Resources for adherence to treatment in patients with tuberculosis in the post-penitentiary phase

MedAlliance ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 31-36

A high proportion of patients who leave Russian prisons without a known treatment outcome (from 26 to 32%) re-duces the rate of successful treatment. Some patients who started treatment in prison do not continue it in the pub-lic health system after release. Objective. Using a repre-sentative sample of TB-infected inmates, study the need for social support measures that would motivate them to continue treatment. Materials and methods. One stage anonymous sociological study of 453 TB-infected in-mates in 40 regions of the Russian Federation, with fixed answer options that allow for multiple choices. Results. The need for one-time cash support was 63.4%; 95% con-fidence interval (CI) 58.8–67.7, ie from 4 to 5 thousand patients annually; assistance with housing — 32.7%; 95% CI 28.5-37.1, ie from 2 to 2.5 thousand; employment — 30.9%; 95% CI 26.8–35.3, ie from 2 to 2.5 thousand; regu-lar food packages — 27.9%; 95% CI 21.2–29.1, ie from 1.5 to 2 thousand; reissuance of documents — 21.0%; 95% CI 17.5–25.0, ie from 1.3 to 1.8 thousand. Conclusion. There is a need for legislative justification for the establishment of social rehabilitation centers, coordination of their joint activities with the tuberculosis program. The programs for the provision of social support to patients with tubercu-losis should envisage one-time payments for tuberculosis patients released from prisons who get linked to medical care, assistance to these patients with employment and interaction with social rehabilitation centers in order to provide patients with a temporary place of residence

2020 ◽  
pp. 49-56
Author(s):  
I. A. Volchegorskii ◽  
◽  
M. G. Moskvicheva ◽  
O. A. Shumakova ◽  
M. M. Polinov ◽  
...  

The strategy for the development of healthcare in the Russian Federation improves the staffing of the healthcare system, identified as a priority. The state programs set target indicators for the provision of the population with medical personnel, measures to equip medical organizations with medical workers, and measures of social support for medical workers. The aim of the work was to study the factors relevant for graduates that determine the choice of place of work and the development, based on the data obtained, of measures aimed at improving the availability of qualified medical personnel for medical organizations. The results of a sociological study of graduates of a medical university on the problems of employment in medical organizations are studied. Analyzed: indicators of the population of the region with doctors; the need for medical organizations of the region in medical personnel; events implemented in the region in order to provide medical organizations with qualified personnel. The measures, the implementation of which is aimed at increasing the availability of medical organizations with qualified personnel and achieving the effectiveness of employment of graduates of the university, are determined.


Author(s):  
Vyacheslav Kuzmin ◽  
◽  
Victoria Bykanova ◽  

The article considers the analysis of a sociological study on the study of technologies of the system of social support for orphans and children left without care, used in the Kursk region. The article examines the theoretical and methodological features of social work with orphans and children left without parental care; the technology of accompanying orphans and children left without parental care is studied. The features of the regional experience of implementing the technology of accompanying orphans and children left without parental care in the Russian Federation are studied. The problems with which orphans and unaccompanied children most often apply for social assistance are investigated.


Author(s):  
M.A. Lukyanov ◽  

A digital government is relevant topic. It is associated with hopes for improving the institutions of public policy and administration. Russia has adopted programs for the development of the digital economy. So that, there is planned the transition to digital government in Russia. The transition to digital government is accompanied by several challenges such as control, centralization, excessive control, etc. An important factor in the success of responding to these challenges is the attitude of citizens to the digitalization of public services. This article presents empirical materials from a sociological study conducted in two regions of the Russian Federation: St. Petersburg and the Leningrad region. The sample size was 300 respondents. The study is the empirical basis for a multistage study conducted by the author as part of the research team of St. Petersburg State University in the period from 2017 to 2020. The article presents the empirical material of the study and analysis on its basis of the attitudes of Russian citizens in relation to the implementation of new management models in a transforming social, economic and political environment. Since the article is based primarily on original empirical material, the presented references to other theoretical and practical works are informative


