PROBLEMS OF SUPPLY OF MEDICAL STAFF IN HEALTH CARE INSTITUTIONS

Author(s):  
L. V. Birukova ◽  
E. Y. Apkhanova ◽  
O. G. Tolkaneva

The article describes the problems of staffing budgetary medical institutions of the Khabarovsk Territory; the reasons for the staff shortage were revealed; the main directions of the regional program for the development of the health care system and the problems of its implementation in medical institutions are considered

1929 ◽  
Vol 25 (5) ◽  
pp. 570-573
Author(s):  
R. A. Luria

The issues of raising the qualifications of doctors occupy a prominent place in the Soviet health care system and it can be said without exaggeration that improvement is currently the task of each individual doctor, both in the periphery and in the center. This task is given to him every day by life itself, starting with the exuberant growth of the population's needs for qualified and special medical care and ending with a huge network of preventive and medical institutions of the People's Commissariat for Health, constantly in need of not only doctors in general, but especially demanding specialists who are at the height of modern medical knowledge. The institutes for advanced training of doctors, numerous special scientific Institutes of the People's Commissariat of Health, various kinds of individual courses of all kinds are conducting intense and fruitful work to replenish the knowledge of a doctor and to develop scientifically educated specialists in all fields of medicine


2020 ◽  
Vol 73 (8) ◽  
pp. 1771-1779
Author(s):  
Małgorzata Paszkowska

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.


2021 ◽  
Vol 3 (2) ◽  
pp. 161-168
Author(s):  
Said Said Elshama ◽  
◽  

Change is a learning process modeling the attitudes and values of the involved staff to adapt and show the change in daily work life. Leading the change in medical schools or in the health care system is considered one of the assignments of successful leadership that can achieve an effective organizational change under complex conditions. This review aims to show an implementation view about how to manage the change in medical institutions and how to overcome obstacles, and how to face the challenges. The resistance to change represents a major obstacle to the change process in any medical school or health care system. Thus, it should address this resistance by creating a suitable climate for carrying out the change based on a flexible strategy that may be translated into practical steps during the implementation. Moreover, the change should be institutionalized wherein new behaviors are persisting and generalizing in the medical school or the health care system as a result of the change application. In addition, the successful management of change in any medical school or system requires a well-functioning and efficient management system for achieving the intended results. Therefore, many benefits may be gained as a result of the success of a change process in any organization wherein it improves the effectiveness and efficiency of organizational and staff performance besides creating an opportunity for getting the best practices.


Author(s):  
A.I. Vlasova

On the basis of different sources, mainly annual regional statistical surveys, the stages of the formation of the health care system of the Semipalatinsk region of the Steppe Governor General are revealed. At the first stage, the end of the 60s — 80s of the 19th century, the accession of the Steppe Territory to the Russian Empire was completed. The integrating policy of this ethnoregion into the political-legal and socio-economic space of the empire was initiated. In the social sphere, it led to the creation of a health system. The procesas had a number of specific features due to the absence of zemstvos and zemstvo medicine and the predominance of Kazakh nomads in the ethnosocial structure of the region. Therefore, in contrast to the central regions of Russia, the development of the health care system in the Steppe Territory was dealt with by the provincial and regional administrations. The second stage (the end of the 80s 19th century — 1917) is associated with the beginning of the mass migration of peasant migrants from the European part of Russia to the Steppe Territory. This stage is characterized by the expansion of the network of regional and county medical institutions, the improvement of their material and technical base, the expansion of the specialization of practicing doctors, and the solution of the personnel problem. Also, at that stage, the system of management of medical institutions was improved and government organizations, for example, the Resettlement Department, were involved in solving problems related to health care services for the p opulation. In general, statistics show that by 1917 the quality of health care services and the percentage of population involvement remained at a low level.


