Saratov JOURNAL of Medical and Scientific Research

Novokreshchenova I.G.

Saratov State Medical University n.a. V. I. Razumovsky, Head of Department of Economics and Management in Public Health and Pharmacy, Doctor of Medical Science, Professor

Rheumatology profile patients adherence to treatment with non-steroidal anti-inflammatory drugs

Year: 2020, volume 16 Issue: №1 Pages: 99-103
Heading: Sociology of Medicine Article type: Original article
Authors: Smotrova Yu.N., Novokreshchenova I.G., Akulova A.I.
Organization: Saratov State Medical University
Summary:

The aim of the study is to assess the degree of adherence of patients with rheumatic diseases to the treatment of non-steroidal anti-inflammatory drugs (NSAIDs). Material and Methods. 196 patients were surveyed using a specially designed questionnaire, which included Morisky — Green test. Statistical data processing was carried out by methods nonparametric statistics (criterion x2)- Results. Patients took NSAIDs in rheumatoid arthritis (50.0%), ankylosing spon-dylitis (37.8%), vertebrogenic dorsalgia (20.4%). 49.0% of patients took NSAIDs constantly, 39.3% — during courses of treatment, 11.7% — on demand (in pain). 81.1 % of patients were engaged in self-treatment of NSAIDs. 20 patients (10.2%) were adherent to the treatment of NSAIDs, 29 patients (14.8%) were insufficiently adherent (patients were united in one group), 147 patients (75.0%) were not adherent to the treatment. Non-adherent patients mostly violated the regimen of treatment if they felt well (85.7%). For adherent patients the most significant motive was deterioration after taking NSAID (20.4%). Adherent patients mostly had higher education in relation to non-adherent (71.4 and 53.7% respectively) (x2=6.647; p<0.05). Side effects of NSAIDs were absent in 73.5% of adherent patients and in 32,0% of non-adherent (x2=24.795; p<0.01). Conclusion. The level of education, the frequency of side effects and subjective assessment of the patient's state of health affect the degree of adherence of patients with rheumatic diseases to the treatment of NSAIDs.

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. Actual problems of provision of Russian healthcare with specialists with secondary medical education (analytical review)

Year: 2019, volume 15 Issue: №4 Pages: 909-916
Heading: public health Article type: Review
Authors: Novokreshchenova I.G., Chunakova V.V., Semikina N.A., Aranovich L.M.
Organization: Saratov State Medical University
Summary:

According to the literary sources and official statistics it was revealed that high needs in the paramedical personnel preserve in medical organizations of different levels and profile and in the whole industry. The mechanisms of forming of deficit of paramedics in the healthcare system of our country were considered. Within the framework of authorial approach the article presents basic directions of solving the problems of staffing of local healthcare system with specialists with secondary medical education.

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Interdisciplinary approach to the study of pharmaceutical care in the problem field of sociology of medicine

Year: 2017, volume 13 Issue: №2 Pages: 295-299
Heading: Sociology of Medicine Article type: Review
Authors: Smolina V.A., Novokreshchenova I.G.
Organization: Saratov State Medical University
Summary:

The review analyzes the modern studies of domestic and foreign authors dedicated to the definition of the category of pharmaceutical care and study of its role in maintaining the health of the population. Pharmaceutical care has social, cultural and historical conditionality and can be considered as one of the essential elements of the public health system. Formation of market relations in the Russian society contributed to significant changes in the population attitude to their health, the conversion of existing objective laws of functioning of public health (traditionally non-market sector), and the conditions of activities of medical organizations and specialists.

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Social portrait of a specialist with secondary medical education in modern health care

Year: 2015, volume 11 Issue: №3 Pages: 237-242
Heading: Health Service Organization Article type: Original article
Authors: Alexeeva Е.Е., Novokreshchenova I.G., Chunakova V.V., Novokreshchenov I.V.
Organization: Saratov State Medical University
Summary:

The aim of the study: formation of a social portrait of specialist with secondary medical education in the regional healthcare. Materials and Methods. Survey included 464 nurses from medical organizations of the Saratov region. Mathematical and statistical processing of the data was carried out using traditional statistical methods using the application package ("Excel-2003", "BIOSTAT"). Results. The basic features of a professional group and problems of professional realization of nurses in the Saratov region were revealed. Conclusion. Identification of the major professional and social characteristics of the personnel allows to substantiate and to implement targeted measures to create conditions of professional realization of specialists with secondary medical education.

