Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR最新文献

{"title":"Prominent physician and manager of health care in the Crimea (on the 120th anniversary of the death of N.N. Betling)","authors":"Ekaterina E. Zvereva, Sergey A. Kutia","doi":"10.47470/0044-197x-2023-67-5-453-458","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-5-453-458","url":null,"abstract":"The year 2022 marks the 120th anniversary of the death of Nikolai Nikolaevich Betling, one of the most prominent representatives of pre-revolutionary medicine in the Taurida Gubernia. For more than thirty years he was the head of the Taurida Gubernatorial Zemstvo Hospital, which he took over in a very difficult and crucial period — soon after it was transferred from the Prikaz Public Charity to the Taurida Gubernatorial Zemstvo. It was his efforts that laid the foundation for the development of not only the practical medicine of the region, but also the surgical research center of the Gubernia. For his outstanding contribution to medicine, Betling was awarded not only several orders, but also the title of honorary nobility, and after his death a street in Simferopol was named in his honour. However, over a century later, Betling’s legacy has been forgotten. Today Betling’s name is known only to some local historians and is practically not mentioned in scientific publications. The authors of the article analyzed pre-revolutionary literature sources and searched among archival documents, plans and photographs. Today, in the main building of the former hospital is a Department of Human Anatomy of Institute “Medical Academy named after S.I. Georgievsky”, where medical students of junior courses are trained. Resurrecting the memory of such figures of Medicine as Betling is a fertile ground for creating a sense of pride in the national history of Medicine among aspiring physicians.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":"25 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874213","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":"Organizational and economic aspects of standardization of processes in the healthcare system","authors":"Sergey V. Russkikh, Alexander L. Lindenbraten, Liudmila I. Moskvicheva, Tatyana P. Vasilieva, Siran M. Smbatyan, Nataliya A. Gorbacheva","doi":"10.47470/0044-197x-2023-67-5-367-373","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-5-367-373","url":null,"abstract":"Introduction. Nowadays standardization is a necessary tool for timely response to challenges and changes, the basis for the work on patient safety, contributes to the control of staff performance, minimizes the risks of medical care.
 Objective. to reveal the managing and economic aspects of standardization of processes in the healthcare system and the correctness of the use of existing regulatory documents as an algorithm for the main processes at the level of structure, at the level of process, at the level of result.
 Materials and methods. By conducting surveys and in-depth interviews, various opinions on the standards of medical care of various interviewed groups were collected: undergraduates of the HSE course “Management and Economics of Healthcare”, as well as groups of territorial fund of compulsory medical insurance medical experts and “high-level” experts. 
 Results. The materials of the sociological survey showed a lack of knowledge, uncertainty and unpreparedness of respondents on the application of standards in the planning and provision of medical care, which indicates a lack of understanding of the use of standardization mechanisms in improving medical care. At the same time, in-depth interviews with “high-level” experts show this management tool to operate.
 Limitations. The research materials are limited to the results of a survey of two groups of respondents 
 (78 people) conducted over the period from 09.2022 to 01.2023.