2021 ◽  
Vol 30 (3) ◽  
pp. 499-545
Author(s):  
Jinhyouk KIM

Immediately after the liberation, the health care system debate was studied focusing on the orientation of the American and Soviet medical systems, roughly divided into Lee Yong-seol and Choi Eung-seok. However, the existence of people who are not explained in the American and Soviet health care systems’ orientation led to the need to reconsider the existing premise. Therefore, this study identifies the characters that were not explained in the perspective of existing studies, and reevaluates the arguments of Lee Yong-seol and Choi Eung-seok. This paper raises the following questions: First, what is the background of the policy orientation that Lee Yong-seol and Choi Eung-seok had? Second, if there are people who made different arguments from Lee Yong-seol and Choi Eung-seok, what direction did they set and argue? third, how the orientations of Lee Yong-seol and Choi Eung-seok and etc. converge into the answer to the Joint Soviet-American Commission? In response to theses questions, this study confirms the following: first, Lee Yong-seol’s and Choi Eung-seok’s health care policies were established based on realism and empiricism. As a policyholder, Lee Yong-seol emphasized withholding medical state administration and raising the level of medical education and medical systems according to the condition at that time, although the American system was mobilized by Lee as the basis for his judgment and administrative assets. On the other hand, Choi Eung-seok aimed for a Soviet-style systems in health care but this was realistically put on hold. Choi insisted on the establishment of the Medical Service Associations and rural cooperative hospitals that appeared in Japan’s medical socialization movement. In summary, immediately after the liberation, Lee Yong-seol’s and Choi Eung-seok’s policy arguments were based on policies that could be implemented in Korea, and the American system and Soviet system served as criteria for the policy resources. Second, Jeong Gu-chung and Kim Yeon-ju show that the topography of the health care debate immediately after the liberation was not represented only by Lee Yong-seol and Choi Eung-seok. Both Jeong and Kim were consequently led to medical socialization, which was the implementation of a health care system that encompasses social reform, but the context was different. Jeong drew the hierarchy of the health care system, which peaked in the United States, from the perspective of social evolution based on his eugenics, but the representation suitable for Korea was the Soviet model absorbed into his understanding. On the contrary, Kim argued that representations suitable for Korea should be found in Korea. As national medical care, Kim’s idea aimed at a medical state administration that provides equal opportunities for all Koreans. Third, the aspect of convergence to the Joint Soviet-American Commission reply proposal was complicated. Among the policies of Lee Yong-seol, the promotion of missionary medical institutions and the gradual planning of medical institutions converged into the three organizations’ proposal, and Choi Eung-seok’s policy was almost the same as that of the Democracy National Front and the South Korean Labor Party. However, the medical system of Japan, the colonial home country, appears to have been based on Lee Gap-soo, chairman of the Korean Medical Association in the colonial period, and the plan was in line with the use of the union system of the left-wing organizations’ proposal in the south. It was in accordance with a common task to expand health care from colonial conditions to different status.


2018 ◽  
Vol 6 (1) ◽  
pp. e9 ◽  
Author(s):  
Amanda Nikolic ◽  
Nilmini Wickramasinghe ◽  
Damian Claydon-Platt ◽  
Vikram Balakrishnan ◽  
Philip Smart

2021 ◽  
Vol 77 (2) ◽  
pp. 9-25
Author(s):  
L. P. Petrashko ◽  
◽  
O. V. Martyniuk ◽  

The article actualizes and structures significant problems of the medical sphere that arise in the context of the COVID-19 pandemic, in terms of the relations vectors: global world – state – person, state – clinic – society, clinic – doctor (medical staff), clinic – patient, doctor (medical staff) – the patient. The authors presented the evolutionary context of the norming process of medical resources and emphasized the hierarchical scheme of the regulation process of scarce resources norming in the health care system under the pandemic crisis conditions. The paper substantiates approaches to making medical decisions on “sorting” and applying a number of its forms depending on various regional, national, religious, and local models of the ethical values system formation. Emphasis is placed on American and European models of bioethics. The authors consider the utilitarian approach to preparing medical solutions of “clinical sorting” to level ethical catastrophes in a pandemic based on Catholic ethics. The issues of regulated norming of scarce medical resources and the “clinical triage” of patients during the COVID-19 pandemic in Ukraine have been investigated. The main bioethical dilemma of the COVID-19 pandemic is outlined. The authors actualize criteria and models of ethical medical solutions for equitable allocation of scarce medical resources in the context of the COVID-19 pandemic. These criteria and models are defined in the Ethical Guidelines for Responding to COVID-19 of the Bioethics Committee at the Council of Europe, the US Department of Health and Human Services; in normative documents in the field of ethics of medical decisions during the COVID-19 pandemic of the National Medical Associations, chambers, centres of bioethics of Italy, Hungary, USA, Great Britain; in the guidelines of national, religious and local institutions for the preparation of medical decisions for the levelling ethical catastrophes during the pandemic and the studies of international bioethics experts. The paper identified the need to formalize the fair distribution of scarce resources during the COVID-19 pandemic in Ukraine. The authors suggested recommendations for the implementation of ethical values and priorities for their application in critical conditions of shortage of medical resources and personnel in the COVID-19 pandemic in the health care system of Ukraine.


