Saratov JOURNAL of Medical and Scientific Research

Health Service Organization

Interdisciplinary aspects of rehabilitation of patients with oncological diseases in non-terminal situation of the disease

Year: 2017, volume 13 Issue: №4 Pages: 806-808
Heading: Health Service Organization Article type: Review
Authors: Shmerkevich А.В., Vodolagin A.V., Balakina D.D.
Organization: Saratov State Medical University
Summary:

Medical social rehabilitation of patients with oncological diseases in the non-terminal stage of the disease is based on the principle of an interdisciplinary approach, which involves complex special treatment, providing patients and their families with various types of social and psychological support at all stages of specialized care. The authors of the review consider the solution of medical and social problems in the rehabilitation of patients with oncological diseases in the context of the synergistic effect. Weak social and psychological protection of patients with oncological pathology adversely affects the prognosis of the disease and worsens patients quality of life. The review provides evidence that patients who receive social support are best adapted to the cancer situation, while a lack of social support is a significant risk factor for increased mortality in cancer patients.

Keywords: quality of life
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The role of health centers in preventive care provision

Year: 2017, volume 13 Issue: №4 Pages: 803-805
Heading: Health Service Organization Article type: Original article
Authors: Shemetova G.N., Sidorova N.V., Gubanova G.V.
Organization: Saratov State Medical University
Summary:

Aim: to assess the importance of the Centers of Health in the organization and provision of preventive care to the population, in the early detection of risk factors for the development of chronic non-communicable diseases and the development of a healthy lifestyle. Material and Methods. On the basis of the Health Center of Engels Center for Medical Prevention in the Saratov Region, the detection of risk factors for 2011-2015 was analyzed according to statistical reporting (form No. 68) and health cards (form025-CZ/y) of 207 patients. To assess the satisfaction of visitors with the work of the Center, a specially developed questionnaire was conducted, which included 22 questions that characterize the patient profile, his attitude to the organization and the results of the survey, and the motivation to modify the way of life. Results. The study confirmed the important role of the Centers of Health in the organization and provision of preventive care to the population, the formation of a healthy lifestyle and the early detection of diseases and risk factors for their development. Conclusion. Only joint efforts of medical institutions, authorities, educational organizations, mass media can lead to the formation of the population's responsibility for their health and readiness to modify the way of life.

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Analysis of activity of health workers in educational organizations and needs for medical care of children with disabilities

Year: 2017, volume 13 Issue: №4 Pages: 800-802
Heading: Health Service Organization Article type: Original article
Authors: Fomina A.V., Grigorieva N.A., Shovkun N.V.
Organization: Peoples' Friendship University of Russia
Summary:

Objective: study of the current state of medical support for children in educational organizations and an assessment of the needs of children with disabilities in medical care. Material and Methods. According to the results of the sociological survey (1796 profile views), the analysis of the health workers' activities in educational organizations implementing the adapted basic general education programs was carried out. According to the preventive examination of children with disabilities (124 people) and of the survey of parents (124 profile views), the article assesses the effectiveness of preventive work with children and parents to strengthen the dental health of schoolchildren in Moscow. Results. The majority of medical workers in educational institutions implementing adapted basic general education programs are represented by specialists with secondary medical education (77.2%). Among specialists needed in educational organizations, dentist is often called. The need for children with disabilities in dental care is confirmed by data obtained during the study of dental health of children with hearing impairment and children with visual impairments. Conclusion. One of the areas of medical care for children with disabilities in educational organizations is active monitoring of the health of children and the implementation of comprehensive preventive measures, which requires the involvement of more health workers.

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Rehabilitation after hip and knee joints replacement: several results of medical and sociological monitoring

Year: 2017, volume 13 Issue: №4 Pages: 796-799
Heading: Health Service Organization Article type: Original article
Authors: Fedonnikov A.S., Andriyanova Е.А., Erugina M.V, Norkin I.A.
Organization: Saratov State Medical University
Summary:

Aim: research of rehabilitation process problem areas after hip and knee joints replacement. Material and Methods. Program of monitoring and evaluation of medical, organizational, social and psychological components of rehabilitation was developed. Sociological study of 1175 patients who have undergone in 2015-2016 total hip and knee joints replacement was conducted. Results. It was revealed an absence of real interaction between key parties of rehabilitation processes based on significant disproportion between high level (more than 80%) of patients' satisfaction of rehabilitation organizing and low activity of health managers (9.4%). Despite of declared patients' high rehabilitation quality permanent pain noted by 45% of respondents, move freely without additional support is available only for about 50% of patients. Conclusion. Rehabilitation management and its' quality are the key values for locomotor system functional recovery. Provided study has designated main problems of rehabilitation quality evaluation after hip and knee joints replacement.

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Quality of life and health risk factors in officers departed from Armed Forces

Year: 2017, volume 13 Issue: №3 Pages: 791-795
Heading: Health Service Organization Article type: Original article
Authors: Konovalov О.Е., Breusov A.V., Popov A.V, Breusov R.A.
Organization: Peoples' Friendship University of Russia
Summary:

Objective: assessment of quality of life, identify of health risk factors for officers discharged from the Armed Forces, and development of step-by-step system for medical and social assistance to reserve soldiers (retired). Material and Methods. Anonymous questioning of 358 officers in different time periods, including the last year of service before departure, with the subsequent processing of the data using the statistical program SPSS. Results. It was established that the highest indicators of quality of life were from the military in reserve (RET.) more than 3 years, and the lowest from the military a year before the departure from the Armed Forces and in the first year after the departure. Conclusion. The authors proposed a step system of health and social care for members of the military reserve (retired) and an algorithm for its implementation, including regulations of interdepartmental interaction and integration of all organizations providing medical care.

