Saratov JOURNAL of Medical and Scientific Research

Health Service Organization

Population aspects of formation of gastroenterological pathology in patients of different age groups

Year: 2011, volume 7 Issue: №4 Pages: 783-786
Heading: Health Service Organization Article type: Short message
Authors: Shuldyakov V.A., Tyultyaeva L.A, Denisova T.P., Chernenkov Yu.V., Alipova L.N.
Organization: Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars
Summary:

Process of development of the most important forms of pathology of the digestive organs among people of different ages has been analyzed in a large industrial center for sixteen years. The age groups liable to gastroenterological pathology have been identified under conditions of social stress

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Clinical and economic efficacy of medical equipment at municipal health care institutions in megapolis

Year: 2011, volume 7 Issue: №4 Pages: 779-783
Heading: Health Service Organization Article type: Original article
Authors: Shulaev А.V., Mazitov M.R., Gataullin M.R.
Organization: Kazan State Medical University, Kazan Public Health Service
Summary:

Introduction of health insurance system provided modernization of medical facilities and equipment. High costs on medical equipment especially imported require economic analysis of its use. The aim of the study was to conduct clinical and economic analysis of efficacy of medical equipment use by municipal health care agencies in megapolis. Materials and methods: Annual reports on medical devices and anonymous questionnaires were included into the research. The study revealed the following results: more than 48,65% of medical equipment owned by hospitals exploited during 6-10 years and was retired. Due to insufficient funding only 49,13% of all medical equipment undergoes technical maintenance. Lack of equipment reduces the amount of free medical service. Conclusion: Health care institutions are provided with medical equipment in 30-40%. It results in quality of medical equipment in polyclinics and hospitals where up to 80% of technology is obsolete. Rational use of medical equipment makes possible to provide diagnostic assistance to population in megapolis

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Insurance of professional responsibility at medical aid rendering

Year: 2011, volume 7 Issue: №4 Pages: 776-779
Heading: Health Service Organization Article type: Author's opinion
Authors: Erugina M.V., Vlasova M.V., Zavyalov A.I., Dolgova E.M., Sazanova G.U., Abyzova N.V.
Organization: Saratov State Medical University
Summary:

The article discusses the necessity of adoption of professional responsibility insurance act into the public health service. It is considered as the basic mechanism of compensation in case of damage to a patient at medical aid rendering

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Monitoring of internal diseases dissemination (digestive disorders)

Year: 2011, volume 7 Issue: №4 Pages: 772-776
Heading: Health Service Organization Article type: Author's opinion
Authors: Denisova T.P., Shuldyakov V.A., Tyultyaeva L.A., Chernenkov Yu.V., Alipova L.N., Sadjaya L.A.
Organization: Saratov Socio-Economic Institute of Plekhanov Russian University of Economics, Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia
Summary:

The most important forms of digestive pathology have been analyzed in a large industrial center for 16 years. Development of fragment of the phase portraits in a multidimensional space on the planes of «time dependence of the parameter — rate of its change» allowed forming prognosis for further course of specific nosology form of gastrointestinal tract lesion and optimizing treatment tactics

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New technologies in medical aid given to veterans of Great Patriotic War of Saratov Region

Year: 2011, volume 7 Issue: №3 Pages: 575-579
Heading: Health Service Organization Article type: Author's opinion
Authors: Shuldyakov V.A., Denisova Т.P., Alipova L.N.
Organization: Saratov Regional Hospital for Veterans of Wars
Summary:

The article describes the system of health care service in Saratov Regional Hospital for Veterans. The experience of medical aid given to veterans of Great Patriotic War and to participants of local conflicts has been generalized and highlighted in the work. New health care technologies have been developed and adopted. Analysis of innovative advantages has been performed

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Non-departmental expert quality control of medical treatment by efficiency criteria and degree of concrete results

Year: 2011, volume 7 Issue: №3 Pages: 573-575
Heading: Health Service Organization Article type: Short message
Authors: V.A. Dmitriev
Organization: Saratov State Medical University
Summary:

Анализируется практика использования показателей экспертизы объемов и качества оказания медицинской помощи при проведении вневедомственного экспертного контроля. Эти показатели могут быть использованы для формирования территориальной модели вневедомственного экспертного контроля в лечебно-профилактических учреждениях Саратовской области с учетом особенности структуры заболеваемости, сети медицинских организаций, территориальной специфики

