scholarly journals Organization of Specialized Medical Care for Patients with the New Coronavirus Infection COVID-19 on the Basis of a Multidisciplinary Hospital

2021 ◽  
Vol 3 (1) ◽  
pp. 163-169
Author(s):  
Aleksandr V. Esipov ◽  
Aleksandr I. Pavlov ◽  
Yuri V. Nemytin ◽  
Aleksey V. Solovov ◽  
Alexandr V. Khaev
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Center ◽  
Federal State ◽  
High Tech ◽  
The Novel ◽  
Resource Saving ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
Novel Coronavirus

The first experience of organizing specialized care for patients with the novel coronavirus infection COVID-19 on the basis of the leading multidisciplinary hospital of the Ministry of Defense of Russia FSBI 3rd Central Military Clinical Hospital named after A. A. Vishnevsky. Aims: to scientifically substantiate and develop organizational and methodological recommendations for re-profiling a multidisciplinary hospital to create a multifunctional medical center for the treatment of the new coronavirus infection COVID-19. Based on the regulatory and organizational and methodological documents (Orders and Resolutions of the Government of the Russian Federation, orders of the Ministry of Health of the Russian Federation, directives and orders of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation), a set of measures was taken to create a multifunctional medical center for the treatment of the new coronavirus infection COVID-19. Algorithms for organizational, diagnostic and therapeutic resource-saving technologies, as well as standard operating procedures for assisting patients with the novel coronavirus infection COVID-19, have been developed and tested. Within the framework of the medical association of the Federal State Budgetary Institution 3 CVKG im. A. A. Vishnevsky, the Ministry of Defense of Russia created a system for the provision of specialized medical care to patients with the new coronavirus infection COVID-19 with the established routing and provision of specialized medical care with elements of high-tech medical care, including extracorporeal membrane oxygenation, biological anti-cytokine therapy. Conclusion. The accumulated experience in the work of the newly created center for the treatment of patients with the new coronavirus infection COVID-19 can be used for further medical activities of medical organizations of military and civilian health care.

Results of medical work in 2020 of the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution

2021 ◽  
pp. 18-24
Author(s):  
O.V. Kolenko ◽  
◽  
V.V. Egorov ◽  
M.V. Pshenichnov ◽  
O.A. Pryadko ◽  
...  
Keyword(s):  
Medical Care ◽  
Far East ◽  
Federal District ◽  
State Institution ◽  
Federal State ◽  
High Tech ◽  
The Novel ◽  
Medical Work ◽  
Novel Coronavirus ◽  
Far Eastern

Purpose. Analysis of organization and results of medical work in the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution (Khabarovsk Branch) in the context of a pandemic of the novel coronavirus disease (COVID-19) in 2020. Material and methods. The analysis of regulatory documents adopted in the Russian Federation, Khabarovsk Krai, and orders of the Director of the Khabarovsk Branch to ensure epidemiological wellbeing in organization of treatment process was carried out. Results. The developed complex of anti-epidemic measures to ensure epidemiological wellbeing at provision of emergency and planned ophthalmological care to residents of the Far Eastern Federal District of Russia made it possible in 100% of cases to fulfill the state task for the provision of high-tech medical care. The total volume of medical care for ophthalmological diseases in the Khabarovsk Branch as a whole decreased by 18,9%. It should be noted that the same trend was observed in all branches of the S. Fyodorov Eye Microsurgery Federal State Institution. Conclusion. Despite the problems that COVID-19 brought to work of the Khabarovsk Branch, it still fulfilled its mission, as defined by S. Fyodorov - to bring light and goodness to people living in the Far East of Russia. Key words: ophthalmology, medical work, hightech medical care, COVID 19, SARS-CoV-2, pandemic, organization of medical care, ocular emergency.

Anti-epidemic measures against the proliferation of the novel coronavirus infection SARS-COV-2

2020 ◽  
pp. 9-15
Author(s):  
Zoya Dmitrenko
Keyword(s):  
Russian Federation ◽  
Medical Personnel ◽  
The Novel ◽  
Urgent Problem ◽  
Epidemiological Risk ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
The Government ◽  
Novel Coronavirus ◽  
Danger To Others

