Saratov JOURNAL of Medical and Scientific Research

Breusov A.V.

Russian Peoples' Friendship University, Department of Public Health, Health Care and Hygiene, Professor, Doctor of Medical Sciences

Optimization of medical organization activities by implementation of lean-production

Year: 2019, volume 15 Issue: №4 Pages: 893-897
Heading: public health Article type: Author's opinion
Authors: Breusov A.V., Fenyutina V.A., Orudzhev A.A.
Organization: Peoples' Friendship University of Russia, Bauman Moscow State Technical University
Summary:

The existing health care system in the Russian Federation requires significant changes related to the reorganization of the current processes of medical care in medical institutions, therefore, the topic of introducing the principles of lean production in the healthcare sector is extremely relevant today. Lean healthcare is aimed at increasing the availability and quality of medical care to the population by streamlining processes and eliminating losses. The main objectives of the medical institution as part of the implementation of the concept of lean manufacturing are to increase the satisfaction of consumers of medical services, increase the quality and productivity of medical personnel. The need to implement these tasks is caused by the unreasonably long time spent of patients in the clinic during research, the uneven workload of medical institution specialists, queues at the reception desk, filling in a large number of different paper forms and processing of unnecessary information. The study allowed us to comprehensively analyze the basic principles of the concept of lean manufacturing, to substantiate the relevance and the possibility of extrapolating its principles to the healthcare sector, as well as to study the organization of the activities of the best "lean" clinics abroad, which could become role models when introducing the principles of lean manufacturing in domestic medical organizations.

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Social and demographic characteristics and health status of women of fertile age in Moscow region

Year: 2019, volume 15 Issue: №1 Pages: 72-77
Heading: Health Service Organization Article type: Original article
Authors: Breusov A.V., Konovalov О.Е., Kharitonov A.K., Kharchenko V.V., Breusov R.A.
Organization: Bauman Moscow State Technical University, Kursk State Medical University, Peoples' Friendship University of Russia
Summary:

 . SObjective: analysis of the state of health, medical activity, social and demographic characteristics of women of child-bearing age to develop a set of medical and organizational measures aimed at reducing the loss of maternal and child health, improving the system of maternal and child health. Material and Methods. The following methods were used in the work: bibliographic, analytical, mathematical- statistical, sociological (questioning). The material of the study was 596 questionnaires of a sociological survey of women — patients of the regional perinatal center. Each questionnaire included 48 questions combined into 6 blocks (social, demographic characteristics, state of health, medical activity), which were processed using the statistical program PASW (Predictive Analytics Software) Statistics 22 Results. It was found that the majority of respondents considered themselves to be in the healthy group, every fifth considered that they had chronic diseases and 11.9% felt sick. In the structure of chronic pathology, the largest proportion was accounted for by respiratory diseases, ENT organs, circulatory system diseases, gynecological diseases. Conclusion. On the basis of the obtained data, the directions for improving the system of maternal and child health have been proposed, such as: strengthening preventive activities, improving the quality of clinical examination of the female population; improvement of continuity in the work of institutions of the maternal and child welfare system; introduction of interactive forms of education for pregnant women.

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Motivation of medical staff of dental organizations of various property types: data of sociological research

Year: 2018, volume 14 Issue: №2 Pages: 287-293
Heading: Health Service Organization Article type: Original article
Authors: Kaneva D.A., Breusov A.V.
Organization: Peoples' Friendship University of Russia
Summary:

The searching of effective methods of staff management is the most important task for healthcare managers. The purpose of the study: to assess the degree of work satisfaction of doctors and nursing staff of dental organizations of various forms of ownership and to analyze the factors that determine it. Material and Methods. The survey was conducted using a specially developed questionnaire, which included blocks describing the following parameters: satisfaction with various aspects of the work; factors affecting labor activity; rating characteristics of work; motives that determine professional interest; conditions that stimulate activity. Results. As a result of the study, differences were found in the satisfaction with the professional activity and working conditions of medical and nursing staff of dental organizations of various forms of ownership. Factors determining the motivation of the work of the personnel of the modern medical organization are revealed. This allowed for a differentiated approach to the development of measures to improve the diverse motivation of the staff. Conclusion. It was established that the main directions in improving the staff motivation system may be: material and non-material promotion; optimization of work organization; involving staff in the management of organization and making management decisions; improvement of professional skills of employees, fair distribution of remuneration and social services.

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Quality of life and health risk factors in officers departed from Armed Forces

Year: 2017, volume 13 Issue: №3 Pages: 791-795
Heading: Health Service Organization Article type: Original article
Authors: Konovalov О.Е., Breusov A.V., Popov A.V, Breusov R.A.
Organization: Peoples' Friendship University of Russia
Summary:

Objective: assessment of quality of life, identify of health risk factors for officers discharged from the Armed Forces, and development of step-by-step system for medical and social assistance to reserve soldiers (retired). Material and Methods. Anonymous questioning of 358 officers in different time periods, including the last year of service before departure, with the subsequent processing of the data using the statistical program SPSS. Results. It was established that the highest indicators of quality of life were from the military in reserve (RET.) more than 3 years, and the lowest from the military a year before the departure from the Armed Forces and in the first year after the departure. Conclusion. The authors proposed a step system of health and social care for members of the military reserve (retired) and an algorithm for its implementation, including regulations of interdepartmental interaction and integration of all organizations providing medical care.

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