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Prehospital medical emergency aid given to persons aged 15-24

Year: 2011, volume 7 Issue: №2 Pages: 372-376
Heading: Health Service Organization Article type: Original article
Authors: Bolotnikova N.I.
Organization: Astrakhan State Medical University
Summary:

The research goal is a quantitative and a qualitative analysis of emergency calls in Astrakhan during 2008. The method of complete observation was used in the research work. Data from the call charts of Emergency Service were thoroughly analyzed. Cases of emergency aid to the young working population ages 15-24 were under the study. 55,5% of cases were patients with acute diseases and 46,5% of emergency cases were as a result of accidents. The correlation between the number and character of nosology, and the age and sex of patients were determined. It was proved that the results of the given research would significantly improve the Emergency Service organization

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Problems and solutions on issues of medical care quality in community-acquired pneumonia in hospitals of Saratov region

Year: 2011, volume 7 Issue: №2 Pages: 368-372
Heading: Health Service Organization Article type: Original article
Authors: Erugina M.V., Grozdova T.Yu., Savinov V.A. Sazanova G.Yu.,Dolgova E.M., Lotsmanov Yu.F., Ushakov Yu.V.
Organization: Saratov State Medical University
Summary:

Qualitative assessment of diagnostics and treatment of patients with community-acquired pneumonia (CAP) was carried out in ten therapeutic departments of urban and district hospitals of Saratov region, using quality indicators (Qls). Each case of CAP was assessed in expert health care quality (HCQ) card according to the diagnostic and treatment quality federal standards and the basic Ql. The application of Ql in CAP patients allowed revealing the following: low CAP agent isolation rate; late hospitalization of CAP patients; low frequency of sputum bacteriological and bacterioscopic investigations prior to antibiotic therapy; insufficient frequency of step-by-step introduction of antibiotics. Recommendations on CAP patients dispenserization were not properly prescribed; recommendations on vaccination were absent. The basic measures of HCQ improvement are as follows: organizing for each CAP patient therapeutic and diagnostic quality control according to Ql; quick administrative decisions; using of HCQ expertise during the first 2-3 days of treatment to correct diagnosis and treatment; optimizing hospital diagnostic resources (laboratory and instrumental) and rational pharmacotherapy

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Criteria of medical care evaluation in daily in-patient department in pediatrics

Year: 2011, volume 7 Issue: №2 Pages: 361-368
Heading: Health Service Organization Article type: Original article
Authors: Shigaev N.N., Grozdova T.U.
Organization: Saratov Socio-Economic Institute of Plekhanov Russian University of Economics
Summary:

The research goal is to work out criteria for the evaluation of medical care quality. Materials included 386 medical cards of daily in-patients, 216 medical cards of in-patients; 602 cards of analysis of case histories; 4 computer data bases. Methods of mathematical statistics were successfully used in the study. The comparative method of data analysis was applied to the research work. Intensity of medical care in values from 0,1 to 0,5 conditional units corresponded to requirements of criterion of estimation of medical care quality. Parameters of medicinal treatment were close to the standards of treatment in interval from 44,4 to 100%, as criterion of quality of medical care. Specific weight of apparatus and instrumental researches constituted an interval from 7, 4% to 22, 6%, forming corresponding criterion. Interval of effectiveness according to standards of consultations is from 0, 26 to 1, 04 conditional units. In conclusion the article stated that the characteristics for criteria to evaluate medical care in daily in-patient departments were worked out on the basis of indices obtained during the research work

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Emergency service organization in conditions of commission separation at subject and municipality levels

Year: 2011, volume 7 Issue: №1 Pages: 030-033
Heading: Health Service Organization Article type: Author's opinion
Authors: Kravchuk D.A.
Organization: Vladivostok Emergency Aid Station
Summary:

The analysis of stages of formation of the modern legislation, established kinds of medical aid and sources of their financing depending on levels of the power, structure of a network of organization of public health services concerning protection of constitutional laws of citizens on reception of timely, qualitative, highly technological and accessible medical aid is presented in the article. Aspects of formation of standard-legal base of service of the first aid, including specialized aid are considered in detail. The classification signs defining technologies of rendering of medical aid and the form of its organization are considered

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