Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR最新文献

{"title":"Characteristics of managerial decision-making in medical institutions in the trend in the professional activity of healthcare leaders","authors":"N. Korshever, S. Pomoshnikov","doi":"10.47470/0044-197x-2023-67-1-23-28","DOIUrl":"https://doi.org/10.47470/0044-197x-2023-67-1-23-28","url":null,"abstract":"Introduction. Despite the relevance of the managerial decision-making problem including those in healthcare institutions, there are virtually no studies that analyze its trend. This research is an attempt to eliminate this gap. \u0000The objective of this study is to evaluate the characteristics of managerial decision-making in healthcare institutions considering the trend in the professional activities of their managers. \u0000Material and methods. An expert survey method included an analysis of the answers of thirty six healthcare managers to the questions of an anonymous questionnaire covering a 10-year period of managerial activity. \u0000Results. We determined the positive changes in the competence of healthcare managers, in particular their theoretical knowledge (the first three years of managerial activity), practical skills (four years), foresight of the course of events — forecasting (five years), gaining confidence (5.2 ± 0.6 years), and a 10-year trend in managerial decision-making in healthcare institutions that refers to their quality (up to the ninth year), formulation (from the second year to the end of the observation), implementation (from the second to the ninth), reasons for non-fulfillment (ninth and tenth years), the significance of innovative solutions (from the second to the sixth years), expediency implementation of optimization directions (from the fifth to the eighth years). \u0000Limitations. Quantitative and qualitative characteristics of the sample statistical population surveyed are limited — the opinion of healthcare managers who met the requirements for experts was assessed. \u0000Conclusion. This research is the first evaluation of the characteristics of managerial decision-making in healthcare institutions in the trend in professional healthcare management activity; it is of great scientific and practical importance and opens up prospects for optimizing the process under consideration.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43605392","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 use of modern digital technologies in predictive analysis of risk factors for premature death due to socially significant non-communicable diseases (literature review)","authors":"G. Bezrukova, T. A. Novikova","doi":"10.47470/0044-197x-2022-66-6-484-490","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-484-490","url":null,"abstract":"The effectiveness of the implementation of the Concept of predictive, preventive and personalized medicine is directly related to the development and scaling of the process of digitalization of healthcare with the leading position occupied by artificial intelligence technologies (AI technologies). This fully applies to the problem of predictive analysis of risk factors for premature death from socially significant non-communicable diseases (NCDs). The purpose of the work was to summarize the current domestic and foreign experience of using AI technologies and machine learning (ML) in predictive analysis of risk factors for premature death from socially significant non-communicable diseases. The search for publications was carried out in the RSCI, CyberLeninka, eLibrary, and PubMed databases containing domestic and foreign sources of scientific information. The search depth covered period from 2011 to 2021. More than 50 sources of scientific information were analyzed. The article briefly reports on the global risk factors (RF) of premature death due to NCDs, the main place among which is occupied by diseases of the circulatory system. The disadvantages of calculators used in mass examinations to determine the total risk of fatal cardiovascular events (CVE) are considered ¾ Framingham scale and SCORE scale. It is shown that the individual predictive efficiency of calculators can be increased due to ML technologies that use big data on the health status of the population in certain regions, digitalization of medical images, and expansion of structured databases of the RF spectrum, which makes it possible to recognize and take into account complex relationships between multiple, correlated, and nonlinear RF and CVE outcomes. Examples of the predictive effectiveness of ML models are given. Special attention is paid to AI technologies and deep ML in the stratification of CVE risk and outcomes based on the analysis of imagesof the fundus the eye. Conclusion. The introduction of AI technologies and ML in clinical practice opens up the prospect of achieving an effective individualized stratification of the risk of premature death due to chronic NCDs and their factor of personalized prevention through timely optimization of socially significant diseases modifiable by the F.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46436858","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":"Management of the activity of the Moscow pathology and anatomical service in the context of a pandemic of a new coronavirus infection in 2020–2022","authors":"A. Kanibolotskiy, O. Zayratyants","doi":"10.47470/0044-197x-2022-66-6-459-465","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-459-465","url":null,"abstract":"The management of the activity of the pathology and anatomical service (PAS) of the Moscow Healthcare Department (DZM) in the context of the COVID-19 pandemic and the provision of timely and accurate pathological diagnostics, as well as the receipt of reliable statistics on mortality rate, made it possible to provide timely management decisions to combat the pandemic. Purpose. To present the successful experience of managing the activities of the Moscow Pathoanatomic Service of DZM in the conditions of a pandemic of a new