Saratov JOURNAL of Medical and Scientific Research

Health Service Organization

Monitoring of internal diseases dissemination (digestive disorders)

Year: 2011, volume 7 Issue: №4 Pages: 772-776
Heading: Health Service Organization Article type: Author's opinion
Authors: Denisova T.P., Shuldyakov V.A., Tyultyaeva L.A., Chernenkov Yu.V., Alipova L.N., Sadjaya L.A.
Organization: Saratov Socio-Economic Institute of Plekhanov Russian University of Economics, Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia
Summary:

The most important forms of digestive pathology have been analyzed in a large industrial center for 16 years. Development of fragment of the phase portraits in a multidimensional space on the planes of «time dependence of the parameter — rate of its change» allowed forming prognosis for further course of specific nosology form of gastrointestinal tract lesion and optimizing treatment tactics

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New technologies in medical aid given to veterans of Great Patriotic War of Saratov Region

Year: 2011, volume 7 Issue: №3 Pages: 575-579
Heading: Health Service Organization Article type: Author's opinion
Authors: Shuldyakov V.A., Denisova Т.P., Alipova L.N.
Organization: Saratov Regional Hospital for Veterans of Wars
Summary:

The article describes the system of health care service in Saratov Regional Hospital for Veterans. The experience of medical aid given to veterans of Great Patriotic War and to participants of local conflicts has been generalized and highlighted in the work. New health care technologies have been developed and adopted. Analysis of innovative advantages has been performed

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Non-departmental expert quality control of medical treatment by efficiency criteria and degree of concrete results

Year: 2011, volume 7 Issue: №3 Pages: 573-575
Heading: Health Service Organization Article type: Short message
Authors: V.A. Dmitriev
Organization: Saratov State Medical University
Summary:

Анализируется практика использования показателей экспертизы объемов и качества оказания медицинской помощи при проведении вневедомственного экспертного контроля. Эти показатели могут быть использованы для формирования территориальной модели вневедомственного экспертного контроля в лечебно-профилактических учреждениях Саратовской области с учетом особенности структуры заболеваемости, сети медицинских организаций, территориальной специфики

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Prehospital medical emergency aid given to persons aged 15-24

Year: 2011, volume 7 Issue: №2 Pages: 372-376
Heading: Health Service Organization Article type: Original article
Authors: Bolotnikova N.I.
Organization: Astrakhan State Medical University
Summary:

The research goal is a quantitative and a qualitative analysis of emergency calls in Astrakhan during 2008. The method of complete observation was used in the research work. Data from the call charts of Emergency Service were thoroughly analyzed. Cases of emergency aid to the young working population ages 15-24 were under the study. 55,5% of cases were patients with acute diseases and 46,5% of emergency cases were as a result of accidents. The correlation between the number and character of nosology, and the age and sex of patients were determined. It was proved that the results of the given research would significantly improve the Emergency Service organization

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Problems and solutions on issues of medical care quality in community-acquired pneumonia in hospitals of Saratov region

Year: 2011, volume 7 Issue: №2 Pages: 368-372
Heading: Health Service Organization Article type: Original article
Authors: Erugina M.V., Grozdova T.Yu., Savinov V.A. Sazanova G.Yu.,Dolgova E.M., Lotsmanov Yu.F., Ushakov Yu.V.
Organization: Saratov State Medical University
Summary:

Qualitative assessment of diagnostics and treatment of patients with community-acquired pneumonia (CAP) was carried out in ten therapeutic departments of urban and district hospitals of Saratov region, using quality indicators (Qls). Each case of CAP was assessed in expert health care quality (HCQ) card according to the diagnostic and treatment quality federal standards and the basic Ql. The application of Ql in CAP patients allowed revealing the following: low CAP agent isolation rate; late hospitalization of CAP patients; low frequency of sputum bacteriological and bacterioscopic investigations prior to antibiotic therapy; insufficient frequency of step-by-step introduction of antibiotics. Recommendations on CAP patients dispenserization were not properly prescribed; recommendations on vaccination were absent. The basic measures of HCQ improvement are as follows: organizing for each CAP patient therapeutic and diagnostic quality control according to Ql; quick administrative decisions; using of HCQ expertise during the first 2-3 days of treatment to correct diagnosis and treatment; optimizing hospital diagnostic resources (laboratory and instrumental) and rational pharmacotherapy

