scholarly journals Causes and consequences of delayed vaccination against pertussis infection in the Russian Federation

2020 ◽  
Vol 97 (5) ◽  
pp. 492-502
Author(s):  
Alena V. Lomonosova
Keyword(s):  
Russian Federation ◽  
Heart Defects ◽  
Medical Personnel ◽  
Allergic Diseases ◽  
Pertussis Infection ◽  
Care Services ◽  
Intestinal Dysbiosis ◽  
Provide Child Care ◽  
Expectant Mothers ◽  
The Russian Federation

Introduction. One of the reasons for the increase of pertussis in the Russian Federation on the background of the widespread coverage of prophylactic vaccinations of more than 95% is a large number of unreasonable medical recusals and parental refusals and, as a result, untimely prophylactic vaccinations against pertussis infection.Materials and methods. We analyzed 5101 emergency notifications for pertussis in children under 17 years of age in Moscow in 2012-2017 and 300 child development histories for children under 14 years of age in two clinics in Moscow. A сase-сontrol study was conducted to assess the relationship between pertussis and the presence of deviations in the immunization schedule.Results. It was found that the level of timely immunization against pertussis did not exceed 5%. Medical (20%) and parental refusals (45%) prevail among the reasons for delayed vaccination. In the structure of medical exemption, the main causes are perinatal encephalopathy, congenital heart defects, intestinal dysbiosis, allergic diseases, anemia and some chronic diseases.Discussion. The main principle for the formation of a full protective immunity from pertussis infection is the mandatory administration of a full primary course of vaccination against pertussis, with the completion of three vaccinations at the age of 10-12 months and mandatory control over the timely receipt of a booster dose no later than the child reaches two years of age. In addition, it is necessary to introduce additional booster doses of pertussis vaccine at the age of 6-7 years, 12-14 years, vaccination of adults every 10 years, as well as consider the introduction of vaccination of expectant mothers in each pregnancy at 27-36 weeks, vaccination for medical personnel and employees who provide child care services.

MEDICAL SAVINGS ACCOUNTS AS A TOOL FOR INCREASING DOCTORS ' SALARIES AND MOTIVATING RUSSIAN CITIZENS TO HIGH-PERFORMANCE WORK AND A HEALTHY LIFESTYLE

2020 ◽  
Vol 2 (7) ◽  
pp. 24-31
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  
Keyword(s):  
Labor Productivity ◽  
Russian Federation ◽  
High Performance ◽  
Healthy Lifestyle ◽  
Medical Personnel ◽  
Increase Labor Productivity ◽  
Healthcare Financing ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
The Russian Federation

The article proves that it is impossible to achieve a significant increase in the salary of medical personnel within the existing system of healthcare financing of the Russian Federation, namely, in accordance with the “may” Decrees of 2012 by V. V. Putin, to bring the salary of doctors to a level twice higher than the average for the region by 2018. It is proved that to achieve the necessary results in terms of increasing doctors’ salaries and motivating citizens to increase labor productivity and a healthy lifestyle, it is necessary to transfer the system of healthcare financing within the framework of obligatory medical insurance to medical savings accounts.

scholarly journals CLINICAL AND IMMUNOLOGICAL EFFECTIVENESS OF TREATMENT OF RAGWEED POLLINOSIS IN THE SAMARA REGION

2021 ◽  
Vol 23 (4) ◽  
pp. 921-926
Author(s):  
N. N. Zhukova ◽  
M. V. Manzhos ◽  
L. R. Khabibulina ◽  
E. Yu. Syrtsova
Keyword(s):  
Allergic Rhinitis ◽  
Russian Federation ◽  
Allergic Diseases ◽  
Ambrosia Artemisiifolia ◽  
Control Group ◽  
Ambrosia Trifida ◽  
Results Of Treatment ◽  
Amb A 1 ◽  
The Russian Federation ◽  
Time Changes

