2014, volume 10

Purpose: to reveal features of bone structures correlation of acetabulum and femoral components of a hip joint. Material and methods. The sizes of acetabulum, pelvis and proximal metaepiphysis of femur have been determined on 98 sets of pelvis and femurs and 120 KT-grams of adults. Results. Sexual and bilateral distinctions, correlation of bone structures of acetabulum, proximal metaepiphysis and femur have been revealed. Conclusion. The received values of the main morphometric parameters of bone structures of hip joint and pelvis and their correlation develop the database of clinical anatomy of hip joint.

Regulations and publications on the provision of quality health care for patients with diseases of the circulatory system of the native scientists have been studied. The majority of the issues concerns the disorganization of health care standards: the uneven distribution of diagnostic resources mostly in the hospitals and preventive health care organizations. The proposed ways to improve the patient care have been analyzed.

The process of aging is caused by the early development of chronic complications and diversity of morphological and functional changes of organs and systems. Therefore the provision of preventive and curative care of this category of citizens has significant clinical and organizational features. Aim: to identify the main problems of medical care for the elderly and to examine the medical care. Material and Methods. 250 physicians of various specialties of medical institutions of the Saratov region on health care of the elderly in out-patient clinics have been surveyed by specially designed questionnaires. The state of receiving care in out-patient clinics has been studied among the elderly and the senile patients (n=568) by questioning. Results: The majority of physicians recognize the importance of the problem of increasing the quality of care for the elderly. The development of assistance of gerontological profile and the need for optimization of rendering out-patient care for this category of population in the central clinics and regional medical institutions. Conclusion. The level of satisfaction of elderly patients depends on the age characteristics, gender, health and social status and the place of residence of the study group.

The Objective: research of regularities of adaptation of graduates of medical schools to conditions of independent professional activity and justification of the directions of optimization of management by this process. Material and Methods. Object of research included functioning of system of adaptation of graduates of medical schools to conditions of independent professional activity. Are carried out: The study of reports of the Saratov region for 2006-2012, documentation of 16 treatment-and-prophylactic medical organizations and 84 responses on graduates of Saratov State Medical University n.a. V. I. Razumovsky; anonymous retrospective questioning of 164 doctors after professional retraining at the faculty of professional development; expert questionnaire of 15 persons of the faculty of organizational chairs have been carried out. Results. In the work "complex adaptation factor"; dynamics of level of social and psychological, psychophysiological, organizational and professional indicators of adaptation of graduates to conditions of independent professional activity; the characteristic of "lagging behind" doctors; purposes of management of adaptation, importance of stages of its organizational support have been established. The ways to evaluate the success of individual adaptation and management of this process have been worked out, which are designed on the basis of the corresponding authorized optimization technology. Conclusion. Results of the conducted research allowed to expand idea of adaptation of graduates of medical schools to conditions of independent professional activity and to solve a number of applied problems of its optimization.

The aim of the research is to determine the main patterns of activity of in-patient medical organizations according to the resource provision of medical and diagnostic process. Material and methods. 20 medical organizations, including regional organizations, central regional hospitals, Saratov municipal health care organizations, non-private and private medical organizations have been surveyed. The survey of 60 chemists of hospital pharmacies has been conducted. Results. The analysis of the survey has showed the resource provision of medical and diagnostic process by medical products, the degree of technological provision in hospitals of various types and stated the main problems of activity on resource provision. Conclusion. It has been found out that the current medical provision with medical products is connected with the action of considerable number of objective and subjective factors and it defines the efficiency of medical social activity.