Articles with tag: «oncological diseases»

    Manager of health care consults
  • 2022 № 1 Financing of the compulsory health insurance system in 2022

    The most important factor affecting the amount and methods of financial support of the compulsory medical insurance system, as in the last two years, continues to be the spread of coronavirus infection COVID‑19.
    In the proposed paper discusses not only the indicators of the budget of the Federal compulsory medical insurance Fund, but the dynamics of indicators, including, in comparison with the rate of inflation, and other factors.
    New directions of the use of compulsory medical insurance funds are identified, the reasons for their appearance are considered.

    Authors: Kadyrov F. N. [122] Obukhova O. V. [28] Bazarova I. N. [12] Endovitskaya  Yu.  V. [11]

    Tags: effective contract13 incentive payments8 medical organizations23 occupational examinations1 oncological diseases4

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  • Management in healthcare
  • 2023 № 2 Subsidized Pharmaceutical Provision for patients in the Federal Districts and subjects of the Russian Federation using the example of the most common diseases.

    In the Russian Federation, the obligations of federal and regional authorities for Subsidized Pharmaceutical Provisionfor patients are legally defined, the issues of providing patients with drugs for the treatment of a particular nosology are analyzed with varying degree of detail, however, a comprehensive assessment of Subsidized Pharmaceutical Provision for patients with the most common diseases in the Federal Districts and federal subjects was not carried out. This was the aim of this study. We analyzed the purchase of medicines for the treatment of patients with cancer, broncho-obstructive diseases (bronchial asthma and chronic obstructive pulmonary disease) and diabetes in the Federal Districts and federal subjects of Russia though regional and federal budgeting and recalculated the total spendings per 1 patient living in the Federal District or federal subject.
    We found that both the federal districts and the constituent entities differed in the budget spendings for purchase of medicines for the treatment of the analyzed nosologies. In addition, we found inconsistency in the sum of funds spent on the subsidized Pharmaceutical Provision from year to year.
    The availability of medicines at the outpatient stage of treatment of cancer, broncho-obstructive diseases and diabetes mellitus differs greatly between the different Federal Districts and on the federal subject level. This creates unequal access to drug treatment for patients at the outpatient stage of treatment. Health authorities do not use a unified methodology for planning the demand of medicines at the outpatient stage of treatment, nor a unified strategy for Subsidized Pharmaceutical Provision xecution.

    Authors: Linnik S. А. [3] Shvachko S. A. [2] Tumenko E. E. [1]

    Tags: bronchial asthma2 diabetes mellitus6 drugs2 need for drugs1 oncological diseases4 preferential drug provision1 regional benefit1

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  • 2018 № 6 The role of injury, poisoning and certain other consequences of external causes of mortality in the population of the Russian Federation

    The most significant dynamics of mortality reduction among the main classes is noted from external causes, according to the Russian Federation, the indicator decreased in 2017, in comparison with 2006, twice. Injuries, poisonings and some other consequences of external causes are related to «manageable» causes of mortality and are not only an important indicator of health care, but also the state of the economy and society as a whole. Despite such a significant decline, the mortality from external causes is on indicators that are 2–5 times higher than those of economically developed and developing countries. The greatest contribution to the reduction of mortality from external causes was achieved, first of all, due to road traffic injuries, as well as through injuries, the provision of medical care in which was carried out in a three-level system of trauma centers. A significant proportion in the structure of mortality from external causes is due to acute poisoning. The example of the Chelyabinsk region shows an increase in mortality from drug poisoning, including synthetic origin. The received data testify to the need to take measures aimed at further optimization of the three-level system of trauma centers, as well as the formation of a system for providing medical care for poisoning, including the organization of acute poisoning centers

    Authors: Shishkin E. V. [5] Shchepin V. O. [5]

    Tags: accidents1 alcohol1 diseases of the circulatory system2 drug poisoning1 external causes3 injuries3 oncological diseases4 poisoning2

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  • Management in health care
  • 2021 № 5 Organization of medical care for patients with cancer on the basis of lean production in the interests of developing organizational health-saving technologies during the pandemic

    The article presents the results of the application of lean manufacturing (LM) technologies for the successful implementation of the state task of a clinical medical organization to provide high-tech medical care during the restrictions caused by the COVID19 pandemic. The highest degree of implementation of LM values and technologies was achieved in the section of respect for the person and corporate culture – 89%, compliance with specialized standards – 86%, satisfaction with quality and safety, as well as quick response to changes‑85% for each,
    which allows implementing organizational health-saving technologies. The most accessible and widespread health-saving technology can be considered specialized information on the prevention of non-communicable diseases posted on the website of a medical organization in a special section and attracting the attention of patients in a voluntary informed consent. The organizational and methodological department can become the organizing structural unit of a medical organization for testing the introduction of lean production technologies and testing organizational health-saving technologies, whose specialists should be engaged in improving the level of professional training of doctors,
    specialists in clinical profile and secondary medical personnel on health-saving issues, conducting communication campaigns aimed at increasing the responsibility of patients who come for examination and treatment for their health, their relatives and relatives, awareness of the value of human life and health, the formation of a culture of health in various age and social groups.

    Authors: Gurov A. N. [15] Kruglov S. E. [2] Solodkiy V. A. [2]

    Tags: covid-19 pandemic6 medical care for patients1 oncological diseases4 organizational health-saving technologies1 “lean manufacturing”3

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