Law
  • 2020 № 3 Improving the regulatory and legal framework for delivering primary health care to the population in the field of non-communicable diseases prevention and the implementation of a healthy lifestyle standardization

    In order to prevent non-communicable diseases and carry out measures to model a healthy lifestyle, the article proposes changes to the regulatory and legal framework for delivering primary health care and primary specialized health care, including the introduction of a position of a physician for common hygiene in medical organizations. It is proposed to introduce additions to the nomenclature of medical services provided. There was developed a section of occupational standards program “Specialist in hygiene”, on the job functions of a physician for common hygiene. It is proposed to include in the job functions of a physician for common hygiene the diagnostic testing in health centers in order to assess the functional reserves and adaptive capabilities of a person affected by adverse environmental factors, and the prescribing appropriate curative and preventive measures. Implementation of the proposed activities in the health centers will improve the efficiency of medical and preventive work of medical organizations and reduce the level of uncertainty of preventive activities carried out, and of the expected results of preventive work carried out by a therapist and a general practitioner (family doctor). The proposed changes will help to identify causal relationships between the health status of the population and the impact of adverse environmental factors, to form risk groups among adult population in accordance with diagnostic criteria of risk factors and other pathological conditions and diseases associated with the impact of adverse environmental factors that increase the likelihood of developing of chronic non-communicable diseases in risk groups, if there are diagnostic criteria of risk factors to send the indigent to health organization for in-depth examination and carrying out the necessary medical and preventive measures, to prepare research and information materials and to participate in hygiene education, to promote healthy lifestyles and to improve health literacy of population.

    Authors: Prilipko N. S. [3] Turbinsky V. V. [1] Bobrovnitsky I. P. [1]

    Tags: job  functions.1 normative  legal  documents1 physician  for  common  hygiene1 primary health care8

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  • Management in health care
  • 2013 № 8 Method of defining demands of adult population in medical rehabilitation (FSHM «Russian scientific center of medical rehabilitation and spa treatment» Ministry of Health Care of Russian Federation, Moscow, Russia; Federal Research Institute for Health Organization and Informatics of Ministry of Health Development of the Russian Federation, Moscow)

    Annotation: Method of defining demands of adult population in medical rehabilitation is based on data concerning population's morbidity, generally in accordance to diseases classes as well as on few particular diseases. The basis of defining method for demand in medical rehabilitation was formed by indications and contraindications to its processing in outpatient and inpatient conditions. The development of medical organizations network, which provides aid for medical rehabilitation has to correspond with the real demand of the population. The following methodical recommendations permit to make a judgment regarding demands of concrete region in medical rehabilitation after processing the described calculations.

    Authors: Prilipko N. S. [3] Bantieva M. N. [1] Povajnay E. L. [1]

    Tags: adult population3 demand1 dispensaries1 hospitals2 medical rehabilitation8 method of defining1

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  • Quality of health care management
  • 2016 № 5 Assessment of the quality and effectiveness of health care for medical rehabilitation

    Abctract. The method of evaluating the quality and effectiveness of medical rehabilitation in the parameters is described. The method allows to determine the capabilities of the service, results and quality research. The basis for determining the level of quality of care in health organizations based on three main components: quality of structure; quality of process; quality of the results. This method allows to judge about the possibilities of rehabilitation services in determining logistical base, human resources, technical equipment and the condition of the equipment. Data on the quality and effectiveness of treatment can serve as a basis for performance assessment and volume of the study identified a number of indicators and their conformity to regulatory standards. The Toolkit is designed for health care providers, experts, economists working in health care organizations Federal, regional and municipal levels, as well as researchers and teachers in the field of health planning.

    Authors: Prilipko N. S. [3]

    Tags: medical rehabilitation8 process quality1 quality of medical care12 quality of structure1 quality results and normative values1

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