coronavirus infection. Methods. The paper analyzes and summarizes the features of the activity of PAS of DZM in the conditions of the COVID-19 pandemic, presents the main activities carried out to ensure timely and accurate diagnostics in anatomical pathology, and obtaining reliable statistical data on mortality, demonstrates the most important management decisions for organizing work aimed at combating the pandemic. Analytical, organizational, and statistical research methods are used in the work. Results. In order to improve the organization of the work of PAS of DZM in the context of the COVID-19 pandemic and ensure timely and accurate pathological diagnostics, and obtaining reliable statistics on mortality from it, a number of important activities were carried out including reprofilation of the PAS and reorganization of the work of PAS of DZM, reorganization and optimization of the work of the organizational and methodological department for pathological anatomy (OMO PA) of the Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, carrying out activities to establish interaction between the chief specialist in pathological anatomy and OMO PA with the DZM, the Rosstat and the egistry Office in Multiple functional Centres, connection of all Departments of Pathology by the new laboratory information system «LABFORS», development of continuing medical education. Limitations. Limited time period for description; there is no comparison with other subjects; conditions of the COVID-19 epidemic. Conclusions. Thus, the PAS of DZM, under the guidance of the chief specialist in pathological anatomy of DZM and OMO PA, showed its efficiency and effectiveness in the context of a pandemic of a new coronavirus infection, successfully implemented new technologies and organizational principles, improved the organization of its work, developed both post-mortem and intravital diagnostics of diseases in anatomical pathology.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46704771","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":"Teaching of individual disciplines during the training of residents in the specialty «Health organization and public health»","authors":"A. A. Timoshevskiĭ","doi":"10.47470/0044-197x-2022-66-6-529-534","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-529-534","url":null,"abstract":"Introduction. In the interests of the formation of professional competencies (PC), several mandatory basic and variable academic disciplines are used, which educational organizations formulate independently in the volumes established by the educational standard. The purpose of the study is to analyze the compliance of the professional competencies of the Federal State Educational Standard in the disciplines of the residency program in the specialty «Health Organization and public health», to propose the topics of some disciplines of the basic and variable parts of the training program. Materials and methods. The material for the analysis was the professional competencies set out in the Federal State Educational Standard 31.08.71 «Health organization and public health», the labor functions of the professional standard «Specialist in the field of health organization and public health», the tasks and topics of some disciplines of the mandatory and variable parts of the residency program. Results. The considered professional competencies (PC) fully correspond to the goals and objectives of the discipline «Healthy lifestyle and disease prevention» and are not directly related to the discipline «Microbiology». The most appropriate professional competence for the discipline «Emergency Medicine» is «readiness to organize medical care in emergency situations», does not fully correspond to the labor function defined by the professional standard. Limitations of the study. Research is limited by the number and features of the disciplines taught. Conclusion. For the discipline «Emergency Medicine», adjustment of professional competence is required in accordance with the requirements of the professional standard, and the proposed subject of the discipline «Microbiology» can be studied in other disciplines of the residency program, which will be relevant in connection with the introduction of the new Federal State Educational Standard in 2023, where it is noted that professional competencies are determined by the educational institution independently.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45229478","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":"Histoscan-guided targeted biopsy of the prostate","authors":"Yu. A. Kim, A. V. Govorov, A. Vasilyev, D. Pushkar, I. Khatkov","doi":"10.47470/0044-197x-2022-66-6-549-554","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-549-554","url":null,"abstract":"Introduction. Prostate cancer is the second most commonly diagnosed malignant neoplasm in men. The development of technologies requires the study of advanced research methods, an extraordinary, new limited-invasive method for diagnosing cancer - histoscanning of the prostate. Histoscan is an innovative imaging technique that is potent of differentiating between benign and malignant areas within the examined prostate tissue. With the new “True Targeting” software, it is possible to perform a “targeted” biopsy in real time. Purpose. To determine the efficacy and safety of performing histoscan-guided targeted biopsy of the prostate. Materials and methods. The prospective study with the inclusion of data from 2501 patients examined at the Clinic of urology of the Moscow State Medical University named after A.I. Evdokimov at the Municipal Clinical Hospital named after S.I. Spasokukotsky. Results. The average age of the patients was 66 years, the level of prostate specific antigen was about 14,39 ng/ml, the volume of the prostate was 54,43 cm3. The overall incidence of prostate cancer was 53,38%, with a biopsy of 12 points - 52,1%, while with a targeted biopsy- 37,58%. Among the biopsy complications, hemospermia (Clavien-Dindo - I) was most often (33% of cases), hematuria (Clavien-Dindo - I-II) in 15% of cases. No serious complications were identified. Limitations. As restrictions, the following were identified: prostate biopsy-subject, 2501 patients - a quantitative parameter, patients with suspected prostate cancer - a qualitative indicator. Conclusion. The published results of the study showed that histoscan-guided biopsy ofthe prostate is safe, effective, and therefore has alarge potential in cancer diagnosis, as it helps both in choosing a treatment method and in planning the course of further surgery.