Saratov JOURNAL of Medical and Scientific Research

Health Service Organization

Health assessment of children and adolescents living in a residential area of production for the disposal of rocket fuel: according to the results of the medical examination

Summary:

Aim: to determine the real prevalence separate nosological forms in the child population living in residential zone installations for the disposal of rocket fuel. Materials and methods. By mobile teams of pediatric physicians there was conducted a comprehensive medical examination of 1621 children in the area of the site location for disposal of rocket engines solid fuel. Results. The surveyed contingent of the most common diseases of the endocrine system, disorders of nutrition and metabolism (21.2% of diagnoses), diseases of the musculoskeletal and connective tissue (19.2 percent), as well as individual symptoms, signs and deviations from the norm by 14.4%. Conclusion. Data indicating the pronounced impact of adverse environmental factors, not identified.

AttachmentSize
2014_04-01_732-734.pdf232.33 KB

The analysis of security with dentists in contemporary Russia

Year: 2014, volume 10 Issue: №4 Pages: 729-732
Heading: Health Service Organization Article type: Original article
Authors: Trifonova N.Y., Aleynikov A.S., Karimova D.Y., Lugovoy V.E., Shchukin A.l., Livshits S.A., Zlobin A.N.
Organization: Deputy chief physician of Center of Biotic Stomatology, State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: to carry out the analysis of security with dentists in the country in new conditions of reforming. Materials and methods. In work the complex of methods of collecting and the analysis of materials of research is used: bibliographic, analytical, documentary (fragment of data from medical documentation), epidemiological, mathematical and statistical, current supervision. Results. The used integrated approach to tasks allowed to assess a situation on security with the orthopedic stomatologic help and its demand in a section of subjects of the country. The carried-out analysis showed that in general across Russia and in a number of its districts, coverage by routine inspections of the population has the resistant tendency to decrease which is especially expressed in the Volga Federal District (-15,8%). It led to reduction of number of the patients needing sanitation and received sanitation (it is maximum — in Ural federal district (-16,9%). According to official statistics the smallest number of the patients who received the orthopedic stomatologic help — inhabitants of North Caucasus federal district, maximum — Central Federal District. Conclusion. Thus, the analysis of a condition of stomatologic help in the country from 2006 to 2012 let us establish the highest attendance of experts in Volga (108,2% in 2006, 101,3% in 2012) and Central (100,3%-2006, 102,1 %-2012) federal districts, growth of attendance in North Caucasian (for 66,2%) and Far East (for 22%) federal districts. Coverage by routine inspections of the population by stomatologists had the resistant tendency to decrease which is especially expressed in the Volga Federal District (-15%). Decrease in possibility of identification of the patients needing in sanitation and number of the patients who received it was most expressed in Ural federal district: — 16,9%.

AttachmentSize
2014_04-01_729-732.pdf274.61 KB

The estimated demand for doctors for city childrens polyclynic

Year: 2014, volume 10 Issue: №4 Pages: 727-729
Heading: Health Service Organization Article type: Original article
Authors: Tarakanova S.Y.
Organization: Central children's clinical hospital of biomedical agency
Summary:

Aim: scientific substantiation of the estimated demand for doctors in certain specialties for city children's polyclinic. Material and methods: the analysis of 19 the governing documents of the Federal and regional level for the period from 1992 to 2012, 8 official reporting forms for the referral of the child population for medical care in outpatient clinics of Krasnoarmeysk, Moscow region. Results. The calculated number of medical staff per 10,000 children's population will reach for the specialty pediatrician 9,0; dermatologist — 0,25; neurologist — 0,75; otorhynolaryngologist— 1,0; ophthalmologist — 0,75; surgeon to 0,5. Conclusion. The obtained results should be used in the planning and organization of health care child population.

AttachmentSize
2014_04-01_727-729.pdf254.22 KB

The main indicators of the health of children and adolescents in residential zone of the facility for disposal of rocket engines

Year: 2014, volume 10 Issue: №4 Pages: 725-727
Heading: Health Service Organization Article type: Original article
Authors: Tarakanova S.Y.
Organization: Central children's clinical hospital of biomedical agency
Summary:

Aim: to evaluate the health of the children population in the area of the site location for disposal of rocket engines solid fuel. Material and methods. Analyzed the official reporting form health institutions for the period 2010-2011. Statistical processing of data was carried out generally accepted for such research methods. Results. The lack of influence of the enterprise on the health of children and adolescents. The number of healthy children ranged from 26.0 per cent to
39.5%. The main cause of morbidity in children is diseases of the nervous system and mental disorders, and congenital anomalies. Conclusion. Operation of installations for the disposal of rocket engines solid fuel according to the official reporting forms medical institutions has no effect on child health.

