quality of medical care
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2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа

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.


Public Health ◽  
2022 ◽  
Vol 1 (4) ◽  
pp. 34-48
Author(s):  
D. O. Ivanov ◽  
V. K. Yuryev ◽  
Yu. V. Petrenko ◽  
K. E. Moiseeva ◽  
I. I. Mogileva ◽  
...  

In order to assess the mortality and lethality rates of newborns in obstetric organizations of the North-Western Federal District in 2013–2019, a comparative analysis of official statistics data was carried out. It was found that in the North-Western Federal District in the period from 2013 to 2019, there was an almost annual decrease in newborn mortality rates. The overall decrease in mortality in maternity care organizations of the Federal District (from 2,5% to 1,9%) was mainly due to a decrease in mortality in obstetric hospitals of the first and second levels (respectively from 3,2% to 1,2% and from 1,7% to 0,7%), while most children died in perinatal centers, where the mortality rate has not changed in recent years (2013 – 4,1%; 2019 – 4,0%). The study showed a decrease in mortality rates in the subjects of the Russian Federation that are part of the federal district, except for the city of St. Petersburg. The average hospital lethality rate of newborns in maternity care organizations of the North-Western Federal District during 2013–2019 was in the range of 1,9%–2,0%, did not change significantly and corresponded to the national average. However, the level of hospital lethality significantly differed in individual subjects of the district – in more than half of them, the level of hospital lethality exceeded the average, while in others it was significantly lower. Thus, the decrease in the mortality and lethality rates of newborns in maternity care organizations indicates an increase in the quality of medical care for children in the North-Western Federal District. dicates an increase in the quality of medical care for children in the North-Western Federal District. 


Author(s):  
Sangeeta Pahwa ◽  
Arshdeep Kaur

Background: Gynaecologic cancers constitute huge burden of morbidity and mortality all over the world. Statistics on gynaecologic malignancies is deficient. It is the leading cause of death and disability worldwide. In India breast cancer ranks number one followed by cervical cancer. The aim of our study was to establish pattern and incidence of gynaecological malignancy.Methods: This hospital based study was conducted in Sri Guru Ramdass Institute of medical sciences and research, Amritsar on 282 patients from March 2020 to December 2020. The demographic data of all cancer patients regarding age, clinical presentation, site, staging, histopathology and treatment given was collected and was analysed in tabulated form.Results: In our study, breast cancer was the commonest malignancy encountered in 46.09% followed by cervical cancer which constituted 32.26%.Ovarian cancer was diagnosed in 15.24%, endometrial cancer in 3.19%, vulval cancer in 2.12% and vaginal carcinomas in 1.06%.Conclusions: Gynaecological cancers are one of the leading causes of cancer related deaths in women worldwide, hence it is important to be aware of various types of malignancies. In our study, cases reported in advanced stages because of lack of education and COVID scenario as patients were reluctant to visit hospitals. So we must continue to provide our gynecologic oncology patient the highest quality of medical care at the same time assuring maximum safety for patients. 


2021 ◽  
pp. 48-55
Author(s):  
O. A. Orlova ◽  
Ya. S. Gaboyan ◽  
A. I. Pivkina

In the conditions of modern realities of domestic healthcare, more and more attention is paid to the quality of medical care provided by both doctors and paramedical personnel. In order to minimize risks when performing routine medical procedures, it is necessary to create standard operating procedures that should help medical staff to provide high-quality and timely medical care in real practice. The article offers an answer to frequently asked questions regarding the development of standard operating procedures and an example of a standard operating procedure for the rehabilitation of the tracheobronchial tree and tracheostomy care.


