City Healthcare最新文献

{"title":"Adaptation of Young Doctors to Professional Activity in Outpatient Medical Organizations","authors":"E. S. Vorobtsova, Narek L. Arakelyan","doi":"10.47619/2713-2617.zm.2024.v.5i1;29-40","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2024.v.5i1;29-40","url":null,"abstract":"Introduction. Currently, there is a challenging issue related to adaptation of young doctors to professional activities in healthcare organizations. The first years of work are considered as of one of the most difficult stages of a doctor's career, and the decision to continue clinical practice or give up it largely depends on this period. This, in turn, is one of the reasons for the increase in staff turnover, which negatively affects the activity of a medical organization and the quality of medical care.Purpose. The purpose of this study was to develop proposals for optimizing the process of adaptation of young doctors to professional activities in medical organizations upon the results of a study identifying fac-tors that positively and negatively affect it.Methods and materials. Within the framework of this study, a questionnaire survey with participation of young doctors aimed at identifying factors affecting the process of adaptation to professional activity was conducted. Also, a social-hygienic image of a young specialist, motivation, reasons for career choice were an-alyzed, as well as the most common challenges emerging at the beginning of career and during the studies were identified, evaluated and compared.Results. Our research allowed us to identify the most important factors influencing the adaptation process such as convenient work schedule; competitive salary; friendly working environment; modern medical equip-ment; image of a medical organization; opportunities for professional training; career growth opportunities; job stability; job independence and responsibility and creative work. The results show that the adaptation of a young doctor to professional activity in healthcare organizations is crucial to keep human and economic resources in balance. The existing programs are not as efficient as expected. Young specialists note that among the difficulties affecting the quality of medical care are such as lack of knowledge and skills required for their job. Moreover, lack of specialized programs for professional training concerning medical information system and legal and regulatory framework in healthcare, as well as lack of psychological support services leads to staff turnover.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"20 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salutogenic Design as Health Preservation Technology: Prospects for Implementation in Public Health","authors":"Ruslan A. Khalfin, Victoria V. Madyanova, T. Tatarinova, Polina S. Tuillet","doi":"10.47619/2713-2617.zm.2024.v.5i1;16-28","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2024.v.5i1;16-28","url":null,"abstract":"Introduction. The concept of salutogenic design, focused on creating a healthy environment, is based on the salutogenesis concept, developed back in the 1970s by Aaron Antonovsky. This approach is becoming increasingly popular in urban planning, development, and certification of buildings, offices, and medical fa-cilities. Due to ongoing national projects, there is an increasing demand for specialists in public health and salutogenic design in Russia, which has justified the creation of an interdisciplinary educational program. Objective. To present the implementation of the network master's program \"Salutogenic Design\" in the field of public health and the creation of a healthy urban environment.Materials and methods. We conducted literature review on existing practices for applying salutogenic de-sign in urban planning and described the implementation of the network master's program \"Salutogenic De-sign\" at the Institute of Leadership and Health Management of the I.M. Sechenov First Moscow State Medical University (Sechenov University) and Moscow institute of architecture (MIARCH).Results. The concept of salutogenic design is a prominent scientific and practical issue for researchers, pro-fessional community, and executive authorities worldwide, with particular interest in implementation studies of salutogenic design for designing and constructing environments, transport, medical organizations, and the urban landscape, as well as developing tools for urban environment assessment. The master's program \"Salutogenic Design\" is a unique educational experience that includes the development of professional skills in an interdisciplinary area of health sciences and urban planning, distinguishing it from other educational projects.