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Criteria of medical care evaluation in daily in-patient department in pediatrics

Year: 2011, volume 7 Issue: №2 Pages: 361-368
Heading: Health Service Organization Article type: Original article
Authors: Shigaev N.N., Grozdova T.U.
Organization: Saratov Socio-Economic Institute of Plekhanov Russian University of Economics
Summary:

The research goal is to work out criteria for the evaluation of medical care quality. Materials included 386 medical cards of daily in-patients, 216 medical cards of in-patients; 602 cards of analysis of case histories; 4 computer data bases. Methods of mathematical statistics were successfully used in the study. The comparative method of data analysis was applied to the research work. Intensity of medical care in values from 0,1 to 0,5 conditional units corresponded to requirements of criterion of estimation of medical care quality. Parameters of medicinal treatment were close to the standards of treatment in interval from 44,4 to 100%, as criterion of quality of medical care. Specific weight of apparatus and instrumental researches constituted an interval from 7, 4% to 22, 6%, forming corresponding criterion. Interval of effectiveness according to standards of consultations is from 0, 26 to 1, 04 conditional units. In conclusion the article stated that the characteristics for criteria to evaluate medical care in daily in-patient departments were worked out on the basis of indices obtained during the research work

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Emergency service organization in conditions of commission separation at subject and municipality levels

Year: 2011, volume 7 Issue: №1 Pages: 030-033
Heading: Health Service Organization Article type: Author's opinion
Authors: Kravchuk D.A.
Organization: Vladivostok Emergency Aid Station
Summary:

The analysis of stages of formation of the modern legislation, established kinds of medical aid and sources of their financing depending on levels of the power, structure of a network of organization of public health services concerning protection of constitutional laws of citizens on reception of timely, qualitative, highly technological and accessible medical aid is presented in the article. Aspects of formation of standard-legal base of service of the first aid, including specialized aid are considered in detail. The classification signs defining technologies of rendering of medical aid and the form of its organization are considered

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Ecogeochemical characteristics of region with advanced cement industry

Year: 2011, volume 7 Issue: №1 Pages: 026-030
Heading: Health Service Organization Article type: Original article
Authors: Kudin M.V.
Organization: Saratov Ministry for Public Health
Summary:

Problems of biosphere pollution by toxicants and toxic chemical elements are considered to be actual issues. The research goal is to examine ecogeochemical condition in the cement industry. Quantitative chemical content of I -IV danger classes of chemical elements in soil has been determined by means of atomic-emission spectrometry method with specters excitation in inductive high-frequency discharge. The same research has been held in the conditionally clear zone. In advanced cement industry as compared with conditionally clear area toxic chemical element index has been found to be increased. The research results have proved environmental problems in this sphere

Keywords: ecotoxicants, cement
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Adaptation of one-year conscripts to military professional activity: investigation and optimization

Year: 2011, volume 7 Issue: №1 Pages: 021-026
Heading: Health Service Organization Article type: Original article
Authors: Korshever N.G., Sitmbetov D.A.
Organization: State Military Hospital № 250, Saratov State Medical University
Summary:

The study of organism functional status, social and psychological characteristics and morbidity rate of one-year conscripts (control group) makes possible to state that their adaptation to the conditions of military professional activity is significantly higher than that of two-year conscripts (group of comparison). It also helps design a multicriteria approach of assessment of positive individual adaptation and plan adequate optimization technology

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Qualitative control of treatment of daily in-patients

Year: 2011, volume 7 Issue: №1 Pages: 018-021
Heading: Health Service Organization Article type: Short message
Authors: Dmitriev V.A.
Organization: Saratov State Medical University
Summary:

The article deals with the analysis of efficiency of hospital replacing technologies usage in medical-preventive institutions of Saratov region. Such factors as morbidity structure, network of medical institutions and regional specificity have been taken into account. Rating of specialities able to give daily in-patient medical aid for adults and children in Saratov region depending on territorial specificity of medical-preventive institution has been defined

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