Saratov JOURNAL of Medical and Scientific Research

Sazanova G.Yu.

Saratov State Medical University n.a. V. I. Razumovsky, Associate Professor of the Department of Public Health Care Organization and Medical Law (with courses in jurisprudence and history of medicine), Associate Professor, DSc

Regional peculiarities of the morbidity of psoriasis and psoriatic arthritis

Year: 2018, volume 14 Issue: №4 Pages: 724-727
Heading: Dermatovenerology Article type: Original article
Authors: Nelyubova O.I., Sazanova G.Yu., Razdevilova O.P.
Organization: Saratov State Medical University
Summary:

Objective: to analyze the incidence of various forms of psoriasis in the population of the Saratov region for the period from 2009 to 2016 Material and Methods. We studied the indicators of the total and primary incidence of psoriasis in the adult population in the Saratov region for the period from 2009 to 2016 in comparison with similar indicators for the Russian Federation (RF), according to the Ministry of Health of the RF Results. It is revealed that for the period 2009-2016 the overall incidence of adult psoriasis in the Saratov region increased by 5.8%, in the RF by 13.8%; the overall incidence of adult psoriatic arthritis in the Saratov region increased by 8.1 %, in the RF by 2.2%; Primary morbidity of the adult population of psoriatic arthritis in the Saratov region increased by 11.4%, in the RF by 2.3%. Primary incidence of psoriasis for the period 2009-2016 among the adult population in the Saratov region decreased by 18.5%, in the RF by 45%, which also reflects the dynamics in the RF. Conclusion. The steady increase in the overall incidence of psoriasis and psoriatic arthritis in the adult population, the level of primary morbidity in psoriatic arthritis directly affects the costs and level of the state budget and requires ways to find ways to improve the organization of medical care of a dermatovenerological profile.

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Analysis of resources of therapeutic institutions providing medical care to patients with diseases of the circulatory system

Year: 2018, volume 14 Issue: №2 Pages: 293-290
Heading: Health Service Organization Article type: Original article
Authors: Sazanova G.Yu., Shulpina N.Yu., Dolgova E.M., Tupikin D.V.
Organization: Saratov State Medical University
Summary:

Objective: to conduct an analysis of the provision of beds and medical personnel of medical institutions in the region that render medical care to patients with circulatory disorders. Material and Methods. Calculation of the optimal volume of inpatient medical care, the required number of beds and staff units of cardiologists in the region was carried out in accordance with regulatory legal acts. Results. In medical organizations, an excessive number of round-the-clock beds on the "cardiology" profile (more for 186 beds) and insufficient number of cardiac beds in day hospitals (less than 40 beds) were deployed; the number of cardiologists working in cardiological rooms of polyclinic medical organizations, dispensaries for cardiology and daily hospitals has been identified. Conclusions: Redistribution in the region's medical organizations of the bed fund, material, and financial resources leads to the optimization of patients' referrals and promotes rational use of resources of health care, increasing the availability and improvement of quality of medical care to adult population of the region.

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Issues on optimization of primary health care for working patients with diagnosed hypertension

Year: 2017, volume 13 Issue: №1 Pages: 007-009
Heading: Health Service Organization Article type: Original article
Authors: Shulpina N.Yu., Erugina M.V, Sazanova G.Yu, Krom I.L.
Organization: Saratov State Medical University
Summary:

Aim: to justify the ways of optimization of availability of primary health care for working-age patients with arterial hypertension. Material and Methods. The study of the availability of drug treatment of working-age patients with arterial hypertension was based on a survey of 409 patients and calculated the average cost of treatment of this group of patients for 1 month in accordance with the care standards. Results. On 01.06.2016, the cost of treatment for a patient with stage 1 hypertension amounted to 316.89 rubles per month, with 2 stage 652.68 rubles per month. 67% of patients of working age are unable to follow the doctor's recommendations and take the prescribed medicines. Conclusion. Provision of free medicines to patients with arterial hypertension of stages 1 and 2 and the formation of their commitment to preventive treatment causes a direct economic effect, which will be 7915979 rubles per year, and indirect economic effect of the decreased mortality from cardiovascular diseases, disability, reduce in disability days and increase of the gross domestic product.

