Approaches to Justifying the Size of the Official Wages of Medical Workers

2020 ◽  
Vol 2020 (4) ◽  
pp. 132-145
Author(s):  
Olga Obukhova ◽  
Irina Bazarova ◽  
Olga Gavrilenko
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Russian Federation ◽  
Current System ◽  
Minimum Size ◽  
Care Providers ◽  
Medical Organization ◽  
Wage System ◽  
The Russian Federation

One of the main factors in the formation of motivation to improve the quality and performance of employees of health care providers is a qualitatively and logically built wage system in a medical organization. The basis for calculating an employee’s salary is the amount of the salary, on the basis of which its other elements are established - compensation and incentive payments, other charges. This article is devoted to the study of regulatory issues related to the determination of the salary of employees of medical organizations. Object of study. The system of remuneration of employees of medical organizations. Subject of study. The salary of employees of medical organizations. Purpose of the study. The article discusses the problems of the current system of remuneration in health care, as well as the image/svg+xml regulations governing the determination of the size of the official salary of employees of medical organizations. The main theoretical position of the article. The salary of medical workers has a high differentiation even between the subjects of one federal district. Federal legislation regarding the approaches to the wage system is advisory in nature. Therefore, the official salary of doctors of one qualification level, approved at the level of each subject of the Russian Federation, may differ by 5 times. It is substantiated that in order to reduce the differentiation in the size of salaries for medical workers, it is necessary to establish the basic parameters that are uniform throughout the Russian Federation, including the sizes of official salaries of employees of medical organizations. It is advisable to use the value of the minimum wage, annually approved by the Government of the Russian Federation in an amount not lower than the living wage, as the minimum size of the official salary. Scope of the research results. The results can be used as the basis for the policy of improving the remuneration system for employees of federal medical organizations.

Exercise in Medicine in Russia

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Russian Federation ◽  
Research Centre ◽  
Care Providers ◽  
Primary Health ◽  
Primary Health Care Providers ◽  
The Russian Federation

Noncommunicable diseases, mainly cardiovascular diseases and cancers, and external causes account for more than 80% of mortality in Russia. The leading causes of death and disability are directly associated with behavioural risk factors, physical inactivity being one of them. Until a few years ago, a clear standard recommendation on physical activity (PA) counselling for general practitioners did not exist in Russia. In 2010, the guidelines on physical activity counselling for primary health care providers were developed. On the basis of these guidelines the national recommendations on PA were developed in 2011. They were included in the national recommendations on Cardiovascular Prevention of the Society of Cardiology of the Russian Federation. In 2012 the guidelines were adopted by the Ministry of Health of the Russian Federation and recommended to primary health care providers of all Russian regions. One of the reasons why primary health care providers are not involved enough in counselling their patient regarding a healthy lifestyle – PA as well as smoking, healthy nutrition or other habits – is that these consultations are not covered by health insurance companies. Other barriers are the absence of the topic of a healthy life-style in pre-graduate and post-graduate curricula of medical universities as well as limited counselling skills in physicians. In 2011 an educational training course for primary health providers based on the guidelines described above was established by the National Research Centre for Preventive Medicine. The further implementation of the PA recommendations depends on the one hand on their inclusion in the curricula of medical universities and on the other hand on the creation of ways for involving and motivating primary health care providers to counsel patients in this area.

scholarly journals Understanding How to Support Family Caregivers of Seniors with Complex Needs

2017 ◽  
Vol 20 (2) ◽  
pp. 75-84 ◽  
Author(s):  
Lesley Charles ◽  
Suzette Brémault-Phillips ◽  
Jasneet Parmar ◽  
Melissa Johnson ◽  
Lori-Ann Sacrey
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Research Priorities ◽  
Care Providers ◽  
Community Based ◽  
Caregiver Support ◽  
Complex Needs ◽  
Participant Engagement