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42894771","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 shifts in mortality age profile of adult population in Moscow during pandemic","authors":"A. A. Savina, E. Zemlyanova, S. Feyginova, Nikolai A. Tarasov","doi":"10.47470/0044-197x-2022-66-6-451-458","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-451-458","url":null,"abstract":"Introduction. The COVID-19 pandemic induced the global crisis of mortality. Delayed medical care and reduced availability under quarantine restrictions have led to an increase in mortality not only from Covid-19, but also from chronic non-communicable diseases, affecting men and women of different ages to varying degrees. The study purpose is to assess shifts in mortality age profile of population aged 20+ in Moscow during COVID-19 pandemic. Materials and methods. Official vital statistics of Rosstat, operational information from civil registration database on death causes in Moscow. Results. The gain in mortality rate caused primarily by deaths from COVID-19 interrupted in 2020 the positive demographic dynamics that had developed over the previous years. In 2021, the increase in the mortality rate continued, but the loss of life expectancy was lower due to a decrease in mortality in older ages and the return of most indicators to the level of 2019. However, from a socio-economic point of view, the situation in 2021 developed more negatively, since the age structure of life expectancy losses is younger than in 2020. Limitations. The study results are based on operational information of the Moscow civil registration office and could be used for the development of managerial decisions for Moscow only. Conclusion. Against the pandemic demographic situation in Moscow has worsened. Due to mortality gain in the Russia’s capital first in the past years recorded natural population decline.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45905096","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":"Improving evaluations and management of the appropriate application of modern anticancer drug therapy","authors":"D. Andreev, A. Zavyalov","doi":"10.47470/0044-197x-2022-66-6-555-560","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-555-560","url":null,"abstract":"Introduction. Evaluation and further improvement of the use of resources of the oncological service (including drug therapy) can lead to a subsequent qualitative gain in the availability of new types of effective antitumor technologies for a larger number of patients with severe oncological pathology. The experience of the Netherlands in managing the cancer care is useful for the local regional health services. Purpose of the study. Study of approaches to economically and clinically feasible use of anticancer therapy in real hospital practice. Material and methods. The scientific study was performed on the base of the search results in the databases of the Dutch digital educational platform, in the PubMed/Medline database and the Google search engine. The queries used the words: doelmatigheid, kanker, doelgerichte therapie, rationality, cancer, targeted therapy, etc. We analyzed the results published in 2021-2022. Results. There hаve bеen studied methods for increasing the expediency of clinical application of therapeutic regimens in oncology including a) rationalization of chemotherapy regimens; b) ensuring the mobility of patients receiving chemotherapy: chemotherapy on the principle of “connect and go” technology, self-administration of anticancer drugs; c) lean use of immunotherapy: drug therapy shelf life extension, vial count rounding and immunotherapy hybrid dosing; justified reduction in the duration of the course of immunotherapy. Limitations. In general, initiatives being put forward to improve the appropriateness of anticancer therapy should be previously tested in pilot projects. Conclusions. If positive opinions are received from expert institutions and regulatory authorities based on the results of pilot projects, innovative schemes for the appropriate use of drugs can be included in the list of services and programs reimbursed by the health insurer on an ongoing basis.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44540419","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":"Characteristics and analysis of the costs of drug provision of patients with non-alcoholic fatty liver disease in Moscow","authors":"E. B. Kornilova, M. Hołownia-Voloskova","doi":"10.47470/0044-197x-2022-66-6-473-477","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-473-477","url":null,"abstract":"Introduction. The change in the classical etiological paradigm of hepatocellular carcinoma has led to the fact that non-alcoholic fatty liver disease is now the fastest growing cause of hepatocellular carcinoma in the world. Purpose. To study the range of medicines and analyze the costs of drug provision for a determined population of patients with non-alcoholic fatty liver disease in Moscow over a three-year period. Materials and methods. Based on data from the Moscow Department of Health on preferential drug coverage for the period from 2019 to 2021 the range of drug therapy and the economic costs. Results. For 3 years, seventeen thousand two hundred ten patients with a diagnosis of non-alcoholic fatty liver disease received preferential drug coverage in Moscow, and the amount of costs minus payment by the patient amounted to 49,102,963.97 rubles. The