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Perspectives for the analysis of arterial hypertension morbidity in Saratov region

Year: 2015, volume 11 Issue: №2 Pages: 97-100
Heading: Health Service Organization Article type: Original article
Authors: Zhuzhlova N.Y., Sazanova G.Y., Dolgova E.M.
Organization: Saratov State Medical University
Summary:

Purpose: the study of trends in overall morbidity and primary hypertension in the Saratov region over the period from 2002 to 2013. Materials and methods. The official statistics Ministry of Health and the Federal State Statistics Service were used, which is processed using analytical and statistical methods. Results. The article has been providing the analysis of total and primary arterial hypertension morbidity of the population of the Saratov region, which is in accordance with the degree of the Government of the Russian Federation from December 1, 2004, N 715 to the group of socially significant diseases. During the period from 2002 to 2013 in the Saratov region, as well as in the Russian Federation in Volga Federal district, the tendency of growth of the overall incidence and the decrease in the primary incidence of arterial hypertension. Conclusion. The dynamics of incidence of hypertension suggests the need for careful analysis and optimization of medical care for patients with hypertension

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The quality of life optimization vectors of patients with ischemic heart disease

Year: 2015, volume 11 Issue: №1 Pages: 062-065
Heading: Health Service Organization Article type: Original article
Authors: Krom I.L., Erugina M.V., Sazanova G.Yu.
Organization: Saratov State Medical University, Saratov Institute of Social Education, Head of Centre of Medical and Social Research
Summary:

The purpose of research is an integrative analysis and justification of the priorities of the quality of life optimization with patients with coronary heart disease. Material and Methods. Some sociological and statistical methods were used in this study. Results. The article presents the results of the study of quality of life of patients with ischemic heart disease, using a questionnaire WHOQOL-100. The study established the statistical dependence of the quality of life of patients with coronary heart disease on the quality of medical care, which is considered by the authors as an obligate modifiable predictor of quality of life of these patients. Conclusion. Medical care is considered according to the research as the obligate modified predictor of quality of life of the patients suffering from coronary heart disease. Statistical dependence of indicators of quality of life of sick IBS on medical care is established during research. Correction of standards of medical care acts as one of conditions of optimization of quality of life of sick coronary heart disease.

Economical effectiveness of therapy in patients with psoriasis

Year: 2014, volume 10 Issue: №3 Pages: 508-511
Heading: Skin Diseases Article type: Review
Authors: Nel'ubova 0.I., Utz S.R., Sazanova G.Yu., Morrison A.V.
Organization: Saratov State Medical University
Summary:

The review of regulatory acts and publications of domestic and foreign authors on the methods of economic evaluation of treatment effectiveness and quality of medical care to patients with psoriasis was presented

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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.

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Federal state educational standards of higher professional education. Discipline «Law»: perspectives of introduction in medical institutes

Year: 2012, volume 8 Issue: №1 Pages: 164-165
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Erugina М.V., Vlasova М.V., Sazanova G.U., Dolgova Е.М., Abyzova N.V.
Organization: Saratov State Medical University
Summary:

The article discusses the positive and negative impact of the new Federal state educational standards of higher professional education on the quality of studying the discipline «Law» in medical schools

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Historical transformation of monitoring of state social policy

Year: 2012, volume 8 Issue: №1 Pages: 119-121
Heading: Sociology of Medicine Article type: Original article
Authors: Zavyalov A.I., Erugina M.V., Vlasova M.V., Sazanova G.U., Abyzova N.V., Maksimova A.M., Zagurskaya V.D.
Organization: Saratov State Medical University
Summary:

Objective: To study the opinion of citizens of the Russian federation (citizens of Saratov) according to population census. Materials and methods: There were interviewed 307 persons (residents of the city of Saratov). Sociological and statistical methods of research were used. Results: The most common way of participation in the census is filling rewriter questionnaire at home. The main reason for non-participation in the census is the insufficient number of enumerators. Conclusion: Saratov citizens have a positive attitude towards the census of the population and consider it as a necessary event. There was no single opinion revealed on the way of conducting of the next population census

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Structural disproportions in regional medical standards in treatment of blood circulatory disorders

Year: 2012, volume 8 Issue: №1 Pages: 031-034
Heading: Health Service Organization Article type: Original article
Authors: Sazanova G.Yu.
Organization: Saratov State Medical University
Summary:

The research goal is to consider the opinion of physicians about the financial medical assistance standards to patients with blood circulatory disorders. Materials and methods: 530 doctors of different specialties were interviewed. Some sociological and statistical methods were used in the study. Results: The majority of respondents (83%) considered that it was necessary to coordinate financial support of diagnostic and treatment expenditures with the standards of the regional program of rendering free medical aid to patients with blood circulatory disorders. Conclusion: The issue of medical standards fully depends on the staff organization and medicamentous provision

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