The novel coronavirus infection (COVID-19) is an acute respiratory disease caused by a new coronavirus (SARS-CoV-2). The SARS-CoV-2 virus is assigned to the II group of pathogenicity in accordance with the sanitary legislation of the Russian Federation. The infection is included in the list of diseases that pose a danger to others (the Government Decree of the Russian Federation from 31.01.2020 No. 66). Dental facilities are at epidemiological risk; all patients are considered as potentially infected with hemocontact and aspiration infections. Disinfection in dental institutions is carried out according to the regime between viruses and fungi of the genus Candida; the mask regime is continuous. The protection against infections of the patient and medical personnel in dental institutions has always been an extremely urgent problem and especially now, during the period of the new coronavirus infection SARS-CoV-2. The purpose of medical dental institutions is to prevent and implement measures to interrupt the transmission of infections related to the provision of medical care (IRMC).

scholarly journals problems of organization and financing of high-tech medical care in 2017

2016 ◽  
Vol 1 (5) ◽  
pp. 77-83
Author(s):  
Колесников ◽  
Sergey Kolesnikov ◽  
Перхов ◽  
Vladimir Perkhov
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Russian Federation ◽  
Medical Insurance ◽  
Federal State ◽  
High Tech ◽  
The Russian Federation ◽  
Federal Laws ◽  
Great Possibility ◽  
High Level

The authors analyzed the essence of new federal laws, which change some implementation aspects of other basic federal laws, such as Law on Compulsory Medical insurance in the Russian Federation, Law on Basics of health protection of citizens in the Russian Federation, Budget Code, Tax Code and other legal acts, determining the peculiarities of financ-ing of high technology medical care since January 1, 2017 onwards. The main challenges and risks of Compulsory Medical Insurance Federal Foundation was identified, it becoming the sole holder of the funds intended for the financing of high-tech medical care. The main risk is that federal and regional authorities are not only being excluded from financing, but are losing the role of health care state customer. And in the conditions of financial crisis in the country it will happen. In this case there is a great possibility of financial deficit for high technological medical care in the federal medical scientific institutions. A number of measures for planning indicators of high-tech medical assistance in the scientific medical organizations was proposed. These measures can prevent corruption and defend federal (state) segment of health care system, providing the complex and high level assistance for the most severe ill patients.

scholarly journals Subsidiarity as a factor and technology for overcoming crises (reception of the principle of subsidiarity in the collective consciousness of the Russians)

2021 ◽  
pp. 39-47
Author(s):  
Aleksandra Olegovna Kalinichenko
Keyword(s):  
Russian Federation ◽  
Statistical Processing ◽  
Russian Society ◽  
Collective Consciousness ◽  
The Novel ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
The Government ◽  
Novel Coronavirus ◽  
The Relationship

This article provides certain results of empirical study of the collective consciousness of the Russians through the prism of their reception of the principle of subsidiarity and values associated with this principle. The object of this research is the collective consciousness of the Russian society. The subject is the peculiarities of refraction of legal and political meanings of the principle of subsidiarity in the collective consciousness, as well as the degree of implementation of this principle in the relationship between the government and the citizens in Russia. The key research method is the questionnaire-based sociological survey. The acquired empirical data have undergone statistical processing and comparative analysis with the data of the most reputable sociological agencies of the Russian Federation. The novelty consists in examination of the principle of subsidiarity not only as a constitutional federal principle, but also as a technology for overcoming crises and mitigating intra-elite conflict. Using the material on the pandemic of the novel coronavirus infection “COVID-19”, the author describes the changes that in the course of overcoming crises took place in consciousness of the Russian people with regards to the effectiveness of different level of government, as well as the conclusions drawn by the Russian Federal Center out of that crisis. Among the main conclusions, the author indicates the need of the Russian citizens for the strong and effective governance that would be directly related to the citizens and be within their reach. The author believes that such need corresponds the principle of the uniform system of public authority founded in the revised Constitution of the Russian Federation of 2002, which most consistently implements the principle of subsidiarity.

scholarly journals Detectability of the novel coronavirus (SARS-CoV-2) infection and rates of mortality for COVID-19 in different regions of the Russian Federation

2020 ◽  
Author(s):  
Edward Goldstein
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Respiratory Symptoms ◽  
Case Fatality ◽  
Laboratory Diagnosis ◽  
The Novel ◽  
Active Testing ◽  
The Russian Federation ◽  
Novel Coronavirus ◽  
Related Mortality

