俄罗斯医疗保健的现代趋势:衰退或发展

Ю. Ж. Садыкова
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引用次数: 1

摘要

在苏联解体后的俄罗斯存在期间,医疗保健系统一直是并且仍然是最重要的因素之一,同时也是其中的问题因素。我们必须承认,我们国家提供的医疗服务并不总是积极的,例如,如果我们从"质量"的概念来考虑的话。毫无疑问,这是由现有的医疗结构决定的,首先是不同医院机构的数量,最后是医疗专家的资格和能力程度。因此,本文的目的是对俄罗斯联邦在1990-2015年建立的医疗保健系统进行综合分析,研究对象是整个俄罗斯医疗保健系统,研究对象是俄罗斯医院床位和医院的具体统计数据。国内外科学家(V.Medic、M. Tokmachev、G. Ulumbekova、S. Banin、McKee Martin等人)的工作都考虑到了卫生发展问题以及统计研究的各种方法问题,包括对医院设施、病床、专科医生、发病率的核算。根据医院和门诊诊所总数、医院床位、医生人数和人口发病率等统计指标的动态,确定了特定时期国民医疗发展的主要方向、特点和引起公民保健保护机制工作功能障碍的问题。由联邦国家统计局出版。作为一项研究任务,试图评估这些指数的变化对整个时期俄罗斯卫生保健状况的影响。此外,这项工作揭示了这一主题的主要内容概念,解释了现有命名法的名称结构,对正在发生的具体变化提供了方法上的解释,并指出了执行国家方案"卫生发展"的措施。这项研究的工具是可视化信息数据的表格和图表,以及构成卫生统计基础的各种公式,以及用于研究特定媒介中发生的过程的分析方法。根据研究结果,确定了现象和指数之间的一些具体模式,并在个别医学专业的床位容量、医院和医生数量方面描述了俄罗斯医学领域的当前趋势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Современные тенденции в здравоохранении России: спад или Развитие
In the period of the existence of post-soviet Russia, the health care system has remained and remains one of the most important and, at the same time, the problem element of it. We have to admit that not always medical services, offered by our state, are positive, if we consider them, for example, through the concept of “quality”. Undoubtedly, this is determined by the existing medical structure, starting with the number of different hospital establishments and ending with the degree of qualification and competence of medical specialists. Thus, the purpose of this article is a comprehensive analysis of the healthcare system that was established in the Russian Federation in 1990–2015, the object of the study is the entire Russian health care system, and the subject is specific statistical data on the hospital beds and hospitals in Russia. Problems of health development, as well as various methodological issues of statistical research, including the accounting of hospital facilities, hospital beds, doctors in the context of specialties, morbidity are considered in the works of both domestic and foreign scientists (V.Medic, M. Tokmachev, G. Ulumbekova, S. Banin, McKee Martin and others). The main directions of development of the national medicine for the specified period of time, its characteristic features and problems of concern that cause dysfunction in the work of the health care protection mechanism for the citizens were identified in the context of the dynamics in such statistical indexes as the total number of hospital and outpatient clinics, hospital beds in them, the number of doctors and the state of morbidity of the population, published by the Federal State Statistics Service. As a research task, attempts were made to assess the impact of changes in these indexes on the state of Russian health care over the period as a whole. Moreover, the work revealed the main content concepts on this topic, explained the nominal structure of the existing nomenclature, provided methodological explanations for the specifics of the changes that were taking place, and indicated the measure of the implementation of the state program “Health Development”. The tools for the study were tables and graphs of visualizing informative data, as well as various formulas that form the basis of health statistics, and analytical methods for studying the processes occurring in a given medium. Based on the results of the study, a number of specific patterns between the phenomena and indexes were identified, as well as a description of the current trends in the sphere of the Russian medicine in the context of the bed capacity for individual medical specializations, the number of hospitals and medical practitioners.
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