Purpose of the StudyThe purpose of this study was to describe the experiences and challenges of supporting family caregivers of seniors with complex needs and to outline support strategies and research priorities aimed at supporting them.Design and MethodsA CIHR-funded, two-day conference entitled “Supporting Family Caregivers of Seniors: Improving Care and Caregiver Outcomes” was held. An integrated knowledge translation approach guided this planning conference. Day 1 included presentations of research evidence, followed by participant engagement Qualitative data was collected regarding facilitators, barriers/gaps, and recommendations for the provisionof caregiver supports. Day 2 focused on determination of research priorities.ResultsIdentified facilitators to the provision of caregiver support included accessibility of health-care and community-based resources, availability of well-intended health-care providers, and recognition of caregivers by the system. Barriers/gaps related to challenges with communication, access to information, knowledge of what is needed, system navigation, access to financial resources, and current policies. Recommendations regarding caregiver services and research revolved around assisting caregivers to self-identify and seek support, formalizing caregiver supports, centralizing resources, making system navigation available, and preparing the next generation for caregiving.Implication A better understanding of the needs of family caregivers and ways to support them is critical to seniors’ health services redesign.

scholarly journals The status of the Primary Health Care Plus pilot project in Poland

2019 ◽  
Vol 13 (2) ◽  
pp. 1-14
Author(s):  
Katarzyna Wiktorzak
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Current System ◽  
Pilot Project ◽  
Care Providers ◽  
Primary Health ◽  
The Status

Background The National Health Fund (NHF) is the public payer solely accountable for securing and organizing access to health care services in Poland. The NHF is responsible for implementing a project entitled “Primary Health Care PLUS” which aims to introduce a primary care centered model, based on coordinated, proactive and preventive methods relevant to patients’ needs and furthermore, works to keep patients well-informed and active participants in health care decision-making. The implementation period of the project is July 1, 2018 through Dec. 31, 2021. Aim of the study The purpose of this study is to outline patient demographics and staff structures of providers that took part in the PHC PLUS pilot program, as well as the status of the program throughout the first year of its implementation. Materials and Methods Following an open and transparent recruitment process, 42 urban and rural primary health care providers were selected. The purpose of the providers’ geographic spread was to ensure the model was tested in all representative regions of the country. Results 42 PHC PLUS providers attending to 288,392 patients are participating in the project. Approximately 1,100 medical staff members are involved in the project. PHC PLUS medical teams consist of specialists including physicians, coordinators, nurses, dietitians, psychologists, physiotherapists and health educators. Out of 41,022 health risk assessments declared to be conducted during the project, 18,058 (43.1%) were performed from July 1, 2018 to April 30, 2019, including 4,537 basic and 13,521 extended assessments. Furthermore, 15,020 patients in total, participated in the disease management programs, which are also paid from the project. Conclusions A Polish health care pilot project that centers primary care can help shift the focus toward preventive interventions, rather than the current system, which often focuses on providing medical care to patients who have already been diagnosed with diseases, often in their more advanced stages.

scholarly journals From the Constitution of the Russian Federation to an order: particularities of departmental rule-making in health care

2021 ◽  
Vol 2021 (2) ◽  
pp. 70-76
Author(s):  
Antonina Chuprova
Keyword(s):  
Health Care ◽  
Russian Federation ◽  
Research Problem ◽  
Medical Organization ◽  
Domestic Legislation ◽  
The Subject ◽  
The Russian Federation ◽  
Federal Laws ◽  
Rule Making

The relevance of the research is based on the role of special orders of the Ministry of Health about the realization of citizens’ rights to available and qualitative medical care by providing patients with the opportunity to choose a medical organization. Problems arising in connection with the untimely delivery of health care arise from the contradictions in the provisions of regulations that occupy different places in the hierarchy of domestic legislation. The formulation of the research problem is conditioned by the subject of the analysis, which does not only reflect the existing contradiction between departmental orders in the health care system of the Constitution of the Russian Federation and the provisions of current federal legislation, but allows us to resolve the problems of their correlation, on the basis of which a serious transformation of the not yet patient-oriented normative framework in the health care sector should take place. The objective of the study is to formulate proposals for improving the current legislation that defines the rights of citizens in the field of healthcare. Based on the results obtained, conclusions were drawn, according to which it is advisable to adjust certain provisions of departmental regulations, taking into account the rights of patients, which they are endowed with by the Constitution of the Russian Federation and federal laws in the field of health care. Based on the criminological aspect of violations in the normative acts hierarchy by departmental orders, we can speak about the emergence of a new group of corruption risks.

