City Healthcare最新文献

{"title":"Aspects of Development of Telemedicine Technologies in Moscow","authors":"V. E. Andrusov, M.D. Pakhuridze, Elizaveta V. Skvortsova","doi":"10.47619/2713-2617.zm.2023.v.4i2;73-81","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;73-81","url":null,"abstract":"Aim. This study describes the development features of telemedicine technologies in Moscow. For this purpose, authors analyzed publications, regulatory acts, and experience of the Telemedicine Center of Center of Medical Prevention of Moscow Healthcare Department, including its work during the COVID-19 pandemic. \u0000Results. With the onset of the COVID-19 pandemic, Telemedicine Service for Patients with Coronavirus Infection (the Telemedicine Center of Moscow Healthcare Department) began operating in Moscow. The service provides telemedicine doctor-patient consultations in the following areas: management of patients with coronavirus infection, participants in a clinical trial of Gam-COVID-Vak vaccine, and visitors of Moscow Health pavilions. Doctors and patients communicate via the Telemedicine Information System that is accessible either through a mobile app or a browser. To access patient medical records, doctors use the Unified Medical Information and Analytical System of Moscow. To develop the specialized skills necessary to provide remote medical consultations to Moscow residents, a doctor of the Telemedicine Center receives further training, including workplace internships.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128124604","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":"Performance Indicator System for Medical Organizations: A Case of Moscow Polyclinics","authors":"Yuliya V. Elbek","doi":"10.47619/2713-2617.zm.2023.v.4i2;4-14","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;4-14","url":null,"abstract":"Background. The performance assessment of medical organization’s activities has taken on great significance as the whole world tends to implement the model of value-based healthcare and the system of compulsory health insurance is focused on increasing the financial support of medical organizations. \u0000Purpose. To analyze methodological approaches and to design a performance indicator system for medical organizations. \u0000Materials and Methods. The author conducted the content analysis of research articles on the study topic published in the Russian Science Citation Index, and analyzed statistical and accounting data of Moscow polyclinics providing primary health care to the adult population from 2016 to 2021. \u0000Results. The author analyzed the methodological approaches of Russian researchers and practitioners to assessing the performance of medical organizations and to choosing the relevant performance indicators. Based on a thorough approach to selection, a set of performance assessment indicators was created by analyzing the performance of Moscow polyclinics providing primary health care to the adult population from 2016 to 2021. The recommendation is to use the developed indicator system for rating medical organizations in order to improve management process and to achieve desired outcomes.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124461177","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":"Assessment of Adherence to Treatment with Ethylmethylhydroxypyridine Malate in Patients with Chronic Cerebral Ischemia Using a Digital Platform","authors":"Almira A. Reshetova, Alexey S. Bezymyannyy, S. S. Zuev","doi":"10.47619/2713-2617.zm.2023.v.4i2;82-88","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;82-88","url":null,"abstract":"Background. The problem of adherence to medical recommendations is always relevant. Low adherence or nonadherence to treatment has negative clinical and economic effects, such as influence on treatment success, prolongation of disease duration, increased risk of hospitalization, negative outcomes, and increased mortality risk. \u0000The aim of this study was to assess the impact of using the RX Observatory digital platform on adherence to treatment with Etoxydol (ethylmethylhydroxypyridine malate) in patients with chronic cerebral ischemia (CCI). \u0000Materials and methods. Medication adherence was studied in patients with CCI who visited doctors in three Moscow city polyclinics using the RX Observatory digital research platform and digital questionnaires. \u0000Results. The study found that 47% of patients fully adhered to the prescribed medication. Adherence was higher if the medication was prescribed by a medical specialist (general practitioner – 36 %, neurologist – 56 %), although adherence to medical recommendations was higher among patients visiting general practitioners (general practitioner – 48 %, neurologist – 43 %). \u0000Conclusions. The study showed that the RX Observatory platform may be a useful tool for developing medication adherence in patients taking Etoxydol (ethylmethylhydroxypyridine malate).","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122377315","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":"Capabilities of Molecular Genetic Methods for Effective Hereditary Cancers Detection in Individuals with High Cancer Risk Factors","authors":"A.  B. Semenova, M. Byakhova, V. Galkin, Sergey A. Parts, M. Makarova, M. Nemtsova, D. Chernevskiy, O. Sagaydak, E. Baranova, M. Belenikin, A. Krinitsina, I. Khatkov, N. Bodunova, A. Danishevich, D. Kanner, N. Savelov, A. Shabunin, S. S. Lebedev, D. Protsenko, S. Gadzhieva","doi":"10.47619/2713-2617.zm.2023.v.4i2;30-40","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;30-40","url":null,"abstract":"Russia and other countries report an increase in the incidence of malignant neoplasms, and approximately 10 % of all oncological cases have hereditary background. Molecular genetic testing in patients with diagnosed malignant neoplasms and a suspected hereditary factor will help to select effective modern methods of treatment and prevention of the development of neoplasms of other localizations. \u0000According to the study, 12,6 % of patients had hereditary cancer syndrome, which allowed to administer molecular genetic tests to patients’ relatives. Consequently, it becomes possible to detect hereditary cancer risk factors, improve the efficiency of clinical examination, elaborate and implement programs for prevention and early detection of the disease.