AbstractRelevanceLaboratory diagnosis of the novel coronavirus (SARS-CoV-2) infection combined with tracing/quarantine for contacts of infected individuals affects the spread of the SARS-CoV-2 infection and levels of related mortality. At the same time, testing practices for SARS-CoV-2 infection vary in the different regions of the Russian Federation. For example, in the city of St. Petersburg, where mortality rate for COVID-19 is the highest in the Russian Federation on Oct. 25, 2020, every death for COVID-19 corresponds to 15.7 detected cases of COVID-19 in the population, while the corresponding number for the whole of Russia is 58.1, suggesting limited detection of mild and moderate cases of COVID-19 in St. Petersburg. Additionally, while in some regions in Russia, all individuals with respiratory symptoms presenting for medical care are tested for SARS-CoV-2 infection, in a number of other regions in Russia, only certain categories of individuals presenting for medical care with respiratory symptoms were tested for the SARS-CoV-2 infection prior to Oct. 26, 2020.Materials & MethodsMore active testing for SARS-CoV-2 in the population results in increased detectability (i.e. the proportion of detected COVID-19 cases among all cases of SARS-CoV-2 infection in the population) and decreased case-fatality ratio (CFR, the proportion of deaths among reported COVID-19 cases in the population) – this because under more active testing, the number of mild and moderate cases of COVID-19 increases. We used data from the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor) on the number of detected cases and the number of deaths from COVID-19 in the different regions of the Russian Federation to examine the correlation between case-fatality ratios and rates of mortality for COVID-19 in different regions of the Russian Federation.ResultsThe correlation between case-fatality ratios and rates of mortality for COVID-19 in the 85 different regions of the Russian Federation on Oct. 25, 2020 is 0.64 (0.50,0.75). For several regions of the Russian Federation, detectability of SARS-CoV-2 infection is relatively low, while rates of mortality for COVID-19 are relatively high.ConclusionsDetectability of the SARS-CoV-2 infection is one of the factors that affects the levels of mortality from COVID-19 – higher detectability contributes to lower rates of mortality for COVID-19. To increase detectability, one ought to test all individuals with respiratory symptoms seeking medical care for SARS-CoV-2 infection (which is also suggested by the recent recommendations from the Ministry of Health), and to undertake additional measures to increase the volume of testing for SARS-CoV-2. Such measures, in combination with quarantine for infected cases and their close contacts help to mitigate the spread of the SARS-CoV-2 infection and diminish the related mortality.

Recommendations of the Ministry of Health of the Russian Federation on the formation of a temporary staff table of a medical organization providing medical care to citizens with coronavirus infection COVID-19

2020 ◽  
pp. 5-12
Author(s):  
Olga Shinkareva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Organization ◽  
Ministry Of Health ◽  
Organization Of Work ◽  
Coronavirus Infection ◽  
The Russian Federation

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.

Work of the clinical expert department of the ophthalmosurgical clinic in the context of a pandemic of the novel coronavirus disease

2021 ◽  
pp. 9-14
Author(s):  
O.B. Baleva ◽  
◽  
N.V. Savchenko ◽  
V.V. Egorov ◽  
◽  
...  
Keyword(s):  
Social Distance ◽  
State Institution ◽  
Insurance Companies ◽  
Medical Documentation ◽  
Federal State ◽  
The Novel ◽  
Coronavirus Infection ◽  
Novel Coronavirus ◽  
Clinical Expert

Changes in work of the clinical expert department of the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution (the Khabarovsk branch) in the context of a pandemic of the novel coronavirus disease were analyzed in the article. The difficulties that have appeared in all sections of the work performed are described, both medical and expert: the time for checking the quality of filling out medical documentation has increased due to the identification of a larger number of defects; the time for medical control and discharge of patients from the hospital has increased due to the impossibility of accumulating patients in one place and the need to maintain social distance; difficulties arose in working with experts from insurance companies due to the lack of direct communication (medical records are checked outside the Khabarovsk branch). The concern of people about the possibility of carrying out surgical treatment in conditions of coronavirus infection was expressed in an increase in the information load of the «Question - Answer» section on the website of the Khabarovsk branch and, accordingly, on the doctors in the clinical expert department working with it. Key words: pandemic, COVID-19, SARSCoV-2, anti-epidemic measures, personal protective equipment, social distance, treatment control, medical documentation, medical and economic expertise.

scholarly journals The Pavlov University experience in medical assistance for patients with the novel coronavirus infection: first results and lessons