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"39 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role Of Trade Unions In Health Protection And Provision Of Safe Working Conditions For Medical Workers. \u0000Part 1. Health And Safety Of Healthcare Workers As a Medical And Social Problem","authors":"N. Kamynina, Tatyana V. Grishina, Pavel. O. Ramenskiy, Aleksandra L. Dashkova, Aleksandr O. Batsenko","doi":"10.47619/2713-2617.zm.2024.v.5i1;84-91","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2024.v.5i1;84-91","url":null,"abstract":"Introduction. Healthcare workers are an important part of national healthcare systems ensuring its sustainability. Thus, it is necessary to introduce state mechanisms aimed at protecting their health and ensuring safe working conditions. Moreover, protection of rights and interests of healthcare workers is a matter of social justice. International and national public organizations and especially trade unions of healthcare workers play an important role in dealing with these issues. \u0000The purpose of the study is to consider examples of trade union activities on health protection and provision of safe working conditions in a number of countries upon the data on health issues that experience medical specialists as well as factors influencing these issues. \u0000Materials and methods. A content analysis of the official Internet pages of trade union organizations and their reporting documents for 2015-2024 was performed. Also, such methods as analysis, synthesis, secondary analysis and systematization of data were used. \u0000Results. Around the world, healthcare workers face occupational risks of infectious diseases, and are constantly exposed to various types of biological and non-biological hazards due to their working conditions, which are considered unsafe. Even cases of ill-treatment, threats, attacks or insults during the performance of professional duties are documented. Therefore, protection of health and safety of medical professionals, as well as their social and labor rights and interests is one of the main areas of trade unions as public organizations created on the initiative of healthcare workers.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"1 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological Specificity оf COVID-19 Comorbidity","authors":"E. N. Kabaeva, M. A. Yakushin, A. V. Vorobeva","doi":"10.47619/2713-2617.zm.2023.v.4i4;15-22","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i4;15-22","url":null,"abstract":"Numerous observations have proven the influence of COVID-19 on the formation of comorbid pathology; however, the patterns of this relationship and the epidemiological consequences have not been sufficiently studied. Combination of two or more diseases of the cardiovascular system is a predictor of adverse outcomes in stroke patients with coronavirus infection, both in the acute period and after hospitalization. Ischemic stroke in patients with COVID-19 is associated with an increased risk of severe post-covid syndrome. The negative impact of the obligatory lockdown on disease outcomes has encouraged the authors to search for new organizational solutions as well as to elaborate appropriate technologies aimed at optimizing medical and social care for people who had no choice but to follow lockdown rules. Obligatory self-isolation, anxiety-depressive disorders, and frequent negative outcomes among these patients require the adoption of new organizational decisions and the development of effective technologies aimed at optimizing medical and social care. The authors conducted an analytical analysis of post-infectious complications in patients with ischemic stroke complicated by COVID-19. The authors conducted a combined retrospective study. Measures for improvement of medical care in stroke patients with concurrent COVID-19 were presented.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Effects of Prevention Programs and Public Health Projects in the Krasnoyarsk Territory","authors":"E. P. Pukhova, Dmitry O. Trufanov, O. Kutumova, Anton A. Lang, Darya G. Mylnikova","doi":"10.47619/2713-2617.zm.2023.v.4i4;36-51","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i4;36-51","url":null,"abstract":"Introduction. Monitoring and evaluation are an integral part of public health programs. Public health, in turn, is an important element of any society, and prevention programs play an important role in disease prevention and health promotion. In recent years, Krasnoyarsk Territory has shown a steady increase in the number of prevention programs aimed at improving the health and well-being of the population. Although these programs have been implemented to address specific health problems, they have also had a significant social impact. \u0000Purpose. This article investigates the social effects of prevention programs and public health projects in the Krasnoyarsk Territory. \u0000Materials and methods. The article summarizes the results of sociological research on various aspects of public health in the Krasnoyarsk Territory. The materials of sociological research conducted by the Krasnoyarsk Regional Center for Public Health and Medical Prevention were used. The results of some studies were presented in comparison with the results obtained in other regions of the Russian Federation. \u0000Results. According to the data obtained, the study of the health literacy of residents of the Krasnoyarsk Territory allowed us to conclude that a considerable part of the population is insufficiently aware of the main aspects of a healthy lifestyle. In addition, city residents of the Krasnoyarsk Territory are mostly dissatisfied with two aspects of the quality of life: the maintenance and management of the adjacent territories; the work of public utilities; and the availability of high-quality and safe pedestrian areas.