Saving Polly: Can Professional Self-regulation Play an Ongoing Role in the Delivery of Medical Care?

2016 ◽  
pp. 165-184
Keyword(s):  
Medical Care ◽  
Self Regulation ◽  
Professional Self ◽  
Delivery Of Medical Care

ANALYSIS OF THE MAIN INDICATORS CHARACTERIZING MEDICAL CARE FOR CHILDREN WITH CANCER IN SAINT-PETERSBURG AND IN THE LENINGRAD REGION IN 2013-2017

2019 ◽  
Vol 65 (1) ◽  
pp. 77-82
Author(s):  
Maksim Rykov ◽  
Ivan Turabov ◽  
Yuriy Punanov ◽  
Svetlana Safonova
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Statistical Data ◽  
Leningrad Region ◽  
Children With Cancer ◽  
Health Committee ◽  
The Government ◽  
Delivery Of Medical Care ◽  
One Year ◽  
The One

Background: St. Petersburg is a city of federal importance with a large number of primary patients, identified annually. Objective: analysis of the main indicators characterizing medical care for children with cancer in St. Petersburg and the Leningrad region. Methods: The operative reports for 2013-2017 of the Health Committee of the Government of St. Petersburg and the Health Committee of the Leningrad Region were analyzed. Results. In 2013-2017 in the Russian Federation, 18 090 primary patients were identified, 927 (5.1%) of them in the analyzed subjects: in St. Petersburg - 697 (75,2%), in the Leningrad Region - 230 (24,8%). For 5 years, the number of primary patients increased in St. Petersburg - by 36%, in the Leningrad Region - by 2,5%. The incidence increased in St. Petersburg by 18,1% (from 14,9 in 2013 to 17,6 in 2017 per 100 000 of children aged 0-17). The incidence in the Leningrad Region fell by 4.9% (from 14.4 in 2013 to 13.7 in 2017). Mortality in 2016-2017 in St. Petersburg increased by 50% (from 2 to 3), in the Leningrad Region - by 12,5% (from 2,4 to 2,7). The one-year mortality rate in St. Petersburg increased by 3,9% (from 2,5 to 6,4%). In the Leningrad Region, the one-year mortality rate decreased from 6,5% in 2016 to 0 in 2017. The number of pediatric oncological beds did not change in St. Petersburg (0,9 per 10,000 children aged 0-17 years) and the Leningrad Region (0). In St. Petersburg patients were not identified actively in 2016-2017; in the Leningrad Region their percentage decreased from 8,7 to 0. The number of oncologists increased in St. Petersburg from 0,09 to 0.12 (+33,3%), in the Leningrad Region - from 0 to 0,03. Conclusion: Morbidity in St. Petersburg and the Leningrad region is significantly different, which indicates obvious defects in statistical data. Patients were not identified during routine preventive examinations which indicate a low oncologic alertness of district pediatric physicians. Delivery of medical care for children with cancer and the statistical data accumulation procedures should be improved.

The Delivery of Medical Care in China

1974 ◽  
Vol 230 (4) ◽  
pp. 19-27 ◽  
Author(s):  
Victor W. Sidel ◽  
Ruth Sidel
Keyword(s):  
Medical Care ◽  
Delivery Of Medical Care

A structured policy review of the principles of professional self-regulation

2013 ◽  
Vol 60 (1) ◽  
pp. 13-22 ◽  
Author(s):  
D.C. Benton ◽  
M.A. González-Jurado ◽  
J.V. Beneit-Montesinos
Keyword(s):  
Self Regulation ◽  
Policy Review ◽  
Professional Self

How Much does Improved Medical Service Affect Infant Mortality?

PEDIATRICS ◽  
1972 ◽  
Vol 49 (4) ◽  
pp. 638-638
Author(s):  
Arnold Gilbert
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Community Health ◽  
Medical Service ◽  
Health Programs ◽  
Community Health Programs ◽  
Delivery Of Medical Care

The meaning of the article by Dr. Chabot in Pediatrics, June 1971 concerning improved infant mortality between 1964 and 1968 in Denver puzzled me. I wonder whether there is any relation between the improved community health programs described and the happy results presented. Surely, many factors other than medical care affect infant mortality. For example, I wonder whether the author would suggest that the startling (to me) rise in infant mortality noted in Table II for Boston, Buffalo, Phoenix, Pittsburgh and Seattle, resulted from poorer delivery of medical care.

scholarly journals The Development of Self-Regulation in Four UK Professional Communities

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Stan Lester
Keyword(s):  
United Kingdom ◽  
Prior Experience ◽  
Self Regulation ◽  
Academic Discourse ◽  
Professional Communities ◽  
Professional Groups ◽  
The United Kingdom ◽  
Professional Self

Professional self-regulation is often conceptualised as involving the delegation of state powers to professional groups.  An examination of four groups in the United Kingdom provides examples of self-regulation that have developed, with one partial exception, without the support of any statutory framework. Some common aspects of self-regulation are identified along with some differences that relate to how the professions have evolved, and to their operating contexts. Significant influences include how the profession is situated among adjacent groups, the degree of demand from clients and employers for qualified practitioners, and potentially whether the occupation is suitable as an initial career or requires  a measure of maturity and prior experience. An argument is made for greater recognition, both through practical examples and in academic discourse of self-regulation that is initiated and furthered voluntarily through negotiation between professions, their members and their clients rather than via legislative powers. 

scholarly journals Control Measures for Continuous Deep Sedation Until Death: A Framing Analysis of the Views of Physicians

2021 ◽  
pp. 104973232110376
Author(s):  
Stijn Vissers ◽  
Lenzo Robijn ◽  
Sigrid Dierickx ◽  
Freddy Mortier ◽  
Joachim Cohen ◽  
...  
Keyword(s):  
Deep Sedation ◽  
Self Regulation ◽  
Interesting Case ◽  
Control Measures ◽  
External Control ◽  
Framing Analysis ◽  
Structured Interviews ◽  
Continuous Deep Sedation ◽  
Sound Control ◽  
Professional Self

Physicians have been subject to increasing external control to improve their medical practice, and scholars have theorized extensively about their opposition to such control. However, little empirical attention has been paid to the views and reasoning that lie behind this opposition. An in-depth understanding is necessary for enhancing the effectiveness and efficiency of external controls, and continuous deep sedation until death (CDS) is an interesting case in this regard. This study aims to explore how physicians frame control measures for CDS. We conducted 47 semi-structured interviews with Belgian physicians in 2019. A qualitative framing analysis was performed to analyze their views and reasoning. This study reveals that physicians approach CDS practice and control measures with different emphases. Controlling by mechanisms of professional self-regulation and state governance are put forward as appropriate means to improve CDS practice. Policymakers should take into consideration physicians’ frames to develop sound control measures.

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