2021 ◽  
Vol 18 (2) ◽  
pp. 7-16
Author(s):  
S. F. Bagnenko, ◽  
Yu. S. Polushin ◽  
I. V. Shlyk ◽  
V. M. Teplov ◽  
E. A. Karpova ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Medical Center ◽  
Demographic Data ◽  
Third Wave ◽  
The Novel ◽  
Medical Department ◽  
Results Of Treatment ◽  
Coronavirus Infection ◽  
Novel Coronavirus

The constant mutation of the virus and the complicated epidemiological situation in other countries keep the probability of a third wave of the pandemic in the Russian Federation fairly high. It is important to summarize the gained experience as fast as possible to use it appropriately once it is needed.The objective: to analyze the specific parameters of care for critically ill patients with the novel coronavirus infection in Pavlov Multidisciplinary Medical Center.Subjects and methods. This is a result-based report on the work performed by the Infection Center, which was deployed twice in Pavlov Multidisciplinary Medical Center (from 28.04.2020 to 03.08.2020 and from 01.11.2020 to 15.03.2021). Totally, 3,830 patients with SARS-CoV-2 were managed (1,680 patients during the first deployment and 2,150 patients during the second one). In the preparatory period, the operation of the emergency department based on the inpatient emergency medical department (EMD) had been simulated to clarify its staff structure and the procedure for admission, examination, and treatment of patients. Here we compare the organizational approaches during the first and second waves of the pandemic and present the characteristics of the demographic data of the treated patients, the incidence of certain complications, and outcomes.Results. The overall lethality in the Center made 6.2%. Despite the experience gained in the first wave, the results of treatment during the second wave (autumn-winter) did not improve (5.7% died in the first wave and 6.7% in the second one). Lethality in ICU and EMD was 40.0% and 49.6%, in ICU only – 38.5% and 46.9% respectively. A moderate lethality increase in ICU was due to the concentration of critically ill and most critically ill patients. There were 51.4% of patients with comorbidities and 53.5% were above 65 years of age. Refinement and differentiation of tasks performed by departments, simulation of the operation of the Center before opening made it possible to increase the throughput of the medical unit avoiding rush during admission and deterioration the quality of treatment.Conclusion. Certain aspects of the organization of medical care affect the performance of a multidisciplinary medical institution transformed into an infectious diseases hospital. The experience gained under such circumstances can be useful in other emergencies with a large number of victims and patients.

scholarly journals Treatment of patients with malignant lymphoproliferative diseases in the Russian Federation: analysis of the data from 75 regions

2019 ◽  
Vol 11 (4) ◽  
pp. 3-15
Author(s):  
G. R. Hachatryan ◽  
T. S. Teptsova ◽  
V. A. Lemeshko ◽  
N. Z. Musina
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Hodgkin’S Lymphoma ◽  
Hodgkin's Lymphoma ◽  
High Tech ◽  
Lymphoproliferative Diseases ◽  
Number Of Patients ◽  
Icd 10 ◽  
The Russian Federation ◽  
Specialized Institutions

The aimis to analyze the medical records of patients with malignant lymphoproliferative diseases (LPD) in the Russian Federation in 2016- 2017.Materials and methods. Treating physicians in 75 regions of the Russian Federation were asked to fill the survey questionnaire containing 9 types of malignant LPDs (according to the ICD-10 classification). The questions covered the epidemiology of LPD (prevalence, resistant forms, relapses and mortality), the existence of specialized institutions and beds, the costs of medical care in patients with malignant LPD, and the financial support of pharmacotherapy in these patients during their hospital stay.Results. We found that the most common malignant LPD in 2016-2017 was Hodgkin’s lymphoma (73.5 and 73.4%, respectively). The prevalence of resistant forms and recurrences of malignant LPD over this period accounted for 6.8% of the total patient population. In 2017, the number of patients who died was 7.5% less than that in 2016. There are 815 and 1,763 specialized institutions of the oncology and hematology profiles that provide medical care to children and adult patients, respectively. Among the malignant LPDs, the highest costs of drug therapy in 2016 pertained to lymphosarcoma, and in 2017 – to Hodgkin’s lymphoma. In the system of compulsory health insurance (OMC), the largest spending for both adult and pediatric patients in 2016 and 2017 was accounted for Hodgkin’s lymphoma; a similar result was obtained for the cost of therapy based on high-tech medical care.Conclusion. In 2017, the total number of patients with malignant LPD in the Russian Federation increased by 2.65% as compared to 2016, while the proportion of primary LPD decreased by 1.2%. In 2017, the total costs of drug supply in patients with malignant LPD in the RF increased by 55.35% as compared with 2016.

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