2021 ◽  
Vol 35 (2) ◽  
pp. 185-196
Author(s):  
Krystyna Boroń Krupińska ◽  
Małgorzata Sekułowicz

The profession of a physician is a profession of social responsibility, in which medical competence should go hand in hand with non-medical competences. Mental strain, physical fatigue and entanglement in the administrative system can result in chronic stress and contribute to professional burnout, affecting both the well-being of medical staff and the quality of medical care provided. The Author’s intention is to promote mindfulness and compassion training that are considered to be protective and promoting the well-being of physicians resources in conditions of exposure to occupational stress. The analysis was based on 197 documents retrieved from the PubMed/Medline, Science Direct/Scopus databases in years 2008–2017, referring to the impact of mindfulness and compassion training on professional burnout among physicians. Only 21 papers retrieved from the scientific bases met inclusion criteria, referring to the impact of mindfulness and compassion training on professional burnout among physicians. Increasing concentration, improving memory, reducing the level of stress, anxiety and depression and strengthening kindness attitude are the basis for mindfulness and compassion training, which also supports the ability of unreactive responses to difficult situations, develops communication between the physician and the patient.


Author(s):  
Марина Михайловна Романова ◽  
Алексей Викторович Чернов

Вопросы питания занимают особое место в научной медицине и практическом здравоохранении, в условиях пандемии новой коронавирусной инфекции нуждаются в дальнейшем всестороннем изучении и развитии. Статья посвящена исследованию и анализу роли и возможностей профилактического и лечебного питания при оказании медицинской помощи в разных медицинских организациях в условиях пандемии новой коронавирусной инфекции COVID-19. Определены особенности оптимальной организации питания здоровых лиц и пациентов с новой коронавирусной инфекции с течением разной тяжести при лечении в амбулаторных и стационарных условиях, включая пациентов, находящихся в критических состояниях. Обеспечение потребностей в макро- и микронутриентах, поддержание и нормализация пищевого и метаболического статуса пациента с COVID-19 во многом определят благоприятный исход для больного с новой коронавирусной инфекцией. Полученные данные следует учитывать при проведении профилактических и лечебных мероприятий отдельным категориям пациентов на всех этапах оказания медицинской помощи. Оптимизация организации профилактического и лечебного питания пациентов с новой коронавирусной инфекцией COVID-19 на всех этапах оказания медицинской помощи будет способствовать снижению первичной и общей заболеваемости, количеству осложнений, смертности; повышению качества оказания медицинской помощи Nutrition issues occupy a special place in scientific medicine and practical healthcare, in the context of a pandemic of a new coronavirus infection, they need further comprehensive study and development. The article is devoted to the study and analysis of the role and possibilities of preventive and curative nutrition in the provision of medical care in various medical organizations in the context of the pandemic of the new coronavirus infection COVID-19. The features of optimal nutrition organization of healthy individuals and patients with a new coronavirus infection with a course of varying severity during treatment in outpatient and inpatient settings, including patients in critical conditions, are determined. Ensuring the needs for macro- and micronutrients, maintaining and normalizing the nutritional and metabolic status of a patient with COVID-19 will largely determine a favorable outcome for a patient with a new coronavirus infection. The data obtained should be taken into account when carrying out preventive and curative measures for certain categories of patients at all stages of medical care. Optimization of the organization of preventive and curative nutrition of patients with the new coronavirus infection COVID-19 at all stages of medical care will contribute to reducing primary and general morbidity, the number of complications, mortality; improving the quality of medical care