AttachmentSize
2014_04-01_725-727.pdf249.61 KB

Formation of an organizational framework for the medical and economic analysis of the resort

Summary:

The aim of the article is to provide medical and economic analysis of the resort at the present stage and to identify ways to optimize. Material and methods: medical and statistical, analytical, medical and economic analysis, experimental. Results. The study identified the main ways to improve the activity of a sanatorium, set the direction of optimization activities in order to improve its health and economic efficiency. Conclusions. Carried out in the study assessment of medical and economic efficiency of the sanatorium, has allowed to develop a set of proposals to optimize the cost management of the sanatorium in the global crisis, resulting in the period of the experiment reached medico-social and economic efficiency by reducing the number of violations on the basis of quality EKMP (15.2%), increasing the effectiveness of the institution (16.7%), reducing economic losses (18.9%).

AttachmentSize
2014_04-01_719-725.pdf331.17 KB

Organization of medical care in adult population with non-production eye injuries.

Summary:

Aim: justify the need for institutional arrangements for the provision of medical care to adults with non-productive eye injuries. Material and Methods: analytical, medical, statistical, and comparative analysis. Results. The problem of eye injuries is unresolved today and has not only medical, but also a great social importance. The study calls the structure revealed that the majority of the adult population is unevenly within 24 hours of the first day sought treatment. So, the peak of appeals noted in the first half of a day. Every fourth victim turned to a medical institution for the first two hours after the injury. Young people under the age of 18 years sought medical help almost half of the cases within two hours after injury (40.6%). In 7.4% of cases, the treatment of ocular injury was performed in a hospital. 99.3% of patients with eye injuries recovered. The outcome of treatment was significantly depended on the nature of the injury (p

AttachmentSize
2014_04-01_715-719.pdf334.17 KB

Issues on rendering the course of management in medicine for doctors at the Department of Health Care Organization, Public Health and Medical Law

Year: 2014, volume 10 Issue: №4 Pages: 591-595
Heading: Health Service Organization Article type: Original article
Authors: Erugina M.V., Timofeev D.A., Tsvigailo M.A.
Organization: Saratov State Medical University, Tver District Military Clinical Hospital 442
Summary:

Objectives: to determine the rate of modern thematic module "Organizational Behavior" (Fundamentals of Management) from "Healthcare Management" course) for students of Department of Raising Skills and Professional Development for Saratov State Medical University specialists. Material and methods. 61 students — medical administrators and specialists — were anonymously surveyed after their vocational training with the help of a specially designed questionnaire. The received data were processed mathematically and statistically with "Statistica-10" program. Results. The modern issues of the studied course is evaluated differently by groups of medical administrators and specialists. Medical administrators' rate has been higher than specialists'. Both groups' rate is "higher than average". Conclusion. Doctors clearly realize the necessity of professional development in management and have a clear idea of the areas where they lack professional skills. The conducted monitoring of students' opinion implies forehanded reaction to doctors' demands, increasing effectiveness of their training and level of their satisfaction as well as marketability of the higher educational institution providing the demanded educational services.

AttachmentSize
2014_04_591-595.pdf502.62 KB

The facts of the control actions for Saratov region medical organizations making medical activity's orders and standarts

Year: 2014, volume 10 Issue: №3 Pages: 499-501
Heading: Health Service Organization Article type: Short message
Authors: Tsymbal D.E., Balakina D.D.
Organization: Saratov State Medical University
Summary:

The aim: to analyse the results of the control actions of the Territorial body of the Federal service on surveillance in healthcare and social development of the Saratov region made to check medical activity's orders, standards. Material and methods. The study presents the results of the control actions the Territorial body of the Federal service on surveillance in healthcare and social development of the Saratov region made to check medical activity's orders, standards. We used the analytical method to make the research. Results. The study presents the percentage balance of different kinds of defects of medical activity's orders and standards which we got in the results of the control actions of medical organizations in 2013 and eight months of 2014. Conclusion. The study shows the high performance of the control actions of medical activity's orders and standards made by the Territorial body of the Federal service on surveillance in healthcare and social development.

AttachmentSize
2014_03-01_499-501.pdf325.76 KB

Content analysis of normative legal acts regulating the quality control and safety of medical activity

Year: 2014, volume 10 Issue: №3 Pages: 495-499
Heading: Health Service Organization Article type: Review
Authors: Erugina M.V., Balakina D.D.
Organization: Saratov State Medical University
Summary:

We present comparative analysis of normative legal acts regulating the quality control and safety of medical activity.

AttachmentSize
2014_03-01_495-499.pdf284.44 KB

The main issues and the ways of improvement of health care for patients with diseases of the circulatory system

Year: 2014, volume 10 Issue: №1 Pages: 27-31
Heading: Health Service Organization Article type: Review
Authors: Sazanova G.Yu.
Organization: Saratov State Medical University
Summary:

Regulations and publications on the provision of quality health care for patients with diseases of the circulatory system of the native scientists have been studied. The majority of the issues concerns the disorganization of health care standards: the uneven distribution of diagnostic resources mostly in the hospitals and preventive health care organizations. The proposed ways to improve the patient care have been analyzed.

AttachmentSize
2014_01_27-31.pdf226.13 KB