Saratov JOURNAL of Medical and Scientific Research

Health Service Organization

Health care supervisors' opinion on prophylactic work in medical organizations

Year: 2018, volume 14 Issue: №3 Pages: 438-444
Heading: Health Service Organization Article type: Original article
Authors: Korshever N.G., Sidelnikov S.A., Yakhina R.R.
Organization: Saratov Regional Centre of Medical Prophylaxis, Saratov State Medical University
Summary:

 The aim: to investigate the condition of prophylactic work in medical organizations and to determine the directions for optimization of this process. Material and Methods. There has been carried out an anonymous questioning 92 of health care supervisors of the Saratov region, as well the analysis of data obtained from Saratov Regional Centre of medical prophylaxis. It was found that there were significant shortcomings in the individual items in the preventive work of medical organizations. Results. There has been determined the awareness of health care supervisors about normative-legal acts regulating prophylactic work; use of corresponding informational-methodical materials; management of registration documents and submission of reporting documents; performance of primary, secondary and tertiary prophylactic measures; realization of means and methods of hygienic upbringing and education of patients; activities of offices (departments) of medical prophylaxis. It has been established that the condition of prophylactic work in medical organizations of the Saratov region is at the satisfactory level but needs to be optimized. The directions of optimization are determined by the necessity to raise the levels of a number of characteristics analyzed. None of the considered measures of the first prophylaxis has been evaluated with the mark "good", (> 4,0 points); some measures of the secondary prophylaxis (purposeful sanitary-hygienic education of patients and members of their families in skills of care associated with a certain disease or with a group of diseases, etc.) (2 points) have been evaluated with the mark "unsatisfactory"; the state of the tertiary prophylaxis has been evaluated on the whole with the mark "satisfactory", i.e. 3,4 points. Conclusion. The obtained materials may be useful in daily practice of medical organizations.

AttachmentSize
2018_3_438-444.pdf529.69 KB

Methodology of advanced medical information registries design

Year: 2018, volume 14 Issue: №3 Pages: 434-437
Heading: Health Service Organization Article type: Original article
Authors: Fedonnikov A.S., Kolesnikova A.S., Rozhkova Yu.Yu., Kirillova I.V., Bessonov L.V., Ulyanov V.Yu., Kossovich L.Yu.
Organization: Saratov State Medical University
Summary:

Aim: development of information exchange methodology between the main participants of health branch in providing of medical care for traumatology and orthopedic patients at the base of specialized registers design. Material and Methods. Analysis and systematization of 31 registers of medical information in the field of traumatology and orthopedics functionality placed in Federal Institute of Industrial Property, European Patent databases, developers' web-sites were made. Search depth was designated from 1979 and was defined by the date of the earlier found information source. Results. Analysis of specialized registries has shown that most of it (70.9%) are mono-nosological and contain information about diagnostic and treatment measures provided at the level of a medical institution. It was developed a methodology of specialized registry of medical information functionality including the information of applied medical devices, pharmaceutical preparations, medical technologies, rehabilitation programs, medical care evaluation results methodology which let operate with the data forming in information systems of the main health branch participants. Conclusion. Proposed information exchange methodology determines the necessity of integrated target-oriented registry development. Its practical use let increase management decisions quality influencing the achievement of health branch participants objectives.

AttachmentSize
2018_3_434-437.pdf513.85 KB

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.

AttachmentSize
2018_2_293-296.pdf240.3 KB

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.

AttachmentSize
2018_2_287-293.pdf301.72 KB

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
AttachmentSize
2018_1_020-024.pdf603.19 KB

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.

AttachmentSize
2018_1_016-019.pdf795.95 KB

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.

AttachmentSize
2018_1_011-016.pdf265.46 KB

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.

AttachmentSize
2018_1_007-011.pdf292.2 KB

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.

AttachmentSize
2017_04-1_879-881_1.pdf266.91 KB

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
AttachmentSize
2017_04_806-808.pdf225.19 KB