Saratov JOURNAL of Medical and Scientific Research

Health Service Organization

Analysis of resources of therapeutic institutions providing medical care to patients with diseases of the circulatory system

Year: 2018, volume 14 Issue: №2 Pages: 293-290
Heading: Health Service Organization Article type: Original article
Authors: Sazanova G.Yu., Shulpina N.Yu., Dolgova E.M., Tupikin D.V.
Organization: Saratov State Medical University
Summary:

Objective: to conduct an analysis of the provision of beds and medical personnel of medical institutions in the region that render medical care to patients with circulatory disorders. Material and Methods. Calculation of the optimal volume of inpatient medical care, the required number of beds and staff units of cardiologists in the region was carried out in accordance with regulatory legal acts. Results. In medical organizations, an excessive number of round-the-clock beds on the "cardiology" profile (more for 186 beds) and insufficient number of cardiac beds in day hospitals (less than 40 beds) were deployed; the number of cardiologists working in cardiological rooms of polyclinic medical organizations, dispensaries for cardiology and daily hospitals has been identified. Conclusions: Redistribution in the region's medical organizations of the bed fund, material, and financial resources leads to the optimization of patients' referrals and promotes rational use of resources of health care, increasing the availability and improvement of quality of medical care to adult population of the region.

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Motivation of medical staff of dental organizations of various property types: data of sociological research

Year: 2018, volume 14 Issue: №2 Pages: 287-293
Heading: Health Service Organization Article type: Original article
Authors: Kaneva D.A., Breusov A.V.
Organization: Peoples' Friendship University of Russia
Summary:

The searching of effective methods of staff management is the most important task for healthcare managers. The purpose of the study: to assess the degree of work satisfaction of doctors and nursing staff of dental organizations of various forms of ownership and to analyze the factors that determine it. Material and Methods. The survey was conducted using a specially developed questionnaire, which included blocks describing the following parameters: satisfaction with various aspects of the work; factors affecting labor activity; rating characteristics of work; motives that determine professional interest; conditions that stimulate activity. Results. As a result of the study, differences were found in the satisfaction with the professional activity and working conditions of medical and nursing staff of dental organizations of various forms of ownership. Factors determining the motivation of the work of the personnel of the modern medical organization are revealed. This allowed for a differentiated approach to the development of measures to improve the diverse motivation of the staff. Conclusion. It was established that the main directions in improving the staff motivation system may be: material and non-material promotion; optimization of work organization; involving staff in the management of organization and making management decisions; improvement of professional skills of employees, fair distribution of remuneration and social services.

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Mechanisms of social investment of the dental service of higher and secondary educational institutions

Year: 2018, volume 14 Issue: №1 Pages: 20-24
Heading: Health Service Organization Article type: Author's opinion
Authors: Eldarkhanov D.Kh., Yusupov R.D., Ignatiadi O.N., Zakharchenko I.S., Yusupov Kh.R.
Organization: Pyatigorsk Medical and Pharmaceutical Institute of Volgograd State Medical University, Stavropol Territory's City Dental Polyclinic in Pyatigorsk, Volgograd State Medical University
Summary:

The aim: development of conceptual provisions aimed at updating and ubiquitous introduction of a preventive system of dental care for students in higher and secondary vocational schools. Material and Methods. The authors rely on data from comprehensive surveys conducted in Moscow, in the Stavropol Territory, in Volgograd, in the city of Pyatigorsk. Results. It is established that the main diseases of students are dental caries and periodontal diseases (most often in the initial form). There is a trend of loss of dental health of students from 1 to 4 courses. Loss of health (even for objective reasons) is destructive for the economy and society. Solution of this problem will ensure the provision of systemic prevention and enhance the dental activity of the contingent of students. An estimation of the required investments related to the opening and operation of dental offices at higher and secondary professional educational institutions was made. Conclusion. The possibilities of social investment of the dental service of educational institutions with the use of mechanisms of fundraising are shown. Strengthening the dental services of educational institutions will help to improve the dental health of the student population. Social investment of educational institutions has many attractive features for the population and business entities.