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Regional system of nurse personnel training and main directions of its improvement

Year: 2015, volume 11 Issue: №2 Pages: 87-93
Heading: Health Service Organization Article type: Original article
Authors: Alexeeva Е.Е., Novokreschenova I.G., Chunakova V.V.
Organization: Saratov State Medical University
Summary:

Purpose: analysis of the present state of the system of professional training of nursing personnel and of the need for nursing personnel at the regional level. Methods. The indicators of availability of nursing staff in the Saratov region and the parameters of activity of nursing professional education institutions in the region have been analyzed. Results. Problems of nursing personnel provision of the healthcare system and the main trends of training of nursing personnel were identified. Conclusion. Optimization of personnel maintenance of healthcare and nursing personnel training system is possible by creating conditions for the professional realization of nursing personnel and adaptation of young professionals at the workplace.

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Quality of medical care for the elderly in out-patient conditions according to the sociological survey

Year: 2014, volume 10 Issue: №1 Pages: 21-26
Heading: Health Service Organization Article type: Original article
Authors: Novokreshchenova I.G, Senchenco I.K.
Organization: Saratov State Medical University
Summary:

The process of aging is caused by the early development of chronic complications and diversity of morphological and functional changes of organs and systems. Therefore the provision of preventive and curative care of this category of citizens has significant clinical and organizational features. Aim: to identify the main problems of medical care for the elderly and to examine the medical care. Material and Methods. 250 physicians of various specialties of medical institutions of the Saratov region on health care of the elderly in out-patient clinics have been surveyed by specially designed questionnaires. The state of receiving care in out-patient clinics has been studied among the elderly and the senile patients (n=568) by questioning. Results: The majority of physicians recognize the importance of the problem of increasing the quality of care for the elderly. The development of assistance of gerontological profile and the need for optimization of rendering out-patient care for this category of population in the central clinics and regional medical institutions. Conclusion. The level of satisfaction of elderly patients depends on the age characteristics, gender, health and social status and the place of residence of the study group.

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Organizational and economic parameters of resource provision of medical organizations

Year: 2014, volume 10 Issue: №1 Pages: 9-14
Heading: Health Service Organization Article type: Original article
Authors: Aranovich L.M, Novokreschenova I.G, Novokreschenov I.V.
Organization: Saratov State Medical University
Summary:

The aim of the research is to determine the main patterns of activity of in-patient medical organizations according to the resource provision of medical and diagnostic process. Material and methods. 20 medical organizations, including regional organizations, central regional hospitals, Saratov municipal health care organizations, non-private and private medical organizations have been surveyed. The survey of 60 chemists of hospital pharmacies has been conducted. Results. The analysis of the survey has showed the resource provision of medical and diagnostic process by medical products, the degree of technological provision in hospitals of various types and stated the main problems of activity on resource provision. Conclusion. It has been found out that the current medical provision with medical products is connected with the action of considerable number of objective and subjective factors and it defines the efficiency of medical social activity.

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Role of nursing personnel in the system of medical and social care for aged population

Year: 2012, volume 8 Issue: №4 Pages: 887-891
Heading: Health Service Organization Article type: Original article
Authors: Novokreshenova I.G., Chunakova V.V.
Organization: Saratov State Medical University
Summary:

Objective: The analysis of accessibility and quality of providing medical and social care for aged population. Methods: The analysis of the work of institutions of medical and social care has been carried out. According to the time-study of the working day of nurses the characteristics of nursing personnel have been determined. Results: Data on the arrangement of medical aid at home for aged patients of the Saratov region have been provided. The importance of nursing personnel in the system of complex medical and social care has been assessed and the main areas of nursing activity have been found out. Conclusion: The article has been stated that creation of quality control system for nursing personnel is of great necessity to provide effective medical and social care.

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State purchases of medical production: from a new public management to management of public values

Year: 2012, volume 8 Issue: №3 Pages: 697-703
Heading: Health Service Organization Article type: Review
Authors: Ostrovsky A.N., Novokreshenov I.V., Novokreshenova I.G., Aranovich L.M., Morozov V.P.
Organization: Saratov State Medical University, Federal Scientific Clinical Center of Otorhinolaryngology FMBA of Russia
Summary:

The article presents the literature review analysis focusing on the problems concerned with hospitals state resources supply. The characteristics of purchase management in the modern socio-economic conditions are highlighted.

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Modern practice in preparation of pregnant women to maternity (from interview with gynecologists)

Year: 2011, volume 7 Issue: №1 Pages: 045-049
Heading: Obstetrics and Gynecology Article type: Original article
Authors: Aranovich I.Yu., Andriyanova Е.А., Novokreschenova I.G.
Organization: Saratov State Medical University
Summary:

The article issue is the formation of maternity readiness as one of the main aims in the work of a gynecologist. The results of introduction of birth certificates and dynamics in the field of quality of medical aid have been analyzed. The necessity evaluation of pregnant women in professional social and psychological assistance has been revealed. Types of women who are ready for maternity have been obtained. The complete representation of the importance, the maintenance and the ways of realization of social and psychological help to pregnant women has been clearly identified by gynecologists

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