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"231 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration Opportunities In the Domestic Medical Tourism Market: Expert Survey","authors":"Polina. I. Ananchenkova, Yuliya. Yu. Snegireva, Sergey Yu. Beloshisty","doi":"10.47619/2713-2617.zm.2023.v.4i4;69-76","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i4;69-76","url":null,"abstract":"Introduction. Medical tourism sector has become a multifactorial sphere and a rather complicated segment with complex structure. Countries and regions engaged in its development to more or less extent have seen its transition to one of stable sectors of tourism market that is fast-growing, income-generating and quite competitive worldwide. Thus, many countries and regions strive to develop this type of tourism; one of the strategies is the incorporation of integration elements at the intersectoral and intercompany level. The purpose of the study was to consider the opportunities to create an integrated tourist product in the domestic medical tourism market. \u0000Materials and methods. In order to determine the prospects of integration interaction between medical organizations and tourism entities on the formation and further promotion of a comprehensive tourist product in the domestic medical tourism market, an analysis of scientific literature was conducted. Then, an expert survey among specialists of medical and tourism sectors in form of a semi-structured expert interview was carried out. \u0000Results. Expert assessment of opportunities to create and promote an integrated tourism product within the framework of domestic medical tourism is rather cautious; the need for interaction and cooperation in this process is recognized. In Russia, medical tourism is actually well-developed. Regions with various wellness and recreational resources seem to be promising due to no seasonal demand fluctuations.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"51 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Properties and Use of the Dermatology Life Quality Index in Patients with Psoriasis","authors":"D. Andreev, N. Kamynina","doi":"10.47619/2713-2617.zm.2023.v.4i4;122-134","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i4;122-134","url":null,"abstract":"Introduction. Based on the results of clinical studies, considerable experience for the Dermatology Life Quality Index (DLQI) has been accumulated worldwide. The Index can be integrated into the routine management of patients with psoriasis. \u0000The purpose of the study was to systematically analyze exclusively recent data (from the last five years) on the use of the DLQI in the assessment of psoriasis severity. \u0000Materials and methods. An extensive search for relevant sources was carried out using the PubMed/Medline bibliographic database. The search string used the keywords Dermatology Life Quality Index, Psoriasis. Works not mainly related to the DLQI usage as well as similar publications describing repeated properties and characteristics of the DLQI were excluded. \u0000Results. The DLQI can be used in both clinical research and data analysis in clinical practice. The DLQI has been used in a number of studies to assess the effectiveness of novel types of therapy. The DLQI indicators usually correlate with the questionnaire results obtained from the Psoriasis Area and Severity Index (PASI) and the results of other quality-of-life scales. Most of the scientific publications discuss the use of the DLQI in clinical trials, including the analysis of the effectiveness of biological therapy. \u0000Discussion. To obtain all the evidence concerning the applicability of the DLQI and its modifications in various clinical situations, an integrated approach based on the combination of various scales in pilot studies could be expanded.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"511 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139012978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Project-Based Learning: the Experience of a Military Medical Educational Organization","authors":"Tatiana B. Sviridova","doi":"10.47619/2713-2617.zm.2023.v.4i4;86-97","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i4;86-97","url":null,"abstract":"Introduction. The implementation of project-based learning into programs of advanced professional education is one of the most relevant areas of development in the modern education system. Project-based learning significantly increases the efficiency of the educational process and the interest of students in the subjects studied and contributes to the development of their leadership qualities. The acquired skills can be successfully applied to professional activities. \u0000The article examines the successful implementation of project-based learning using the example of a military medical educational organization and determines positive aspects that can be used in other education sectors. \u0000The purpose of the study was to identify the advantages and disadvantages of project-based learning in comparison to traditional forms of education. \u0000Materials and methods. In the study, methods of sociological research were used. Students engaged in traditional and project-based learning were asked to fill out questionnaires. Then, a comparative content analysis was performed. Statistical processing and analysis of the data obtained were carried out. \u0000Results and discussion. The study of students' satisfaction with traditional and project-based learning showed that the second group had better motivation, higher interest in the subject, and a higher level of academic performance. The average academic performance score in the project-based groups was 4.8, while in the group of traditional education it was only 4.2. \u0000Conclusion. The implementation of project-based learning in academic departments is aimed at increasing students’ professional competencies, acquiring and improving additional professional skills, and creating and implementing innovative schemes that can be used later in a medical organization as independent projects. \u0000Project-based learning is more effective than traditional learning in terms of critical thinking, communication and organizational skills, and teamwork experience. The practice of analytical, strategic, and planning skills as a team is an important skill difficult to acquire in traditional training.