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125433073","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":"Method for Evaluating the Effectiveness of Simulation Training \u0000for Laparoscopic Intracorporeal Suturing","authors":"A. Shabunin, Alexander V. Klimakov, Y. Logvinov, R. Y. Maer","doi":"10.47619/2713-2617.zm.2023.v.4i2;15-29","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;15-29","url":null,"abstract":"Laparoscopic intracorporeal suturing (LIS) is one of the key skills in laparoscopic surgery. LIS training is conducted in simulation centers and is aimed at transferring the knowledge into practice. The simulation training (ST) is focused on the development of skills that allow surgeons to perform LIS operations. However, this goal is not completely achieved: only 44,0 to 72,2 % of surgeons implement LIS skills in their practice. \u0000 There is a need to evaluate the effectiveness of such training programs and analyze factors that may influence the results. This evaluation is required to increase the effectiveness of LIS trainings and implement the acquired skills into practice by training surgeons. \u0000According to commonly accepted approach to evaluation of training programs suggested by D. Kirkpatrick., the method of effectiveness evaluation allows to estimate the practical results achieved by all trainees. Unfortunately, there are no commonly accepted methods aimed at evaluating the effectiveness of LIS training programs. The existing methods estimate the results of effectiveness evaluation in simulation (Dry lab) or practically, but in small groups. Effectiveness evaluation of LIS trainings implementation in surgical practice among all trainees is related to significant financial costs and complexity. \u0000A new effectiveness evaluation method of LIS simulation training programs (the Method) has been suggested. It is aimed at evaluating the total amount of results and other ST effects, as well as analyzing individual factors that can influence training results. The Method includes a survey among ST participants. It has been applied to effectiveness evaluation of LIS simulation training program at Educational and Accreditation Center of the Botkin City Clinical Hospital. The survey showed that 88.9% of surgeons attending the LIS training program implemented their knowledge into practice. \u0000The suggested Method allows to evaluate the effectiveness of LIS simulation training and its implementation into practice among all trainees, analyze factors that can influence the training results and use the obtained results for further improvement of the training program and its methods. \u0000The Method may be recommended for implementation at medical simulation training centers.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128952288","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":"Transformation of Personnel Management Process: Reshaping Responsibilities of Non-Medical Personnel","authors":"E. Medvedeva, Sergey V. Kroshilin","doi":"10.47619/2713-2617.zm.2023.v.4i2;60-72","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;60-72","url":null,"abstract":"Background. One of the major challenges in modern healthcare that is timely delivery of high-quality medical care to the population must be addressed. First of all, it requires effective staff management. The quantitative and structural imbalance of medical professionals is another common issue in modern healthcare. The current changes in staff management are primarily related to reshaping of responsibilities of medical personnel. In this context, we will discuss reshaping as the transfer of some responsibilities of medical personnel to non-medical one, which is expected to reduce the excessive physician workload. \u0000The purpose of this article is to study and analyze the existing positive practices and solutions in personnel management aimed at delegating tasks not related to health care delivery to non-medical personnel in medical organizations. \u0000Materials and methods. The authors conducted an expert interview with heads of medical organizations, doctors, heads of divisions and chiefs of departments of medical organizations in Moscow and Russian regions. Along with interviews, authors used SWOT analysis. \u0000Results. The conducted survey revealed potential transformation trends. According to expert opinion, the main transformations aimed at reshaping responsibilities of non-medical personnel are related to a set of functions such as work in call centers, implementation of telemedicine technologies, use of high-tech equipment and technologies for timely health care delivery. This study methods and findings can contribute to recommendations on job responsibilities of non-medical workers including the reduction of physicians workload. The results will be of interest to scientists, researchers, HR managers and health authorities engaged in the process of optimization and improvement of medical care provision.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129132325","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":"Assessment of Formation of the Doctor’s Priority Personality Orientation Towards Professional Accomplishments","authors":"D. P. Derbenev, Roman V. Maiorov","doi":"10.47619/2713-2617.zm.2023.v.4i2;52-59","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;52-59","url":null,"abstract":"Background. Numerous psychological traits may contribute to the success of a doctor's career, with the priority orientation of an individual towards qualitative and effective solving of professional tasks being among the most important factors. \u0000Purpose. The purpose of the study was to determine the prevalence and to study the determinants of priority orientation of an individual towards qualitative and effective solving of professional tasks among internal medicine physicians of the Tver region. \u0000Materials and methods. This medical and social study was conducted as a selective single-stage study based on a set of methodological procedures and techniques related to sociological, psychodiagnostic and statistical methods. A representative sample (p < 0,05) included 597 internal medicine physicians working in medical organizations in the Tver region. \u0000Results. Authors assessed the incidence of the priority orientation towards qualitative and effective solving of professional tasks among internal medicine physicians in general and in certain gender and age groups. We identified 16 significant (p < 0,05) medical, social and psychological factors influencing the formation of this priority orientation of internal medicine physicians’ personality, as well as their significance. \u0000Conclusions \u00001. The prevalence of the priority orientation was observed among 32,9% of internal medicine physicians in the Tver region. Statistical data showed that in men the indicators were significantly higher compared to women of all age. \u00002. Medical and social factors of professional environment supported by psychological determinants of professional motivational and value plan greatly influence the shaping the priority orientation of an individual towards qualitative and effective solving of professional tasks among internal medicine physicians.