2021 ◽  
Author(s):  
Lilia Krinichko ◽  
◽  
Oleksiі Motaіlo ◽  

In modern conditions, the effectiveness of management of facilities largely depends on the quality of information support of the management of these facilities. The availability of reliable, timely and optimal information on the state of facilities and trends in their development should facilitate the development and adoption of the most optimal and effective decisions on health care management in both the industry and specific health care institutions. The article identifies the importance and significance of the use of information and computer technologies in public administration of the health care system. The place of public administration in the processes of application of information and computer technologies is considered. The levels of introduction of information and computer technologies in the state management of the health care system are characterized. The peculiarities of using the eHealth system for the purpose of digitalization of public administration and realization of medical services in Ukraine are determined. It has been proven that the implementation of eHealth in the health care system requires careful monitoring and communication process between healthcare professionals, patients, end users of health services. The characteristic of the technological accounting tool, which is the main component of the eHealth system, is given. The process of eHealth implementation in the modern healthcare system in Ukraine is analyzed. The main advantages and problems of the implementation and development of a single electronic health care system eHealth are described. The directions of improvement of the process of introduction of information and computer technologies in the information and communication system of public administration in the field of health care of different levels are investigated, namely: realization of the project of development of innovative information and computer system on communication between health care institutions concerning treatment patient, implementation of the project of development of the database on doctors and personnel reserves of different levels, implementation of the project of development and formation of the database on the state of public health.


2019 ◽  
Vol 72 (5) ◽  
pp. 887-891
Author(s):  
Serhii V. Knysh ◽  
Sergiy M. Gusarov ◽  
Nikolay L. Shelukhin ◽  
Ivan F. Kharaberiush ◽  
Viktoriia R. Bila

Introduction: A new medical reform started in Ukraine from January 1, 2018, new bills were drafted and the current legislation was amended. The legislator began to gradually abandon organizational and legal ways to improve the functioning of medical institutions in order to develop the market of medical services, as well as to ensure the protection of patients’ rights. The main issue of health care reform was the improvement of state administration, in particular the creation of new mechanisms for financing medical institutions. The aim: The objective of the article is to conduct theoretical study of the specific features of state administration in the health care sphere in Ukraine and to substantiate practical recommendations for its improvement taking into account the European integration processes. Materials and methods: The author of the article has used the methods of analysis and synthesis, as well as a comparative legal method. The analysis of the current legislation and world experience in reforming the medical sector assisted to determine the problematic issues of this publication, as well as to formulate the author’s point of view on the ways to improve state administration through the health care system under conditions of medical reform in Ukraine. Review: The author has studied the directions for the modernization of state administration by the health care system in the context of medical reform in Ukraine. Conclusions: It has been emphasized that the management reform by its nature does not pay enough attention to ensuring the medical rights of citizens, as evidenced by the legislation’s provisions regulating the access to a patient data. Improving public administration of the health care sphere is possible through the involvement of a group of international experts from among the EU Member States to determine the optimal mechanism for transitioning to the system of compulsory state health insurance.


2020 ◽  
Vol 1 (1) ◽  
pp. 24-30
Author(s):  
Serhii Makarenko ◽  
Vladyslav Danko

In modern conditions, the priority task for Ukraine is the institutional transformation of the economy, the main purpose of which is to ensure sustain-able socio-economic development. Healthcare is one of the most important elements of social infrastructure of society. Its functioning ensures the reproduction of human potential, determines the ability of the national economy as a whole in the long term to respond promptly to changes of the business environment. The purpose of the article is to identify the main trends and to predict the future development of health care in Ukraine. The methodological basis of the research consist of the scientific works of domestic, foreign scientists and leading experts, statistical and analytical materials of state authorities. A questionnaire was selected as the method of data collection for the study. The survey was conducted among the top executives of educational institutions, local authorities, Kherson trade union organizations. The results were obtained through the use of methods such as: expert method to study the impact of market factors on health; economic and mathematical methods for predicting trends in health care; abstract-logical method for theoretical generalization and formulation of conclusions. The results of the study indicate that to improve the organization of the health care system in Ukraine, it is necessary to create approaches to the development of key indicators of the system that can be applied at both national and regional levels. The governance model under development should allow to create the approaches that will give a qualitative prediction of the main indicators of health system development, primarily at the regional level, as a basis for testing and further implementation throughout Ukraine. The construction of prognostication scenarios for the development of health care for the example of the Kherson region (Ukraine) revealed the most important factors that have a significant impact on the overall outcome: the number of first reported cases of diseases in the total in the region. According to the views of the involved experts, considering the level of correlation, the following indicators are most influential: the real disposable income of the population, the economically active population aged 15-70 years, the number of hospitals, the number of doctors of all specialties and the average medical staff. It is established that in the short term the number of economically active population aged 15-70 years and the number of doctors of all specialties and medical staff have a significant impact on the number of first registered cases of diseases. Therefore, the top management of na-tional health care institutions should first and foremost ensure the development of an effective system of motivation for workers (doctors of all specialties and medical staff) to perform functional responsibilities effectively and improve the quality of medical services provided as a basis for ensuring prompt detection of cases of disease among population especially aged 15-70 years.


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