Allergic rhinitis and bronchial asthma are widespread respiratory allergic diseases. In some territories of the Russian Federation, the dominant cause of pollinosis is ragweed. The aim of the study was to evaluate the clinical and immunological efficacy of ASIT with the allergen Ambrosia artemisiifolia in patients sensitized to Ambrosia trifida in the Samara region. Patients with proven sensitization to Ambrosia trifida was held immunotherapy with Ambrosia artemisiifolia allergoid preseason. After treatment, patients had a decrease in the severity of symptoms of allergic rhinitis according to VAS (p = 0.00001), a decrease in the need for medications (p = 0.0003), as well as the need for corticosteroids against the background of therapy from 34.6% to 0% (p = 0.00001). In 8% of cases, the result of treatment was good, in 69% satisfactory, in 23% unsatisfactory. In the control group, there were no changes in the severity of symptoms (p = 0.858). Also, in the control group, the need for medications remained unchanged and 14.3% of patients continued to use corticosteroids.After ASIT, there was a decrease in the level of IL-4 (p = 0.002), and a decrease in the ratio of IL-4/ IL-10 (p = 0.0063); at the same time, changes in the level of other cytokines (IL-10; IFNγ) were statistically insignificant (p > 0.05). Before treatment, the levels of IL-4/ IL-10 in both groups were comparable, and after treatment, the differences became statistically significant (p = 0.031). We did not get a statistically significant change in the level of IgG4 Amb a 1 or IgG4 Amb trifida. There was no correlation between the level of individual cytokines and the results of treatment. As a result of the conducted ASIT, positive clinical and immunological results were obtained. In most patients, the disease has acquired a controlled course. At the same time, the lack of excellent and low number of good results of ASIT is probably due to the intraspecific allergenic properties of ragweed. 

Peculiarities of application of zero corporate tax rate by medical companies

2021 ◽  
pp. 33-40
Author(s):  
O.V. Shinkareva
Keyword(s):  
Russian Federation ◽  
Income Tax ◽  
Medical Personnel ◽  
Corporate Tax ◽  
Medical Organization ◽  
Tax Rate ◽  
Zero Rate ◽  
The Russian Federation

In this article, the peculiarities of applying the zero income tax rate of organizations by medical companies are considered. The requirements that, according to the Tax Code of the Russian Federation, must be fulfilled by medical organizations to impose the profit received at a rate of 0% are considered: the types of activities for which profit is subject at this rate, the presence of a certain percentage of medical personnel, restrictions on the number of employees and other restrictions. Listed are the types of reporting that should be additionally submitted by a medical organization that has expressed a desire to apply a zero rate, as well as the consequences of not submitting these documents. Features of voluntary transition to profit levying at a rate of 20% are shown, practical examples are given.

scholarly journals Analysis of doctors of different specialties staffing in the Russian Federation and abroad

2020 ◽  
pp. 96-101
Author(s):  
I.V. Shakhabov ◽  
◽  
Y.Y. Melnikov ◽  
A.V. Smyshlyaev ◽  
◽  
...  
Keyword(s):  
Exercise Therapy ◽  
Russian Federation ◽  
National Health System ◽  
Medical Personnel ◽  
X Ray ◽  
Foreign Countries ◽  
Healthcare It ◽  
Leading Position ◽  
The Russian Federation ◽  
Quantitative Indicators

The aim of the research is to analyze the indicators of medical personnel of various specialties staffing in the Russian Federation and abroad. Material and methods. The data from Rosstat in the field of healthcare were used. The proportion of doctors of various specialties was calculated. Descriptive statistics method was used; indicators trend analysis was carried out. Results. The indicator of staffing by doctors of all specialties per 10,000 population in the studied period had a downward trend (-4.3%). The largest decrease occurred among pediatricians (-36.0%). Less decrease concerns obstetricians and gynecologists (-1.7%), psychiatrists and psychiatrists and narcologists (-11.7%), phthisiatricians (-16.6%). An increase was registered among therapeutists (except GP) (+ 1.8%), (family) GP (+ 14.2%), surgeons except anesthesiologists and resuscitators (+ 4.0%), X-ray specialists and radiologists (+15, 3%), and dentists (+ 2.3%). The indicator was stable among ophthalmologists, otorhinolaryngologists, neurologists, dermato-venereologists, and exercise therapy doctors. The proportion of therapeutists (except GPs) and GPs tended to increase and amounted 1.7% and 22.8%, respectively, by the end of the studied period. The indicator increased among surgeons except anesthesiologists and resuscitators, obstetricians and gynecologists, ophthalmologists, otorhinolaryngologists, neurologists, X-ray specialists and radiologists, exercise therapy doctors, and dentists. The decrease was registered in pediatricians, psychiatrists and psychiatrists and narcologists, phthisiatricians, dermato-venereologists. The Russian Federation occupies a leading position compared to foreign countries in terms of staffing by doctors (per 100,000 population). Conclusion. To implement personnel policy in healthcare, it is necessary to pay attention not only to quantitative indicators providing population with doctors, but to qualitative ones as well. It is necessary to balance the ratio of doctors of different specialties to form a sustainable national health system. Scientifically based mechanism for specialist’s distribution should be developed.

