Saratov JOURNAL of Medical and Scientific Research

Yerugina M.V.

Saratov State Medical University, Head of Department of Public Health Organization, Public Health and Medical Law, Candidate of Medical Science, AssistantProfessor

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

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.

AttachmentSize
2017_04_796-799.pdf425.75 KB

Medical and sociological issues of rehabilitation of patients after hip and knee joints replacement

Year: 2017, volume 13 Issue: №3 Pages: 761-764
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Fedonnikov A.S., Erugina M.V., Andriyanova E.A., Norkin I.A.
Organization: Saratov State Medical University
Summary:

The aim: research of medical and social issues of rehabilitation after hip and knee joints replacement. Material and Methods. Sociological study of 1175 patients who have undergone in 2015-2016 total hip and knee joints replacement was conducted. Results. Within the scope of medical surveillance after the surgery 69.8% of patients made regular visits to orthopedic specialists after joint replacement, but only 9.4% of surveyed patients confirm the practice of active monitoring of rehabilitation on the part of health services. There had been determined a high level of declared patients satisfaction (more than 80%) with weak health managers activities argue considerable informational gap between the key parties of rehabilitation. Conclusion. Provided study has designated problem areas of patient and health system communication in rehabilitation after hip and knee joints replacement.

AttachmentSize
2017_03-2_761-764.pdf494.7 KB

A doctor, a scientist, a teacher and a health care manager — Lev Grigoryevich Gorchakov (to the 100-th birth anniversary)

Year: 2017, volume 13 Issue: №2 Pages: 313-316
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Yerugina M.V., Astafieva N.G., Zavyalov A.l., Abyzova N.V.
Organization: Saratov State Medical University
Summary:

The aim of the article is to present biographical data of Professor L. G. Gorchakov describing his scientific and practical contribution to the development of Russian Medicine, to the public health organization in Saratov and to the training of medical staff at Saratov Medical Institute.

AttachmentSize
2017_02_313-316.pdf498.3 KB

Portrait of V.I. Razumovsky: to the 160th anniversary of the birth of the first rector of Saratov State Medical University

Year: 2017, volume 13 Issue: №2 Pages: 309-313
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Popkov V.M., Kochetkova T.V., Chernenkov Yu.V., Bugaeva I.O., Yerugina M.V.
Organization: Saratov State Medical University
Summary:

Saratov Journal of Medical Scientific Research 2017; 13 (2): 309-313. The article is devoted to the role of professor V. I. Razumovsky in the development of Saratov University and the development of medical science in the Saratov province.

AttachmentSize
2017_02_309-313.pdf1.3 MB

Public health determinants in social context

Year: 2017, volume 13 Issue: №2 Pages: 292-295
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Krom I.L., Yerugina M.V., Orlova M.M., Dolgova E.M., Chernyak M.D., Bochkareva G.N.
Organization: Saratov State Medical University, Saratov state university
Summary:

Demographic situation at the global and regional levels is designated by social context and social mechanisms. The probability of a certain pathological state may increase under the influence of factors, most of which can be considered as socially determined. Poverty and health care limited availability are considered by the authors in the context of the risk of the formation of a marginal situation for patients with chronic diseases, which is manifested in adaptation crisis, disability of the patient in a situation of chronic disease.

AttachmentSize
2017_02_292-295_1.pdf269.54 KB

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.

AttachmentSize
2017_02_205-208.pdf275.83 KB

A modern interpretation of rehabilitation of patients with neurotraumas

Year: 2017, volume 13 Issue: №1 Pages: 85-88
Heading: Sociology of Medicine Article type: Review
Authors: Annikov Yu.G., Krom I.L., Yerugina M.V.
Organization: Saratov State Medical University
Summary:

In modern neurorehabilitation practice there is a trend of common approach to the content of rehabilitation of patients with various etiopathogenic features of brain damage. The urgency of the problem of medical and social rehabilitation of patients with brain injury is associated with a high prevalence of this pathology and medical and social uncertainty of the prognosis. The authors of the publications cited in the survey have considered the rehabilitation prognosis and predictors of disability in patients with traumatic brain injury. According to most authors' opinions, the effects of traumatic brain injury even of mild degree can be shown for the first time some years later, while at the same time it is not always adequate to the severity of the acute period of craniocerebral trauma and often having a progradi-ent course. The review presents the results of studies showing that significant progress in the recovery of patients with traumatic brain injury is possible by using an integrated approach, a coordinated multidisciplinary action aimed at the patient and his family, as well as the rehabilitation period of the sequence, starting with early intensive and ending late recovery period. Medical and Social Rehabilitation of patients after traumatic brain injury, in the current context — a multidisciplinary challenge, the effectiveness of regulation is determined by the coordination and solution of medical, social, psychological and organizational tasks.

AttachmentSize
2017_01_085-088.pdf252.33 KB

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.

AttachmentSize
2017_01_007-009.pdf268.76 KB

Aleksey Petrovich Minch: a doctor, a scientist, a teacher and a health care manager (to the 150-th birth anniversary).

Year: 2016, volume 12 Issue: №3 Pages: 428-432
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Zavyalov A.l., Yerugina M.V., Parkhomenko A.A.
Organization: Saratov State Medical University
Summary:

The article presents the biographical data of Doctor of Medicine, A. P. Minch. It describes his scientific and practical contribution to the development of medicine in Russia, to the public health organization in Saratov and to the training of medical specialists at Saratov Medical Institute.

AttachmentSize
2016_03_428-432.pdf1.39 MB