most prescribed drugs were drugs from the group of “hepatoprotectors”. An increase in the population of patients with non-alcoholic fatty liver disease over a three-year period by 1.7 times, an increase in the cost of its drug provision. Along with this, the prevalence in the spectrum of drugs was revealed: glycyrrhizic acid + phospholipids; phospholipids; ursodeoxycholic acid; ademetionine is not found in international practice and is not funded under the nosology “non-alcoholic fatty liver disease”. Limitations. When studying options for drug provision of patients with non -alcoholic fatty liver disease, we had an assessment of 17,210 observations, which is a sufficient reference sample Conclusion. Analysis of the qualitative and quantitative composition of the population of patients with non-alcoholic fatty liver disease can be an effective tool for predicting the social and economic burden of the disease and can be used for rational planning of budget expenditures of all levels.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44150705","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":"Comprehensive analysis of the trend in main indicators of the health of the adult population suffered from chronic non-communicable diseases with the preventive activity of medical institutions","authors":"I. Zaikina, Nataliia E. Komleva, S. Mazilov, V. Dolich, V. A. Medentsov","doi":"10.47470/0044-197x-2022-66-6-491-498","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-491-498","url":null,"abstract":"Purpose. The relevance of the study is determined by the high incidence of chronic non-communicable diseases (CNCD) and the mortality of the working population. Materials and methods. As part of an observational study, morbidity and mortality due to CNCDs in the adult population of the Saratov region, the trend in the medical examination index and medical prevention activity over 2011-2020 were analyzed. Results. Analysis of trends in morbidity and mortality due to chronic NCDs for 2011-2020 showed the gain. Respiratory diseases are leading in their structure (chronic bronchitis, emphysema - an increase by 200 cases (+200%), obstructive pulmonary disease - 200 (+50%), asthma - 0 (0%)), obesity - 100 (+62,5%), diseases of the circulatory system (DCS) - 1330 (+35,5%), diseases characterized by high blood pressure - 460 (+39,3%), coronary heart disease - 750 (+98,7%) cerebrovascular diseases - 190 (+19,6%); type II diabetes - 50 (+17,8%), malignant neoplasms - 50 (+12,2%). In the structure of total mortality the share of CNSD in 2011 was 51%, neoplasms - 12,6%, and in 2020, CNSD of tumor formations amounted to 49,4% and 12,6%, respectively. Increase in deaths due to neoplasms (15,8%), CNSD (12,2%) in 2020 compared to 2011, and compared to 2019 due to diabetes mellitus (+90.8%), diseases of the respiratory system (+44,4%), CSD (+17,2%), in particular, coronary heart disease (+27,7%), cerebrovascular diseases (+2,7%), malignant neoplasms (-1,6%). Limitations. The study has regional (Saratov region) limitations. Conclusion. Primary morbidity and mortality rates reflect an unfavourable prognosis for CNCDs in the adult population of the Saratov region. This justifies the analysis of health care and the development of highly effective methods of prevention and treatment and rehabilitation measures aimed at maintaining health and extending the working longevity of the population.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43148709","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":"Features of the profile of the professional crisis of medical workers with professional deformities in the context of the COVID-19 pandemic","authors":"O. Polyakova, T. Bonkalo","doi":"10.47470/0044-197x-2022-66-6-521-528","DOIUrl":"https://doi.org/10.47470/0044-197x-2022-66-6-521-528","url":null,"abstract":"Introduction. The specifics of the professional activity of medical workers in the context of the COVID-19 pandemic, in the presence of stressful factors of production situations, negatively affects the professional profile of specialists and leads to the opportunity of a professional crisis. Purpose. To identify the features of the profile of the professional crisis of medical workers with professional deformities in the context of the COVID-19 pandemic. Materials and methods. The study conducted on 816 medical workers with occupational deformities included questionnaires on the personality profile of the crisis by A.E. Taras and on burnout by C. Maslach & S. Jackson, K. Pearson’s correlation criterion, descriptive statistics and Chaddock’s table to reveal the tightness of correlation processes. Results. The main features of the profile of the professional crisis of medical workers with deformities in the professional field include a high level of functional disorders of cardiac activity and the activity of the gastrointestinal tract; functional disorders of breathing, autonomic system, thinking, sleep; symptoms of anxiety and increased emotionality; attempts to escape from problems, and depressive mood coloring. Limitations. When studying the characteristics of the profile of the professional crisis, a psychodiagnostic study was conducted using the author’s methods on a sample of 816 voluntarily participating medical workers with professional deformities in the context of the COVID-19 pandemic, which is a sufficient reference sample. Conclusion. In the context of the COVID-19 pandemic, the grading of deformations in the professional field of medical workers will contribute to: normalization of the activity of the autonomic, respiratory and cardiovascular systems, and the gastrointestinal tract; harmonization of the sleep-wake cycle; reduction of depression, attempts to escape from problems, tension, complications of thinking, anxiety.","PeriodicalId":39241,"journal":{"name":"Zdravookhranenie Rossiiskoi Federatsii / Ministerstvo zdravookhraneniia RSFSR","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70834879","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}