scholarly journals Problems of formalization of the mentoring institute in healthcare and ways of solving them

2021 ◽  
Vol 65 (5) ◽  
pp. 461-466
Author(s):  
Yulia V. Burdastova
Keyword(s):  
Healthcare Sector ◽  
Highly Qualified ◽  
Structured Interviews ◽  
Sociological Study ◽  
Department Of Health ◽  
Medical Institutions ◽  
Long Time ◽  
Quality Of Medical Care ◽  
Mentoring System

Introduction. This study focuses on the formalization of the institution of mentoring in health care. The mentoring system in Russia has existed for a long time. Still, there is a particular interest in this topic since the requirements for the quality of medical care are changing, new challenges arise in the healthcare sector, and reducing staff turnover and retaining highly qualified specialists in the workplace arises. Targets and goals. The aim of the study is to clarify the need for institutional consolidation of the institution of mentoring. The tasks of the work included identifying factors motivating or demotivating medical workers to participate in the mentoring system, as well as the search for problems of formalizing the institution of mentoring. Material and methods. The author conducted a sociological study in Moscow: a mass questionnaire survey among doctors and nurses in 6 medical institutions subordinated to the Department of Health of the city of Moscow and a series of in-depth structured interviews with representatives of medical organizations in charge of mentoring in their organizations (17). Analysis of quantitative data was carried out using the construction of classification trees using the CHAID method. Results. The main issue that experts propose to spell out when formalizing mentoring is the skills and abilities. Employee willingness to become mentors varies. The study found that physicians over the age of 27 are most likely to become mentors convinced of the need to introduce and expand mentoring in the workplace. Young doctors under the age of 27 are less likely to take on the mentoring function due to a lack of confidence in their qualifications, as well as older colleagues who are dissatisfied with the working conditions in the workplace and do not consider it necessary to introduce or expand a mentoring system in their organization. Conclusion. The study showed that experts have a positive attitude to formalizing the institute of mentoring, noting that there should be a single document of a recommendatory nature.

scholarly journals Mentoring in healthcare: trend or necessity?

POPULATION ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 148-154 ◽  
Author(s):  
Yulia V. Burdastova
Keyword(s):  
Medical Personnel ◽  
Practical Experience ◽  
Poor Quality ◽  
World Health ◽  
Expert Interviews ◽  
Sociological Study ◽  
New Employees ◽  
Department Of Health ◽  
Medical Institutions ◽  
Mentoring System

The article attempts to assess the necessity for a mentoring system in medical institutions in Moscow. It presents the results of a sociological study, conducted in 2019, which include the analysis of expert interviews (among the experts were heads of the medical institutions subordinate to Moscow Department of Health, institutions of secondary vocational education, additional vocational training, and relating higher educational institutions). Starting with consideration of the issues concerning the attitude of experts to the topic of mentoring, the author identified the need to introduce mentoring in medical institutions, as well as the conditions for organization of effective functioning of the mentoring system, such as choosing a mentor, encouraging him, the timing of mentoring, etc. The author emphasizes that the institution of mentoring is necessary both to help new employees adapt and to help young professionals gain practical skills. According to experts, there is a gap between basic theoretical training and practical experience of young employees, which can be filled with the help of a mentoring system in medical organizations. Analyzing the expert interviews, the author comes to the conclusion that due to the lack of a legal basis for the mentoring system inRussia, it should be said that mentoring is proactive. This article also provides a review of international experience, recommendations of international organizations concerning the personnel crisis in medicine, and the main problems of the world health systems hampering achievement of the millennium goals and economic growth. Among the main barriers highlighted by WHO are the following: lack of medical personnel, uneven geographical distribution of medical workers, lack of access to medical services among the population, poor quality of medical care, etc.

scholarly journals ANALYSIS OF SELF-RATED HEALTH BY RESIDENTS OF THE UNTSUKUL DISTRICT, REPUBLIC OF DAGESTAN (ON RESULTS OF THE QUESTIONNAIRE SURVEY)

2018 ◽  
Vol 13 (3) ◽  
pp. 107-119
Author(s):  
Patimat A. Bekshokova ◽  
Gayirbeg M. Abdurakhmanov ◽  
Kerim S. Bekshokov ◽  
Patimat I. Gabibova ◽  
Kazbek K. Bekshokov ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Rural Settlements ◽  
Medical Activity ◽  
Self Rated Health ◽  
Medical Institutions ◽  
Public Health Institutions ◽  
Quality Of Medical Care ◽  
Health Institutions