 Conclusion. The standards can be successfully used in medical care planning, pricing, examinations, as well as training and training of medical personnel. In this regard, it should be concluded that there is a need for further training on the issues of professional development of a wide range of healthcare managers, as well as in the process of training specialists at all levels. As part of the recommendations, it is advisable to provide training for medical personnel on standardization issues, including connection with the examination of the quality and safety of medical care. To develop a methodological approach to improve and use the principle of standardization in the management and provision of medical care.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":"25 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874086","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 general medical practice in a multidimensional design of patient satisfaction with the quality of medical care","authors":"Maria A. Kuznetsova, Tatyana P. Vasilyeva, Alexander B. Zudin, Elena I. Aksenova, Olga A. Gruzdeva, Kamalya Yu. Kuznetsova","doi":"10.47470/0044-197x-2023-67-5-411-416","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-5-411-416","url":null,"abstract":"Introduction. The policy and practice of the Russian healthcare system in the area of person-centered care aims to involve the patient in the treatment process with an individual approach to their needs and expectations. &#x0D; The quality of medical care is increasingly evaluated through the perception of the patient, his/her satisfaction. In this regard, the design of person-centered medicine is multi-dimensional, forming a partnership relationship between the parties involved — doctor, patient, health care provider — in making joint decisions. &#x0D; The purpose of the study. Assessment of general practice (GP) through individual patient preferences &#x0D; in a multidimensional construct of satisfaction with the quality of care. &#x0D; Material and methods. The international EUROPEP questionnaire was used. Statistical processing of the study materials was performed using Statistica 10 and SAS JMP 11.&#x0D; Results. Statistically significant differences in respondents’ satisfaction depending on the age and gender &#x0D; (p < 0.0001) were revealed. The predominance of a positive opinion on the totality of all the analyzed criteria of satisfaction among female respondents is shown. At the same time male respondents gave positive estimation of quality of general medical practice only in such two groups of observation as in age category of 36–45 years old — 53.09 % and 66.67 % of persons older than 75 years old. &#x0D; Research limitations. The research is limited to the survey of a certain number of patients of medical institutions in Moscow to assess the GP in terms of satisfaction with the quality of medical care provided.&#x0D; Conclusion. New data have been obtained on different respondents’ perceptions of the quality of standardized medical care provided by GPs, and the assessment of satisfaction with its quality depending on the age and gender of the adult population. The satisfaction of male respondents with the quality of medical care was shown to be lower in all age groups except 53.09% (36–45 years) and 66.67% (over 75 years). Female respondents expressed satisfaction on the aggregate of all opinion-forming factors.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":"25 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874219","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":"Managing aspects of the implementation of the practice of dispatcher-assisted first aid for cardiac arrest in the Russian Federation (literature review)","authors":"A. A. Birkun, L. I. Dezhurny","doi":"10.47470/0044-197x-2023-67-4-284-291","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-4-284-291","url":null,"abstract":"High death rates in out-of-hospital cardiac arrest are mainly associated with failure of bystanders to provide lifesaving help before arrival of medical professionals. This constitutes a major problem for present-day Russia and determines the urgent need to take managing measures aimed at maximizing involvement of the lay public into the process of resuscitation and first aid provision. Based on an analysis of contemporary scientific literature, this paper provides a justification for creation and implementation of a unified coordinated program of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR), when dispatchers of emergency services provide witnesses of cardiac arrest with instructions on how to perform resuscitation over the telephone in Russia. In particular, the article describes the foreign experience of implementation of DA-CPR programs that confirms a high effectiveness of the dispatcher support as it applies to outcomes of out-of-hospital cardiac arrest; it discusses a place of DA-CPR in current international guidelines on management of cardiac arrest; and it gives an analysis of managing and legal prerequisites for implementation of DA-CPR into the daily work of emergency medical services and 112-emergency system in Russia, including the existing dispatching infrastructure for implementation of the DA-CPR program, and current legal framework that regulates management and operation of the emergency services that provide remote consultations on health protection for the public. Based on the analysis, priority managing measures were identified aimed at effective and unified implementation of the DA-CPR in Russia. For relevant literature, we searched Medline, Scopus, Web of Science, Google Scholar and Russian Science Citation Index.