2019 ◽  
Vol 61 (6) ◽  
pp. 292-299
Author(s):  
Marina A. Shurgaya

During the period of health care reforming, study of a true picture of population health and medical social needs in particular age-gender groups, including elderly age, is a necessary condition for planning development of health care, social support and scientific substantiation of prevention programs. The article presents the results of comparative analysis of indices of disability of main age groups of adult population of the Russian Federation during 2005-2016. The methods of study: documentary, data sampling, statistical and graphic techniques. The volume of study made up to 34,840,933 individuals aged from 18 years and older, recognized as disabled, including disabled persons of elderly age - 12,971,062 individuals. The established characteristics of primary and repeated disability of citizen of elderly age in the Russian Federation (gender characteristics, nosological structure, regional differentiation) are covered that reflect demographic tendencies of aging of population. The dynamics of disability of citizen of elderly age during long term period (2005-2016) testifies alteration of ratio between primary and repeated established cases of disability. In 2005 overwhelming exceeding of primary recognized as disabled persons over repeatedly recognized was marked: 81.2% against 18.9%. In 2016 in total contingent of the examined the disabled persons with repeatedly established disability prevailed: 62.7% against 37.3%. During the period of observation, the level of repeatedly established disability among citizen of elderly age increased up to 74,5% (R2 = 0,546), whereas in contingents of young and middle age is marked a stable tendency to decreasing of value of indicator (R2 = 0,934, R2 = 0,5873 correspondingly). The citizen of elderly age prevails in the structure of disability due to malignant neoplasms, diseases of blood circulation system, diseases of musculoskeletal system and connective tissue, diseases of eye, ear and mastoid bone, diseases of endocrine, nervous and urogenital system. In connection with high invalidation, the elderly category of population is in need of significant medical social support. The development of activities targeted to medical social rehabilitation of citizen of elderly age it is appropriate considering regional differentiation of the subjects in the Russian Federation related to prevalence of disability and also gender characteristics of disability.


Author(s):  
E.R. Gafurova

The article deals with the issues of improving the Russian criminal legislation on toughening responsibility in the context of coronavirus infection. The author analyzes the effectiveness of measures to tighten criminal liability for violations of quarantine measures in order to counter the spread of coronavirus infection in foreign countries and presents proposals for improving Russian criminal legislation, taking into account the data of a sociological study conducted among citizens of the Russian Federation. In order to study the norms of criminal legislation introduced by Federal Law No. 100-FZ of 01.04.2020, on liability for the dissemination of deliberately false information about circumstances that pose a threat to the life and safety of citizens, examples of judicial practice are given. There is a promising tightening of legal liability in the context of the spread of coronavirus infection in Russia based on the experience of foreign countries.


2020 ◽  
Vol 4 (12) ◽  
pp. 109-113
Author(s):  
A. E. BIRYUKOV ◽  

The article analyzes the problems that arise in the process of formation and development of personnel policy in modern Russian conditions on the basis of data from a sociological study on topical problems of public administration development in the Russian Federation. The article is devoted to the substantiation of the sociological analysis of the professionalization of the individual, the process of becoming a professional.


2018 ◽  
Vol 20 (4) ◽  
pp. 131-137
Author(s):  
K K Scherbina ◽  
V G Suslyaev ◽  
Yu B Golubeva ◽  
A V Sokurov ◽  
T V Ermolenko ◽  
...  

The needs and possibilities of import substitution in the prosthetic and orthopedic industry for prosthetics and orthotics of lower limbs from local and imported component materials were determined. We analyzed the stock list of special equipment, materials, and modules used in the manufacture of prostheses and orthoses of the lower limbs, indicating local and foreign suppliers. The technical characteristics of equipment, materials, and modules of lower limb prostheses that are not manufactured in the Russian Federation were determined. We indicated the stock list, components, equipment, and materials, which production is more reasonable to be organized in Russia instead of using imported products of similar purpose. We carried out operational tests and clinical trials of prosthetic and orthopedic products that were made from new thermoplastic materials. These materials are developed by local manufacturers for the production of a bucket of the prosthesis for lower and upper limbs, orthoses and orthopedic devices, actively correcting braces, stop holders, etc. We indicated the ways of implementing the state policy to eliminate reliance of local prosthetic and orthopedic industry on import. Proposals for the optimization of reference documentation were developed. The role and position of research organizations that solve the problems of import substitution and that focus on the creation of new and improvement of existing technologies of physical medical rehabilitation of patients with muscle-skeleton disorders were defined. We determined the importance of institutions of advanced training for doctors and other specialists who work in prosthetic and orthopedic enterprises and rehabilitation centers.


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