Aim.To carry out a comparative analysis of self-rated health, medical activity, and satisfaction with the quality of medical care in public health institutions by residents of rural settlements of the Untsukul district, Republic of Dagestan.Methods.The study was conducted by the method of questioning 2643 respondents, among them 1453 women and 1181 men.Results.According to the results of the survey, the majority of the interviewed residents of Untsukul district (68.2%) are satisfied with their health. Medical activity of the population at the time of the study was 60.6%. As to respondents who applied to the medical institutions of the Untsukul district during this period, 13.5% are not satisfied with the quality of medical care in public health institutions, 23.5% are fully satisfied, 30% are not fully satisfied.Conclusion.A social survey in the form of a questionnaire is one of the most effective methods of obtaining information about the self-rated health of the population. Timely analysis of medical activity of the population, its satisfaction with the quality of medical care will improve the efficiency of the health system.

scholarly journals Evaluation of the Quality of Medical Care to the Population at the Level of Day Stations and Emergency Stations

2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Chronic Diseases ◽  
Emergency Care ◽  
Rural Population ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical Institutions ◽  
Quality Of Medical Care

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

scholarly journals General characteristics of the construction stage of pre-competitive training

2020 ◽  
pp. 181-185
Author(s):  
V. Tereshchenko ◽  
B. Koropatov ◽  
P. Nikolenko
Keyword(s):  
Practical Importance ◽  
Technical Training ◽  
Main Task ◽  
Highly Qualified ◽  
Training Process ◽  
Organization And Management ◽  
Long Time ◽  
High Level ◽  
Training Exercises

In the article the analysis of construction of training is given in the annual loop of preparation of decathlon competitors, that allows to manage a sport from and provides continuous development of trained. The problem of preparing athletes to competitions is one of the most important in sports training. It is of great practical importance. The increase of the level of sports results is a consequence of a significant increase in the amount of training loads. Further growth of sports results is possible provided the quality of the training process is improved. Analysis of the performances of Ukrainian and foreign athletes at major competitions showed that the vast majority of athletes do not achieve their best results. The competitive period is characterized by the fact that the athlete must maintain for a long time a high level of special physical and technical training, which was acquired in the preparatory period. This can be achieved by using competitive and similar special training exercises. Participation in competitions makes high demands on the athlete's body, so in the competitive period, the athlete in their training sessions should include exercises of general and special nature. The stage of direct pre-competition training (SDPT) is an important component of the athlete's training process in the competitive period. Success in competitions largely depends on the effectiveness of the training process at this stage. It is shown that in the work on the organization and management of training of high-class athletes at the competitive stage, the success of the athlete's performance is largely due to correct scientifically sound predictions that can influence the organizational processes of athletics. The quality and accuracy of these decisions, the responsibility for their adoption increase even more at the stage of direct pre-competition preparation for the main start. Having one goal -performing at the main start, the most highly qualified athletes prepare for this start without speeding up their training, trying to solve the main task.

scholarly journals Audit in psychiatry: “failed discharges”

1991 ◽  
Vol 15 (1) ◽  
pp. 26-27 ◽  
Author(s):  
E. Jones
Keyword(s):  
Critical Analysis ◽  
Medical Profession ◽  
Psychosocial Care ◽  
Medical Audit ◽  
Department Of Health ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Problems ◽  
Medical Specialities

Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patients (Department of Health, 1989). The medical profession has been under pressure to extend and improve audit procedures in recent years (McKee et al, 1989), but there have been doubts about the most satisfactory methods, particularly in psychiatry (Garden & Oyebode, 1989). There are numerous methodological problems in measuring the outcome of psychosocial care (Shaw, 1989; Royal College of Psychiatrists, 1989). Indicators of outcome which have been used in medicine include incidence of adverse events. Reintervention rates do offer some measure of outcome, and have been used widely in other medical specialities.

Sanitary and hygienic regime in medical institutions of general practice

2021 ◽  
pp. 14-23
Author(s):  
Vladimir Anatolievich Klimov
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Infection Control ◽  
Medical Care ◽  
Nosocomial Infections ◽  
System Organization ◽  
Modern Medicine ◽  
Medical Institutions ◽  
Quality Of Medical Care

The problem of infectious safety is extremely urgent in modern medicine. To date, it is not possible to determine the reliable prevalence of nosocomial infections, since this indicator is significantly underestimated according to available statistical reporting. The development and implementation of a sanitary and hygienic monitoring system, organization of the work of the infection control commission is an important element in improving the quality of medical care by a general practitioner.