scholarly journals Medico-social study of the opinions of parents (legal representatives) on the medical care for children with cancer in the Russian Federation

2021 ◽  
Vol 66 (1) ◽  
pp. 87-93
Author(s):  
M. Yu. Rykov ◽  
O. A. Manerova ◽  
I. A. Turabov ◽  
V. V. Kozlov ◽  
V. A. Reshetnikov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Treatment Success ◽  
Social Study ◽  
Medical Personnel ◽  
Medical Organization ◽  
Children With Cancer ◽  
Oncological Diseases ◽  
The Russian Federation ◽  
To Receive

.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.

scholarly journals Citizens' Rights to Health Protection and Medical Assistance, Guaranteed by Article 41 of the Constitution: Problems of Enforcement

2019 ◽  
Vol 3 (1) ◽  
pp. 97-103
Author(s):  
Ольга Фадеева ◽  
Olga Fadeeva
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Russian Federation ◽  
Medical Personnel ◽  
Right To Health ◽  
Health Protection ◽  
Medical Specialists ◽  
Medical Graduates ◽  
The Russian Federation ◽  
The Right

The paper reflects the state of the modern healthcare system and various enforcements of the right to medical care guaranteed by the Constitution of the Russian Federation. The right to health, as well as the provision of qualified, free, and timely health care, are among the most important and fundamental human rights. The paper also features some key enforcement problems concerning the right to health protection and medical care, guaranteed by Article 41 of the Constitution of the Russian Federation, e.g. a lack of medical personnel, untimely provision of the first aid, and insufficient financing in the health care system. The article also considers the causes and consequences of "staff shortages" in Russian hospitals, employment of medical graduates, and financial support of young medical specialists. The author analyzes the equipment status of medical organizations in 2018 and 2016, voices the problem of optimization in healthcare institutions by reducing the inpatient level and expanding outpatient clinics, and offers statistics of complaints to the Department of Public Health on quality and timeliness of medical care. The author believes that the enforcement of the right of citizens guaranteed by Article 41 of the Constitution of the Russian Federation can be characterized as very low, which indicates the pretentiousness of the law.

ORGANIZING THE TRANSITION OF RUSSIAN CITIZENS TO MEDICAL SAVINGS ACCOUNTS

2020 ◽  
Vol 1 (8) ◽  
pp. 55-71
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  
Keyword(s):  
Medical Care ◽  
Chronic Diseases ◽  
Russian Federation ◽  
Medical Personnel ◽  
Financial Resources ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
The Russian Federation

The paper shows the principles of organizing the transition of Russian citizens to medical savings accounts (MSA). A simulation of the accumulation of financial resources on the MSA of all categories of citizens of the Russian Federation was performed, taking into account the need for a significant increase in the salary of medical personnel, namely: in accordance with the “may” Decrees of 2012, V. V. Putin, to bring the salary of doctors to a level twice higher than the average for the region by 2018. It is proved that for all categories of Russian citizens, including citizens, have chronic diseases, the funds accumulated on their personal MSA, will be sufficient to cover the costs of medical care given the salaries of medical personnel established in the “may” decrees of the President of the Russian Federation.

Status and dynamics of parameters of use of bed capacity of oncological profile in Russian Federation

2020 ◽  
Vol 28 (4) ◽  
pp. 462-478
Author(s):  
Valeryan Alekseevich Evdakov ◽  
Marina Nikolaevna Banteva ◽  
Elena Mihailovna Manoshkina ◽  
Yuriy Yurevich Melnikov ◽  
Liudmila Valentinovna Rugol
Keyword(s):  
Russian Federation ◽  
Medical Personnel ◽  
Absolute Number ◽  
Negative Influence ◽  
Malignant Neoplasms ◽  
Federal Districts ◽  
Bed Capacity ◽  
The Russian Federation ◽  
Day Hospitals ◽  
High Level