Author(s):  
Евгений Николаевич Коровин ◽  
Виктория Николаевна Белоусова

В статье приведены анализ и прогнозирование основных статистических показателей, характеризующих распространенность различных нозологических форм заболеваний среди детского населения Каменского района. Для определения качества медицинской помощи, предоставляемой в детской поликлинике, среди жителей района был проведен опрос, в ходе которого была выявлена частота посещения данного амбулаторно-поликлинического учреждения по поводу заболевания и с целью профилактики, оценен уровень оказываемой помощи по различным критериям, определены как положительные, так и отрицательные аспекты деятельности, а также предложены методы повышения эффективности работы поликлиники. С целью предвидения основных показателей заболеваемости был построен прогноз. В качестве данных для прогнозирования были использованы показатели заболеваемости детского населения прошлых лет. Прогнозирование осуществляется с помощью метода экспоненциального сглаживания с использованием линейного тренда и выбором оптимальных параметров сглаживания. Экспоненциальное сглаживание является интуитивным методом, который взвешивает наблюдаемые временные ряды неравномерно. Последние наблюдения взвешиваются более интенсивно, чем отдаленные наблюдения. Основной целью анализа и прогнозирования является выявление основных тенденций в изменении структуры заболеваемости, а также определение влияния качества и доступности оказываемых медицинских услуг в поликлинике на здоровье детского населения Каменского района The article presents the analysis and prediction of the main statistical indicators characterizing the prevalence of various nosological forms of diseases among the children of the Kamensky district. To determine the quality of medical care provided in the children's polyclinic, a survey was conducted among the residents of the district, during which the frequency of visits to this outpatient clinic for the disease and for the purpose of prevention was revealed, the level of care provided was assessed according to various criteria, both positive and negative aspects of activity were identified, and methods of improving the efficiency of the polyclinic were proposed. In order to anticipate the main indicators of morbidity, a forecast was built. The indicators of morbidity of the child population of previous years were used as data for forecasting. Forecasting is carried out using the exponential smoothing method using a linear trend and the choice of optimal smoothing parameters. Exponential smoothing is an intuitive method that weighs the observed time series unevenly. Recent observations are weighed more intensively than distant observations. The main purpose of the analysis and forecasting is to identify the main trends in the change in the structure of morbidity, as well as to determine the impact of the quality and availability of medical services provided in the polyclinic on the health of the children's population of the Kamensky district


2021 ◽  
Vol 31 (6) ◽  
pp. 782-791
Author(s):  
Tatiana N. Bilichenko ◽  
Alexey A. Shutov

The development of pulmonology in Russia is linked with the creative activity of the Scientific Research Institute of Pulmonology of the Federal Medico-Biological Agency (Research Institute of Pulmonology of the FMBA) and its scientific school.The aim of the analytical review was to assess the role and contribution of the research team of the Research Institute of Pulmonology in improving the quality of medical care to the population of Russia.Methods. The data of medical statistics of the Ministry of Health of the Russian Federation on morbidity and mortality of the population due to respiratory diseases (RD) from 2004 - 2018 are analyzed. The publications on scientific research conducted with the participation of employees of the Research Institute of Pulmonology for the period from 2005 to 2020 were studied.Results. Over the past 30 years in Russia, with the participation of the staff of the Research Institute of Pulmonology, the state task of creating a system for organizing medical care for the population with RD has been successfully solved. The study and implementation of modern innovative approaches in the diagnosis, treatment and prevention of RD, the training of primary care physicians allowed to improve the quality of medical care to patients to the level of world standards. For the period from 2004 - 2018 the mortality of the population from RD 35.6% decrease was registered. During the pandemic of a new coronavirus infection, the use of pulmonology achievements in clinical practice contributed to a decrease in the frequency of deaths in people with COVID-19.Conclusion. Currently, the Research Institute of Pulmonology of the FMBA of Russia retains a leading position in the country in the field of fundamental scientific research, innovative methods of diagnosis and treatment of RD, educational activities and training of specialists in the field of pulmonology.


2021 ◽  
Vol 7 (12) ◽  
pp. 104-108
Author(s):  
N. Sherieva

The article examines the indicators of disability in diseases of the endocrine system of the population of Osh city (Kyrgyzstan). Health promotion, disease prevention, rehabilitation of disabled people are the main tasks in modern health care and social protection of the population. The number of people with disabilities is increasing from year to year in Kyrgyzstan. This growth is associated with a high level of morbidity and traumatism of the population, inadequate quality of medical care, and unfavorable environmental conditions. The study compares the five-year rate of disability in diseases of the endocrine system of the population of Osh. In the periods studied (2016, 2018, 2020), an increase in the number of primary disabilities in diseases of the endocrine system among residents of the city of Osh was revealed.


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