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45773116","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 Legal Regime of Anti-Crisis Regulation in the Healthcare","authors":"Fatima V. Tsomartova","doi":"10.47470/0044-197x-2023-67-4-329-335","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-4-329-335","url":null,"abstract":"Introduction. The understanding of crisis situations in many of their varieties, including those affecting the health of the population, is shifting from temporary and exceptional one-time events to long-term processes that pose serious challenges to the rule of law and require an adequate legal response. Under such circumstances, the usual health regulators, designed for the normal state of social relations, turn out to be non-functional. In this regard, the problem of scientific development of a special legal mechanism for anti-crisis management aimed at preventing, ensuring preparedness, effective response and liquidation of the consequences of crisis situations in the healthcare sector is being actualized. \u0000Materials and methods. The methodological basу of the study included general scientific (dialectical, logical, systemic, historical, sociological, statistical), and private scientific methods of legal science (formal legal, historical legal and comparative legal). The empirical base of the study was domestic and foreign legal acts, law enforcement practice, and legal doctrine. \u0000Results. There were identified and characterized,main features of the legal mechanism of anti-crisis management in the healthcare sector including the interdependence of risks in the healthcare sector and the need for a comprehensive regulatory impact on them, the normalization of anti-crisis regulation of the health of citizens, some dejuridization of the industry, a change in the ratio of individual and public interests, acceleration digitalization and intensification of legal experiments in healthcare. \u0000Limitations. Due to the objective novelty of the problem under consideration the study is somewhat limited in terms of reviewing the reports on the relevant topic. \u0000Conclusion. In modern conditions of permanent instability, there is a tendency to form the so-called anti-crisis standard for protecting the health of citizens as a special comprehensive intersectoral perpetual legal regime adapted to exceptional threats to the life and health of citizens.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42367819","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":"Bullying and cyberbullying in adolescent environment: prevalence, methods of intimidation, role-player behavior","authors":"N. Semenova","doi":"10.47470/0044-197x-2023-67-4-313-319","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-4-313-319","url":null,"abstract":"Relevance. Widespread among adolescents bullying usually shows as traditional bullying (TB) and cyberbullying (CB). The public health relevance of bullying is that it can lead to emotional distress, social maladjustment and suicidal behavior. \u0000Aim. To analyze the prevalence of traditional bullying and cyberbullying among adolescents, to assess the social roles of participants and methods of intimidation with regard to gender differences. \u0000Materials and methods. Data collection was carried out in 2015–2017 within EACMHS. With the continuous method there were examined six hundred ninety two students of secondary schools in Krasnoyarsk (364 girls) aged 11–17 years (average age is 14.6 ± 1.3). A questionnaire including two sets of questions related to bullying and cyberbullying developed by the EACMHS was used. \u0000Results. The TB prevalence is 28.7% (26.5% — boys, 30.8% — girls), the СB prevalence is 25.7% (33.5% — boys, 18.9% — girls). TB and CB can occur both independently and in combination, increasing the prevalence of bullying as a whole up to 43.1% (where only TB — 17.2%, only CB — 14.3%, both types — 11.6 %). Boys are more likely to be the aggressors. The most common methods of bullying are name calling (17.5% for TB, 15.3% for CB). Girls are more often bullied because of their appearance (19.5%), boys are more often by dangers (14.3%) and threats (13.4%). \u0000Limitations. Adolescents living in one city were examined. One source of information was used. \u0000Conclusions. The high involvement of adolescents in bullying requires the development of preventive measures.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46365957","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":"Significant and anniversary dates in the history of healthcare in 2024","authors":"I. V. Egorysheva, E. Sherstneva","doi":"10.47470/0044-197x-2023-67-4-358-359","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-4-358-359","url":null,"abstract":"","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49266590","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":"Surgical myocardial revascularization: to the issue of predictors of long-term prognosis (literature review)","authors":"M. Kuzmichkina, Victoria N. Serebryakova","doi":"10.47470/0044-197x-2023-67-4-300-305","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-4-300-305","url":null,"abstract":"Despite the active development of measures for the prevention and treatment of cardiovascular diseases (CVD), today the mortality rate remains high. In this regard, in recent decades, there has been a pronounced progress in the field of methods of treating patients with coronary heart disease (CHD). Undoubtedly, an important role is assigned to the improvement of methods of surgical myocardial revascularization. To reduce mortality rates it is necessary to work in various directions, including the improvement of surgical techniques, active work on the early detection of CVD. It is worth to aim at delivery a system of information support for the population on the issues of maintaining and promoting health, a healthy lifestyle, and effective drug