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"65 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resource Provision of the Obstetric Service of St. Petersburg with Beds and Medical Personnel","authors":"K. Moiseeva","doi":"10.47619/2713-2617.zm.2023.v.4i4;98-111","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i4;98-111","url":null,"abstract":"Introduction. In the context of a declining birth rate, maintaining and improving the level of women's reproductive health is the main task in the activities of the obstetric service, the normal functioning of which is impossible without satisfactory resource provision. \u0000Purpose. To conduct a comparative assessment of the resource provision of the obstetric service of St. Petersburg with obstetric beds and medical personnel with indicators in the Russian Federation and the Northwestern Federal District in dynamics for 2017–2021. \u0000Material and methods. Using the information obtained from statistical collections Federal State Budgetary Institution «Central Research Institute for the Organization and Informatization of Healthcare» of the Ministry of Health of Russia, a comparative assessment of the indicators of the provision of the obstetric service of the metropolis with obstetric beds and medical personnel in dynamics over five years was carried out. Statistical analysis of the obtained data was carried out using StatSoft STATISTICA 10.0. \u0000Results. In 2017–2021 the obstetric service of the metropolis had a lower, compared with Russia and the Northwestern Federal District, availability of obstetric beds, more than half of which were beds for pregnant women and women in childbirth. In the dynamics of the provision of St. Petersburg with obstetric beds in general, beds for pregnant women and women in childbirth, and beds for the pathology of pregnancy, a trend of annual reduction in beds, common with the Russian Federation and the federal district, was observed. However, the rates for all obstetric beds have declined less significantly than the national and county averages. Provision of women of childbearing age in St. Petersburg with obstetrician-gynecologists exceeded the average figures for Russia and the Northwestern Federal District. With the annual negative dynamics of the decrease in the provision of the obstetric service in the Russian Federation and the federal district with medical personnel, in the metropolis the increase in obstetrician-gynecologists for five years was 1.6 %, and the provision with midwives decreased less significantly. The contribution of the metropolis to the obstetric bed fund and medical personnel of the obstetric service of the federal district was more than a third and increased almost every year.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"278 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outpatient Surgery Trend in Modern Healthcare","authors":"Oleg I. Nechaev","doi":"10.47619/2713-2617.zm.2023.v.4i4;112-121","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i4;112-121","url":null,"abstract":"Background. Outpatient surgery is proven to be effective, but there are some issues in organizing the workflow of an outpatient surgery center, selecting patients, and developing a perioperative care system. \u0000Purpose. To study the international experience in creating outpatient surgery centers. \u0000Methods and Materials. The review was prepared using the reporting guidelines for systematic reviews and meta-analyses (PRISMA). \u0000Results. The stages of an outpatient surgery development were defined as follows: firstly, minor surgery, then surgery under local anesthesia, and finally, laparoscopic surgery under general anesthesia. Modern surgery provides a wide range of interventions with minimal contraindications. In addition, it’s still unclear whether outpatient surgery services should be delivered within a multidisciplinary hospital, an outpatient surgery center, or an outpatient and polyclinic institution. Treatment process should engage patients by giving a comprehensive education, standardizing processes, and setting clear expectations for recovery and discharge. When complex patients who have already undergone a surgical intervention come to an outpatient institution, it is crucial to correctly select them. There is no established process of determining whether a patient is suitable for a surgical intervention; patient selection depends on multiple factors. Outpatient surgery centers face several challenges like increasing costs, attracting and retaining of qualified staff. The answer could be to provide payments based on performance, and to focus on patient relevant indicators. The assessment of patient’s health condition after discharge is done, firstly, via telephones, then through messengers, and now by digital cloud applications.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"222 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138992680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}