{"title":"[Methods of assessing the state of the digestive system in mass examinations of rural population].","authors":"E V Minakov, M E Kovalevskiĭ, I P Nesterovskiĭ","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On the basis of physician's logic a questionnaire has been elaborated for identifying the most common diseases of digestive system during mass medical check-ups of rural population. 98 combinations of signs were considered in the diagnostic algorithm for making conclusions regarding 11 diseases. The programme elaborated envisages recommendations on the volume of examinations necessary for verification of diagnoses. The questionnaire and rules governing it were verified for 152 patients. By means of mathematical statistics methods the informativeness of the signs used have been assessed. The analysis showed a great diagnostic value of choosing signs on the basis of physician's logic taking into account their pathogenetic correlation. The efficiency of questionnaires have been demonstrated and sufficient under conditions of automated examinations sensitivity (on the average for diseases 78.1%) and specificity (on the average for diseases 70.0%).</p>","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 5","pages":"34-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13038714","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}
V K Ovcharov, A G Marchenko, E I Kritskiĭ, E A Tishuk
{"title":"[Use of the standardization principle in public health institutions].","authors":"V K Ovcharov, A G Marchenko, E I Kritskiĭ, E A Tishuk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 5","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13038715","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":"[Health insurance and use of diagnostic related groups].","authors":"V A Boiadzhian, V O Shchepin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the ways to improve measures aimed at population health protection may be the development of insurance medicine in our country. This is a system of curative and preventive measures realized through insurance payments made by citizens and on the basis of target payments by employers, employees and state grants. The international experience of insurance medicine indicates that the existing principle of grouping diseases according to the basic diagnosis no longer provides the effective use of resources and not precisely enough assess to the outcomes of hospital performance. The search of ways to solve this problem led to the necessity of using the method of assessing financial and economic activities of curative and preventive institutions on the basis of diagnosis related groups of diseases (DRG) which unite the cases of similar diseases having approximately the same technology of examination and treatment of patients and consequently the same cost of treatment. This system originated in the USA and is widely used in many countries of Western Europe. With the help of DRG system health institutions can acquire more full information on the results of treatment, costs of treatment and prospects for development. The introduction of DRG system permits to improve the financial and economic performance of institutions and to collaborate with organizations realizing health insurance programmes.</p>","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 5","pages":"12-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13068531","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":"[Disputable and unsolved aspects of mass screening].","authors":"Z A Krivoruchko, N Ia Rafaliuk, L A Shuster","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A critical review of some aspects of follow-up examinations and regular check-ups is provided. A criterion of medical and economic advisability of these examinations is suggested which would permit one to substantiate their regional variations and increase their effectiveness.</p>","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 8","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13121464","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":"[All-Union conference with international participation \"Medico- biological aspects of mental health protection (April 3-6, 1990, in Tomsk)].","authors":"P P Balashov","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 1","pages":"76-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184480","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":"[Combined evaluation of work effectiveness of hospital medical personnel].","authors":"V A Gavrilov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A unique methodological approach is proposed which is used for the determination of \"index of labour efficiency\" of medical personnel and such associated with its elements of financial and economic activity as a saving of the number of posts and salary fund, the cost of health services according to their salary-consuming character and the amount of payment for the labour of health workers. The use of this index in the performance of in-patient institutions would facilitate the rational management of personnel, labour and salary.</p>","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 3","pages":"10-3"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13213674","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":"[Some information on Scythian folk medicine].","authors":"A M Shpilevoĭ","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 10","pages":"69-70"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12947830","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":"[Introduction of a new form of the ambulatory medical record card kept in patients' care].","authors":"Iu I Zotov, M N Budnov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The paper is devoted to the changes in the technology of health documentation keeping at Moscow city polyclinic No. 98 by using a special form of ambulatory case history and leaving it in the possession of patients while carrying over-all information on the patient to professional computers. The proposed system would be cost-effective.</p>","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 1","pages":"31-6"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184469","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":"[Various trends in the development of the WHO fellowship program].","authors":"D A Orlov, I I Geĭvandova","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 1","pages":"53-5"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184474","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}
G G Orlova, A I Riaboshapko, T A Zhuravleva, Iu A Gerasimenko, K V Krasnikova, N Iu Ushakova
{"title":"[The role of practical training in the education of general practitioners].","authors":"G G Orlova, A I Riaboshapko, T A Zhuravleva, Iu A Gerasimenko, K V Krasnikova, N Iu Ushakova","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74850,"journal":{"name":"Sovetskoe zdravookhranenie","volume":" 1","pages":"72-4"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184479","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}