Keywords: density
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Morbidity by skin melanoma among various population groups of Samara region

Year: 2018, volume 14 Issue: №1 Pages: 016-019
Heading: Health Service Organization Article type: Original article
Authors: Neretin E.Yu., Utyashev I.A.
Organization: National Medical Research Center of Oncology n.a. N.N. Blokhin
Summary:

The aim: to study the dynamics of the incidence of skin melanoma among various population groups of the multi-million territory. Material and Methods. Primary accounting records for 21 years (1995-2016) on the newly diagnosed disease, annual reports of the Samara Regional Clinical Oncology Center, annual statistical reports of the established form (Form 7 and Form 35). The following statistical methods were used: extrapolation method, linear and polynomial regression model. Results. The results indicate an increase in the incidence of skin melanoma among older people. Conclusions are drawn about the need to organize screening examinations among groups with a high incidence of skin melanoma.

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Experience of introducing telemedicine technologies for prophylaxis of cardio-vascular diseases

Year: 2018, volume 14 Issue: №1 Pages: 011-016
Heading: Health Service Organization Article type: Original article
Authors: Molodtsova E.V., Shemetova G.N.
Organization: Saratov State Medical University
Summary:

Aim: to study the effectiveness of the implementation of the telemedicine program for the prevention of cardiovascular diseases in patients from high risk group and patients with arterial hypertension. Material and Methods. On the basis of "Railway clinical hospital at Saratov-ll station of "Russian Railways" developed and introduced to the work of the telemedicine program for the prevention of cardiovascular diseases in patients from high risk group that integrates all the activities of rehabilitation institutions and nursing nursing and telemedicine center. The analysis of efficiency of telemedical prevention work in the group of persons with risk factors and patients with arterial hypertension was performed. Results. In the group of patients participating in the telemedicine program, a decrease of morbidity with temporary disability on average by 58.8%; not registered any case of transfer of disease in the subsequent stage; there was a decline in hospitalization rates about of hypertension is 17.4%, and a reduction in the level of removal from flight among workers in locomotive service because of high blood pressure and excessive heart rate from 7.9 to 3.6 cases per 10000 examinations. Conclusion. Implementation of "home" telemedicine monitoring of blood pressure, heart rate, pulse rate, regularity of taking medications, virtual communication between doctor and patient, a visit to the online "Schools patient for the prevention of cardiovascular diseases" demonstrated sufficient efficacy. Tele-health program for the prevention of cardiovascular disease in patients from high risk group and patients with arterial hypertension help to teach patients to correct risk factors and to control their disease.

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Statistics and evidence-based medicine: health care supervisors realization in practice

Year: 2018, volume 14 Issue: №1 Pages: 007-011
Heading: Health Service Organization Article type: Original article
Authors: Yerugina M.V., Korshever N.G., Sidelnikov S.A., Baregamyan L.A.
Organization: Saratov State Agrarian University named after N.I. Vavilov
Summary:

The aim of the work is associated with investigation of realization of knowledge of statistics and evidence-based medicine in activities of health care supervisors. Material and Methods. There were used sociological, statistical and analytical methods of investigation. There has been carried out an anonymous questioning of 92 physicians-organizers during the process of their advanced training in the specialty "Health care organization and public health". Results. It has been established that in their practical work health care supervisors do not completely realize possibilities of both medical statistics and evidence-based medicine which is closely connected with medical statistics. The complex of reasons has been determined according to the situation. Health care organizers have been revealed to have low levels of knowledge of medical statistics (2,60±0,03 marks) and evidence-based medicine (2,32±0,03 marks). It has been demonstrated that during the course of advanced training in the specialty "Health care organization and public health" these levels and motivation of students may be significantly raised (3,79±0,05 and 4,13±0,06 marks). Conclusion. The obtained results of the investigation are recommended to be used both in practical activities of health care supervisors and in the process of their professional training.

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Through the prism of globalization: foreign experts in russian medical institutions

Summary:

Through the prism of contemporary processes of globalization, the comparative analysis of the legal foundation for employment of foreign experts in Russian medical institutions was done. Legal collisions that require resolution had been identified, and the competent authorities and legislators payed attention to them.

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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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