treatment for CVD. It is actual to study factors that can influence on the course of the disease after surgery. \u0000The search for materials was carried out by analyzing open sources of English and Russian reports in the electronic databases PubMed, MEDLINE, Scopus, eLibrary, CyberLeninka, Web of Science, RSCI. A review of the literature on works aimed at identifying the most significant predictors of poor long-term prognosis after coronary artery bypass grafting (CABG) is presented. The main predictors of an unfavourable long-term prognosis after surgical myocardial revascularization include age at the time of surgery over 60–65 years, diabetes mellitus (DM), chronic kidney disease (CKD), multivessel coronary atherosclerosis, multifocal atherosclerosis (MFA), reduced fraction ejection (EF) of the left ventricle (LV) (< 50%), index coronary bypass surgery for acute coronary syndrome (ACS), a history of acute cerebrovascular accident (ACV), and myocardial infarction (MI), LV plasty.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45493972","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":"Tools for medical manipulation: the evolution of use, treatment and disinfection (literature review)","authors":"O. Milushkina, Marat I. Timerzyanov, D. E. Vasiliev","doi":"10.47470/0044-197x-2023-67-4-352-357","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-4-352-357","url":null,"abstract":"Many factors contributed to the improvement of the quality and safety of medical services, including the development of medical instruments and methods of their treatment and disinfection. This article summarizes a brief history of instruments for medical manipulation and the development of methods of their processing over the world and Russia. \u0000The purpose of the study is to review and generalize the development of surgical instruments used for medical manipulations, including autopsy, their treatment, and disinfection. A comprehensive literature search was conducted for references on the topic of the article and subsequent analysis of publications. Systematic search of scientific papers was carried out using several search engines: PubMed, RSCI, Google Scholar, CyberLeninka. \u0000The progress of forensic medical examination is largely related to the result of the development of medical instruments, methods, and modes of their processing. Surgical instruments existed at the dawn of mankind, and their evolution corresponds to the degree of development of medical science and practice. The use of disinfectants for the treatment of medical instruments dates back hundreds of years. Disinfection of sectional instruments is of paramount importance to ensure infection safety. We have accumulated some experience in using disinfectants. Success depends solely on the use of effective methods and disinfection, in recent years, the treatment and disinfection of instruments has been supplemented with modern methods. Prospects for further improvement of the results of forensic medical examination are necessarily associated with the development of tools for medical manipulation and their processing.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42644163","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":"Analysis of the trend in the morbidity of the population of the Russian Federation considering the factors affecting the availability of general medical services","authors":"V. P. Chigrina, O. Khodakova, D. S. Tyufilin, Georgii A. Artamonov, V. A. Medvedev, O. Kobyakova, I. Deev","doi":"10.47470/0044-197x-2023-67-4-275-283","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-4-275-283","url":null,"abstract":"Introduction. The morbidity is one of the key indicators used to assess the level of public health and demonstrating the level of accessibility of medical care to the population and the effectiveness of primary health care. \u0000The aim was to analyze the trend in the morbidity of the population in the Russian Federation, considering factors affecting the availability of general medical services, in the context of the subjects of the Russian Federation. \u0000Material and methods. The study based on information from the federal static observation form No. 12 “Information on the number of diseases registered in patients living in the service area of a medical organization” for 2018–2021. \u0000Results. In the Russian Federation from 2018 to 2021, general morbidity increased by 2.6%, while newly identified morbidity increased by 9.4%. The Ivanovo region had the largest rate of rise in general morbidity (24.9%), Stavropol Krai — the highest newly identified morbidity (34.7%). When assessing the influence of various factors on the level of morbidity using the method of stable regression, the level of provision of the population with doctors was revealed to have the greatest influence, which is confirmed by the presence of a strong direct dependence. \u0000Limitations. The data from the federal static observation form No. 12 “Information on the number of diseases registered in patients living in the service area of a medical mamnagement” for 2018–2021 for 85 subjects of the Russian Federation were examined to determine the morbidity of the population of the Russian Federation that is able-bodied and over the working age. \u0000Conclusion. The morbidity rate in the Russian Federation during the period under review tends to increase. It is an integral indicator of the availability of medical care and the detection of diseases, which influenced by a variety of factors, including the availability of primary care doctors, the strength of the medical managemorganization, the degree of hospitalization, the average number of visits to doctors.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49258865","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}