In the Russian Federation (RF) a steady growth of morbidity with oncologic diseases is observed. An important factor of reduction of negative influence of oncopathology on the parameters of public health is provision of the population with specialists and beds of oncological profile, as well as their effective use. Aim. To determine the status and identify dynamics of the main parameters of use of beds of oncological profile of the state healthcare system of RF, federal districts and constituent entities of RF in comparison with tendencies of parameters of morbidity with malignant neoplasms, and also of provision of the population with medical personnel in the period from 2010 to 2019. Materials and Methods. Using the data of the Federal statistical observation forms (№30, 47, 14LC, 7) based on the calculation of absolute and relative parameters by the descriptive statistics method, the analysis of the main parameters of the use of bed resources of oncology profile was carried out in comparison with the parameters of morbidity with malignant neoplasms and provision of the population with medical personnel in 24-hour and day-stay hospitals in the Russian Federation, federal districts and constituent entities of the Russian Federation in 2010-2019. Results. During the study period, with the underlying increase in the morbidity of the population with diseases of neoplasm class (primarily, malignant) in the Russian Federation, there was found a regular increase in: the absolute number of oncological beds for 24-hour stay by 5.216 beds (+16.8%), provision with these beds from 2.17 to 2.47 per 10 000 population (+13.8%), hospitalization rate from 6.1 to 9.6 per 1000 population (+57.4%); and a decrease in: average stay in an oncological bed by 3.7 days (-30.6%, from 12.1 to 8.4 days), and the average bed occupancy by 15 days per year (-4.3%, from 345 to 330 days). Mortality in cancer beds increased from 0.76% in 2010 to 0.95% in 2019 (by 25.0%). There was an increase in the provision of the population with oncological beds in day-stay hospitals by 3.4 times, in day-stay hospitals of polyclinics by 63.6%. Conclusion. With the underlying growth of oncological morbidity in the country, the bed capacity of the oncological profile of 24-hour and day hospitals has significantly increased, with a high level of disproportional development of the bed capacity both between federal districts and between the subjects of the Russian Federation.

REGULATORY LEGAL FRAMEWORK FOR PROVIDING PALLIATIVE MEDICAL CARE IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 247-253
Author(s):  
Khabriev R.U. ◽  
Kolomiychenko M.E.
Keyword(s):  
Palliative Care ◽  
Medical Care ◽  
Russian Federation ◽  
Public Awareness ◽  
Action Plan ◽  
Medical Personnel ◽  
Legal Framework ◽  
Legal Regulation ◽  
Adults And Children ◽  
The Russian Federation

Palliative care as a separate type of medical care was enshrined in legislation 10 years ago. However, the law-making process is still ongoing. The guidelines for this type of medical care for adults and children have been approved twice. It must be noted amendments to the Federal Law in 2019 (which significantly expanded the definition and consolidated the "varieties" for the provision of palliative care), and the interdepartmental Regulation on the organization of the provision of this type of assistance was approved (which now includes not only the guidelines for this type of medical care for adults and children, but also provides for the guidelines for interdepartmental interaction). In addition, since 2019, regional programs for the development of palliative care in the constituent entities of the Russian Federation are being developed. Together with these documents, an action plan was approved for the implementation of the Strategy for the Development of Healthcare of the Russian Federation for the period up to 2025, in which the development of palliative care is designated as activities; action plan has been approved ("road map") "Improving the quality and availability of palliative care" until 2024 was approved, among the tasks of which: improving legal regulation, increasing the availability and quality of painkillers, developing infrastructure for providing palliative care in the constituent entities of constituent entities of the Russian Federation, training of specialists (medical personnel, clinical psychologists, social workers), public awareness about the provision of this type of medical care, the implementation of a multidisciplinary approach. This publication includes an overview of the legislation governing the functioning of the palliative care system in the Russian Federation.

LEGAL BASIS OF SOCIAL GUARANTEES FOR MEDICAL WORKERS AFFECTED BY CORONAVIRUS INFECTION (COVID-19)

2020 ◽  
Vol 3 ◽  
pp. 20-30
Author(s):  
S.N. Puzin ◽  
◽  
S.S. Memetov ◽  
I.V. Dedeneva ◽  
O.V. Khorkova ◽  
...  
Keyword(s):  
Social Support ◽  
Russian Federation ◽  
Social Insurance ◽  
Medical Personnel ◽  
Insurance Fund ◽  
Social Insurance Fund ◽  
The Social ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
The Government

The article discusses current regulatory legal acts and clarifications on their application on social support for doctors, paramedical and junior medical personnel of medical organizations, ambulance drivers directly working with patients with a new coronavirus infection (COVID-19). The federal laws, Decrees of the Government of the Russian Federation, and Orders of the Government of the Russian Federation in the field of social support are analyzed. The article contains material on the possible types of medical examinations, systematizes the existing state guarantees for compulsory state insurance for certain categories of medical workers, and the possibility of obtaining the necessary documents from medical organizations and medical and social examination institutions for submission to the Social Insurance Fund of the Russian Federation.

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