INVOLVEMENT OF HEALTH CARE PROVIDERS IN THE DETERMINATION OF 'BRAIN DEATH'

1999 ◽  
Vol 27 (Supplement) ◽  
pp. 102A ◽  
Author(s):  
Michael J. Schneck ◽  
Robin Eckhardt ◽  
Russell Burck
Keyword(s):  
Health Care ◽  
Brain Death ◽  
Health Care Providers ◽  
Care Providers

An Update in the Treatment of Neurologic Disorders During Pregnancy—Focus on Migraines and Seizures

2012 ◽  
Vol 25 (3) ◽  
pp. 341-351 ◽  
Author(s):  
Shannon H. Williams ◽  
Heather A. Kehr
Keyword(s):  
Health Care ◽  
Drug Therapy ◽  
Health Care Providers ◽  
Animal Studies ◽  
Care Providers ◽  
Neurologic Disorders ◽  
Pharmacokinetic Properties ◽  
Fetal Safety ◽  
Drug Studies

When drug therapy is necessary and cannot be avoided during a pregnancy, the decision of what drug therapy is best may be difficult for the health care provider because the vast majority of drugs are classified as Pregnancy Category C. This classification indicates that information regarding the risk to the fetus is unknown. For ethical reasons, pregnant women are not included in drug studies, so most decisions regarding the safety of a particular drug are based on animal studies, available cases reports, or are theoretical and are based on pharmacokinetic properties. Fortunately, with the development of Pregnancy Registries, more information has been collected, analyzed, and is available regarding the safety of drugs during pregnancy. These registries have expanded in recent years allowing better determination of fetal safety for triptans and antiepileptic drugs (AEDs). The information assists health care providers in selecting optimal therapy for women seeking pregnancy or those already pregnant. This review presents the most recent information for the treatment and prophylaxis of migraines and seizures during pregnancy.

scholarly journals Response Audit of an Internet Survey of Health Care Providers and Administrators: Implications for Determination of Response Rates

2008 ◽  
Vol 10 (4) ◽  
pp. e30 ◽  
Author(s):  
Mark J Dobrow ◽  
Margo C Orchard ◽  
Brian Golden ◽  
Eric Holowaty ◽  
Lawrence Paszat ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Response Rates ◽  
Internet Survey ◽  
Care Providers

scholarly journals PREVENTION OVERWEIGHT OF POPULATION UNDER QUARANTINE RESTRICTIONS DURING A PANDEMIC

2020 ◽  
Vol 2020 (3) ◽  
pp. 20-26
Author(s):  
Antonina Minenok ◽  
Tetiana Kiiko ◽  
Ihor Donets
Keyword(s):  
Public Health ◽  
Health Care ◽  
Body Mass ◽  
Health Care Providers ◽  
Current System ◽  
Well Being ◽  
Overweight And Obesity ◽  
The Body ◽  
Health Care Market ◽  
Care Providers

The article highlights the negative trends of deteriorating health of the population in our country, which requires a responsible attitude of society and the state to strengthen and preserve the health. It becomes necessary to identify new approaches and develop programs of problems solving in the field of public health, because the current system of health care in Ukraine does not actually provide a preventive component, as it is stated in the Concept of Public Health System Development. It is noted that among a number of dangerous diseases and other important health problems, the problem of overweight remains relevant for all age groups and has no boundaries. One of the causes of overweight and obesity is the disturbance of the energy balance between the calories consumed and the calories expended, that is, excessive consumption of high-calorie foods and low levels of physical activity, especially during a pandemic. Ensuring the health and well-being of people is one of the most important goals of the world community, reflected in the basis of European policy. The achievement of European standards of quality of life and well-being of the population is one of the main tasks defined by the Strategy for Sustainable Development «Ukraine–2020». The main directions of reforms should be to increase the personal responsibility of citizens for their own health, ensuring their free choice of health-care providers of appropriate quality, the provision of targeted assistance to the most vulnerable segments of the population, and the creation of a business-friendly environment in the health-care market. Theoretical studies on the choice of efficient methods for studying overweight suggest that scientists have proposed dozens of different approaches, including both simple measurements and the most modern and expensive. But the the definition of the body mass index (BMI) remains the most convenient. This index is more closely related to the fat content of the human body than other anthropometric body mass-to-height ratios, and is therefore widely used in clinical practice. The dynamics have been investigated and important questions of preventive action on overweight and obesity have been pointed out, the reasons for the increase of the respondent body weight have been indicated, and recommendations have been made for the preservation of individual health in the context of a pandemic.

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