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Medical and social aspects of diabetes and diabetic retinopathy.

Year: 2017, volume 13 Issue: №3 Pages: 453-457
Heading: Health Service Organization Article type: Original article
Authors: Velichko Р.В., Osmanov Е.М., Manyakov R.R.
Organization: "Eye Microsurgery" n.a. academician S. N. Fedorov, Volgograd branch, Tambov State University n. a. G.R. Derzhavin
Summary:

The aim of the article: to study the medical and social aspects of diabetes mellitus and diabetic retinopathy at the regional level. Material and Methods. The prevalence, structure and dynamics of diabetes and diabetic retinopathy (DR) were analyzed among the population of the Tambov region for a seven-year period from 2010 to 2016 based on statistical compendiums on the main indicators of health facilities and the health of the population of the Tambov region (2010-2016) Russian statistical yearbooks (2010-2016), data from the regional State register of patients with diabetes. Results. In 2016 in the Tambov region, the prevalence of DR in type 1 diabetes is 53.2%, with type 2 diabetes 31.2%, significantly higher than all-Russian indicators, which were registered at 27.2% in patients with type 1 diabetes and 13.0% of patients with type 2 diabetes. Conclusion. The results of the comparative analysis of the level and structure of diabetes and DR indicate a negative trend among the population of the Tambov region, which dictates the need to develop effective and inexpensive methods for preventing the development and progression of DRs and making management decisions based on them.

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Children's rights when receiving medical care in the Russian Federation

Year: 2017, volume 13 Issue: №2 Pages: 205-208
Heading: Health Service Organization Article type: Review
Authors: Popkov VM, Erugina MV, Vlasova MV, Dolgova EM, Timofeev DA, Abyzova NV, Chernyak MD
Organization: Centre of Medical-Sociological Research, Saratov State Medical University
Summary:

The article presents the legal provisions containing the rights of children and duties of medical workers in providing medical care to children in the Russian Federation. It is shown that these legal provisions set out in the relevant legislative documents do not exist in isolation, but in conjunction with other legal norms, which complicates the possibility of their implementation by medical workers in full. It is stated that special responsibility and the cost of failure in modern conditions require medical staff to use not only professional knowledge, but also legal aspects accompanying their work. This suggests the need to focus attention to the learning process of students and listeners of faculties of improvement of professional skills and professional retraining of specialists of universities on peculiarities of realization of children's rights in providing them medical care.

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Issues on optimization of primary health care for working patients with diagnosed hypertension

Year: 2017, volume 13 Issue: №1 Pages: 007-009
Heading: Health Service Organization Article type: Original article
Authors: Shulpina N.Yu., Erugina M.V, Sazanova G.Yu, Krom I.L.
Organization: Saratov State Medical University
Summary:

Aim: to justify the ways of optimization of availability of primary health care for working-age patients with arterial hypertension. Material and Methods. The study of the availability of drug treatment of working-age patients with arterial hypertension was based on a survey of 409 patients and calculated the average cost of treatment of this group of patients for 1 month in accordance with the care standards. Results. On 01.06.2016, the cost of treatment for a patient with stage 1 hypertension amounted to 316.89 rubles per month, with 2 stage 652.68 rubles per month. 67% of patients of working age are unable to follow the doctor's recommendations and take the prescribed medicines. Conclusion. Provision of free medicines to patients with arterial hypertension of stages 1 and 2 and the formation of their commitment to preventive treatment causes a direct economic effect, which will be 7915979 rubles per year, and indirect economic effect of the decreased mortality from cardiovascular diseases, disability, reduce in disability days and increase of the gross domestic product.

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Economic aspects of telemedical trainings realization in conditions of medical services outsourcing

Year: 2016, volume 12 Issue: №4 Pages: 645-648
Heading: Health Service Organization Article type: Author's opinion
Authors: Bushmanov A.Yu., Kalinina M.Yu., Kretov A.S., Mamonova E.Yu., Vlasova I.V., Uiba V.V..
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Economic efficiency of various telemedical services are still a subject of scientific discussion. The article considers approaches to a complex estimation of economic benefit and economic efficiency of services in remote education. Calculations are submitted on the basis of realization of remote trainings series on training to receptions of urgent medical aid and occupational medicine for the medical personnel of the large oil-extracting company. Preparation of the program, materials, including videofragments, presentations and demonstrations, and also realization of trainings were carried out by autsourcing by experts of the foreign organizations.

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The availability of medical care as an obligatory social health predictor of the population in Russia

Year: 2016, volume 12 Issue: №2 Pages: 101-105
Heading: Health Service Organization Article type: Review
Authors: Yerugina M.V., Krom I.L., Shmerkevich A.B., Dorogoykin D.L., Zhuzhlova N.Yu., Shigaev N.N., Bochkareva G.N.
Organization: Saratov State Medical University
Summary:

Problems of social conditionality of population health are a traditional topic to discuss both in medical and social sciences. Availability of health care is considered from the perspective of social factors of macro level, representing the widest context of social factors to health risk. In Russia, the increasing availability of health care for the population is considered as a priority of social policy. The authors of the review publications consider the trends of accessibility of medical care to the population of contemporary Russia. It is noted in the article that currently the availability and quality of medical care, pretentiousness of state assurances for free medical care, and their imbalance with available financial resources are considered as one of the major Russian health care problems.

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