Social portrait of a professional group of doctors in the regional healthcare

2020 ◽  
pp. 70-74
Author(s):  
M. G. Eremina ◽  
E. P. Kovalev ◽  
V. L. Krom
Keyword(s):  
Health Care ◽  
Public Health System ◽  
Professional Group ◽  
Sociological Study ◽  
Regional Health ◽  
The Public ◽  
Primary Health ◽  
Regional Health Care ◽  
Quality Of Medical Care

The article presents the results of a sociological study «Social portrait of a professional group of doctors in regional health care», for which a survey of 976 doctors of state, municipal and private medical organizations of the Saratov region was conducted. In regional health care, there is a shortage of polyclinic doctors in the public health system (–986 doctors) with a small surplus of doctors in inpatient medical organizations (+91). The main deficit (–939 people out of the estimated 3727 people) was established among the doctors of the district service, which determines the low availability and quality of medical care in the provision of primary health care, which is the basis of the Russian health care system.

Assessment of the quality of medical care for children in rural areas

1997 ◽  
Vol 78 (6) ◽  
pp. 464-465
Author(s):  
E. V. Karpukhin
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Social Economic ◽  
Geographical Factors ◽  
Medical Institutions ◽  
Quality Of Medical Care

The main feature of the system of medical care for the rural population created in our country is its phased nature, starting from feldsher-midwife stations to regional, territorial and republican institutions. Due to the peculiarities of rural population settlement, large distances to medical institutions, poor roads, lack of regular transport communication, low technical availability of communication facilities, as well as a number of social, economic and geographical factors, there are problems in the organization of medical care for this contingent.

Building a Quality System in Medical Institutions. International and Russian Experience

2020 ◽  
Vol 144 ◽  
pp. 56-65
Author(s):  
Leonid M. Pechatnikov ◽  
◽  
Natal’ya V. Petrova ◽  
Artem V. Emanuel’ ◽  
Inna O. Churekova ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Management ◽  
Infectious Diseases ◽  
Medical Care ◽  
Quality Management System ◽  
Healthcare Sector ◽  
Medical Institutions ◽  
Force Majeure

The coronavirus pandemic, which covered a variety of countries with different health systems in terms of organization and development in 2020, brought to the fore not only the issues of predicting and treating mass infectious diseases, but also the problems of assessing the quality of both medical care and its effectiveness. Accordingly, building a quality management system in the healthcare sector as a whole is of paramount importance as well as the introduction of quality management in medical organizations in the new environment. In addition to solving the acute problems, which public health faced with in the fight against COVID-19, it is necessary to build long-term strategies for its functioning and development in order to avoid such force majeure in the future.

The significance of theme expertise of the quality of medical care in achieving successful results in treating patients with acute gastrointestinal bleeding

2020 ◽  
Vol 22 (3) ◽  
pp. 56-60
Author(s):  
O. N. Skryabin ◽  
K. N. Movchan ◽  
D. A. Tvorogov ◽  
V. V. Tatarkin ◽  
Yu. M. Morozov ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Medical Care ◽  
Diagnostic Process ◽  
Negative Consequences ◽  
Acute Gastrointestinal Bleeding ◽  
Abdominal Organs ◽  
Medical Institutions ◽  
Medical Diagnostic ◽  
Quality Of Medical Care

Abstract. This piece of work has evaluated the quality of medical care provided in 2015 to 1,158 patients with acute gastrointestinal bleeding in 11 medical institutions of Saint Petersburg that are licensed to provide in-patient examination and treatment for people with acute surgical diseases abdominal organs. The data on the possible correlative relationship of negative consequences for the implementation of the medical treatment and diagnostic process in cases of insufficient activity in terms of conducting clinical expert work on the profile of emergency abdominal surgery have been analysed in particular. It has been shown that providing medical care to patients with gastrointestinal bleeding is associated with defects in the medical diagnostic process in almost every second case. In the structure of inaccuracies, there prevailed cases of improper examination and treatment of patients (48 and 36%, respectively). Defects in making diagnosis and providing continuity comprise 13 and 3% respectively. The most significant drawback in providing medical care to patients with gastrointestinal bleeding was the use of low-effective anti-ulcer drug therapy schemes (16% of observation cases) and attempts to perform hemostasis by using outdated technologies of intraluminal endoscopy (16% of cases). It is noted that in cases of providing medical care to patients with acute gastrointestinal bleeding, a differentiated principle should be observed. It is proved that the proper quality of medical care for patients with acute gastrointestinal bleeding can be achieved by consistent, programmed provision of it with coordinated activities not only of surgeons directly involved in the treatment and diagnostic process, but also with their purposeful interaction with specialists of other medical fields.

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