Saratov JOURNAL of Medical and Scientific Research

health care quality

Information systems perspectives in the improvement of dental care quality (review)

Year: 2019, volume 15 Issue: №4 Pages: 888-893
Heading: public health Article type: Review
Authors: Bragina М.G., Fomina A.V.
Organization: Peoples' Friendship University of Russia
Summary:

The analysis of literature data on the possibilities and prospects for the use of information technologies (IT) to improve the efficiency and quality of dental medical care (QDMC) to the population has been performed. The need for the introduction of IT systems as part of pilot projects in dental facilities was noted. According to a number of researchers, the prospects for introducing medical information systems (IS) are associated with increasing the supporting business processes. The results of a number of studies are presented in which it is demonstrated that the use of the software systems proposed by different authors allows for the operative control of the QDMC with the evaluation of medical personnel, as well as for improving the effectiveness of treatment and optimizing the patient flow. It is indicated that the electronic method of collecting, storing and processing data makes it possible to combine the efforts of specialists who are participants in the process of providing dental care to the population in a single information field, which undoubtedly should make a significant contribution to improving the efficiency of their treatment.

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Medical and organizational issues of patients' preoperative fears management (analytical review)

Year: 2018, volume 14 Issue: №4 Pages: 686-690
Heading: Sociology of Medicine Article type: Review
Authors: Fedonnikov A.S., Katkova A.V., Andriyanova E.A.
Organization: Saratov State Medical University
Summary:

 The article deals with the problem of preoperative patient fears. Specific characteristics of preoperative fears and the mechanisms of their occurrence were described. According to the scientific literature analysis the typology of preoperative fears was performed. Within the framework of the author's approach the directions of the following theoretic understanding and practical solutions of indicated problem were presented. They included health managers focusing on interpersonal communication of patient and medical specialist; further analysis of factor influencing interpersonal communication of patient and medical specialist under disease condition requiring surgery; development of psychologically based medical care and postoperative rehabilitation quality indicators.

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Assessment of health care quality among penitentiary employees with hypertension in the Saratov region

Summary:

The aim of the study is to assess the quality of health care among penitentiary employees with hypertension in the Saratov region from 2003 to 2013. Material and Methods. The data from 62 employees with hypertension (43 men and 19 women) who followed up in the dispensary of Branch of Center of Medical and Social Rehabilitation of Medical Unit no.64 of Russian Federal Penitentiary Service in 2013 were evaluated. We analyzed retrospectively the quality of health care in every calendar year from 2003 to 2013 according to the following categories: control of blood pressure (BP), control of physical activity, control of smoking, control of weight, control of diet, control of cholesterol. To assess the quality of care we used clinical indicators implemented in the Federal Hypertension Register. Results. During the overall period (2003-2013) counseling on physical activity, smoking, weight and eating was optimal. However, only physical activity was controlled effectively in patients. The measures on control of BP and cholesterol needed improvement. Conclusion. Despite relatively good quality of the majority of health care measures among hypertensive patients in the Center of Medical and Social Rehabilitation, the effectiveness of these measures has been found out to be insufficient. It may be due to poor patients' adherence to recommendations.

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