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"391 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134396460","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":"Knowledge management as a management function","authors":"A. Zudin, L. Gurtskoy, P. Ananchenkova","doi":"10.47619/2713-2617.zm.2023.v.4i1;98-104","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;98-104","url":null,"abstract":"Introduction. Due to rapid expansion of the global knowledge-based economy many organizations, including medical ones, have to find and implement the most appropriate knowledge capital solutions that will enable them to achieve sustainable competitive advantages. Background. The paper is aimed to provide theoretical overview of the knowledge management concept in the management system, its functions, effects and advantages of implementation in medical organizations. \u0000Materials and methods. Analysis and synthesis of scientific publications were used to define the conceptual idea of knowledge management, its functions, principles, advantages, implementation and application. \u0000Results. The study showed that knowledge management (KM) as a concept and a management function remains understudied in modern scientific literature. In terms of strategic management and sustainable development of medical organizations, scientific works studying KM are poorly presented, which does not allow to fully assess the prospects and possibilities of knowledge management in medicine and healthcare. \u0000For citation: Zudin AB, Gurtskoy LD, Ananchenkova PI. Knowledge management as a management function. City Healthсare. 2023; 4 (1): 98-104. doi: 10.47619/2713-2617.zm.2023.v.4i1;98-104","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127302878","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":"International practices of organizing emergency medical care for foreign citizens","authors":"G. D. Petrova, V. Afanasyev, O. I. Bezzubenko","doi":"10.47619/2713-2617.zm.2023.v.4i1;61-67","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;61-67","url":null,"abstract":"The article discusses the international practices of organizing emergency care for foreigners when specialized assistance companies directly coordinate the process. The involvement of the national health care system in the provision of emergency and acute care to non-residents directly shapes the global reputation of the country as a healthcare and tourist destination. This reflects the objectives laid down by the Government of the Russian Federation in the national project policies. \u0000Purpose: to study the role of specialized medical assistance companies in the Russian health care system for foreigners, to identify aspects of their work and evaluate their potential contribution to shaping and developing global reputation of the Russian healthcare system. \u0000Results and conclusion. Study shows that today assistance companies are an underestimated participant on the Russian medical tourism market that could help strengthen the regional and federal healthcare destinations and provide new opportunities for Russian medical organizations. Few Russian studies have investigated impact of assistance companies, which in turn limits the tools for raising tourist attractiveness of the Russian Federation and its constituent entities. \u0000For citation: Petrova GD, Afanasiev VA, Bezzubenko OI. International practices of organizing emergency medical care for international patients. City Healthсare. 2023;4(1): 61-67 doi: 10.47619/2713-2617.zm.2023.v.4i1;61-67","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123814934","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":"Perceptions of Moscow population about healthy nutrition and food consumption in households","authors":"Victoriya V. Egorova, I. Bogdan, A. A. Brumberg, Dariia P. Chistyakova","doi":"10.47619/2713-2617.zm.2023.v.4i1;4-11","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;4-11","url":null,"abstract":"Background. Nutrition is one of the most important determinants for the population health. Increasing the population commitment to a healthy lifestyle, in particular healthy nutrition, is an important state task, which includes an integrated approach: educational policy, creation of an economic, legislative and material base. Monitoring is necessary to determine the necessary areas of work and evaluate their effectiveness. \u0000Subject. Perceptions of Moscow population about capital about healthy eating and eating behavior. Objective. To identify the specifics of the Moscow population's perception of healthy eating and appropriate behavior, with comparison to the healthy eating norms. Methods. Authors used statistical data by Rosstat on the consumption of basic food products and telephone survey of the Moscow population, conducted by the Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department (2021). 474 people were interviewed, representing the population by age and sex. Results. The majority of Muscovites (59%) consider healthy eating as abiding by nutritional principles. 22% of respondents told about the need to exclude/reduce certain foods and dishes (fatty, sweet, fried food) in their diet. 26% of respondents associate vegetables with a healthy diet, 17% named fruits, 7% mentioned meat. The study revealed insufficient consumption of 1) vegetables and melons is detected: 102.9 kg/year/person vs the recommended 140 kg/year/person; 2) fruits and berries: 80.6 kg/year/person vs the recommended 100 kg/year/person. In turn, the consumption of sugar and confectionery products is excessive: 22.1 kg/year/person vs the recommended 8 kg/year/person. Consumption of meat and processed meat is also excessive, mainly due to industrial meat products. The study correlated statistical and survey data and found a few intersecting points. \u0000Conclusion. In general, the population has notions of a healthy diet, but it needs to be supplemented, adjusted and systematized. In particular, eating habits of specific foods prove the need to strengthen preventive work in this area.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115176200","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}