia in the 18<sup>th</sup>&nbsp;— first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners&nbsp;— medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care.<br> The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18<sup>th</sup> century by means of a historical and genetic method.


2021 ◽  
Vol 11 (1) ◽  
pp. 15-32
Author(s):  
Anila R. Scott-Monkhouse ◽  
Michal Tal ◽  
Maria Yelenevskaya

Abstract This paper describes a joint programme developed in 2018 by the University of Parma Language Centre (Italy) and the Humanities and Arts Department of the Technion-Israel Institute of Technology. The aim of the project was to involve students of English for General Academic Purposes in delivering presentations to an unfamiliar foreign audience on a topic relevant to their academic interests. The students were required to prepare for the presentation by exploring and personalising the chosen topic so as to be able to explain it to a group which they had had no previous contact with or information about. Through the active involvement of the students in a realistic implementation of their prospective professional use of English, language learning became a holistic experience where a traditional approach to language learning focusing mainly on vocabulary and macro-skills was integrated with a pragmatic approach which addressed the so-called ‘21st-century skills’ (specifically critical thinking, communication, collaboration and digital literacy). The simulation of situations that they are likely to encounter in their professional lives helped students build their confidence, with the whole learning experience carrying both emotional and social implications. This paper offers an insight into the challenges and issues which arose, and ideas for improving the learning experience. We describe the preparation carried out by the teachers at both universities, and the guided and autonomous work carried out by students in the different stages. A post-conference survey triggered the students’ self-reflection in relation to learning and personal development. The survey was also valuable for the teachers regarding reassessment of teaching strategies and preparation for future joint projects.


2021 ◽  
pp. 50-52
Author(s):  
A.P. Krylov

The problem of protecting personal data in medical institutions is currently extremely urgent. The article discusses the main issues of personal data protection in a medical institution.


2021 ◽  
Vol 6 (4) ◽  
Author(s):  
M. Mahzaniar ◽  
Muhammad Ridwan Lubis ◽  
Adawiyah Nasution ◽  
Halimatul Maryani

In this study, this paper focuses on the study of euthanasia of COVID-19 patients, which causes the endless spread of COVID-19 and the possible practice of euthanasia assumed by Western medical personnel, as well as the ongoing debate over euthanasia because it is related to religious views. The above-mentioned motives are some factors that the paper attempts with an analytical descriptive writing method that cites references from several literatures such as books, journals, previous research and digital literacy. The study concludes that in Indonesia, although the Criminal Code does not explicitly mention the word euthanasia, however, based on the provisions of Article 344 of the Criminal Code, doctors should refuse to take this action even if the patient's family wishes. According to law, social norms, religion and ethics of doctors, euthanasia is not allowed. It is because the country of Indonesia, which has a majority Muslim population and religion, is in conflict with the issue. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0820/a.php" alt="Hit counter" /></p>


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