Manager Zdravoochranenia 2014 #8
Published: 2014-08-07
1593
CONTENT OF THE ISSUE
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Circulation of medical products: numerous problems regulatory or what chief doctor have to do. Part 2 (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)
In the article the characteristic of a number of issues in the sphere of medical products circulation: insufficient legislative regulation, absence of the system of training, lack of secure rights of a patient and, as a consequence, serious problems at the level of the medical organization. The authors offer concrete solutions as part of the normative regulation of the sphere of medical products circulation, and of the expanded operation algorithm at the level of medical organization in this area, namely those actions that must initiate the chief doctor.
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A number of results of a survey conducted among the medical employees on self-regulating professional activity in the aim of improving health care (Ministry of health care of Moscow region, Krasnogorsk, Russia, MHMH Moscow region MONIKI after Vladimirskiy M.F., Moscow, Russia)
There were 15 323 people, among whom, 9048 physicians, and 6277 middle level medical staff members from Moscow region, that took part in the survey. They were asked questions aiming revelation of priority solutions to existing problems in the health care system. Obtained answers represent a foundation for creating a self-regulation system for medical employee's activities for making improvement in the health care of Moscow region.
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Working hours expenses of doctors on an out-patient basis according to photochronometric researches (Federal research institute for health organization and informatics of ministry of health of the Russian Federation, Moscow, Russia)
For the implementation of the Russian Federation President Decree of May 7, 2012 № 598 «About improvement of a state policy in the health care sphere» and according to the Plan of measures on work rationing in health care of the Interdepartmental working group on the organization of rationing of work, development of professional standards and skill levels in the health care sphere, within 2 working weeks phototime observation over work of two experts — therapists of district police officers, pediatricians of district police officers, general practitioners, neurologists, otorhinolaryngologists, ophthalmologists and obstetricians-gynecologists in 17 pilot territories of the country is made. Results of research testify the need of improvement of normative documents on setting standards for the doctors rendering the out-patient help to the population towards increase in time for visit of one patient.
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Work ethics of physicians, entering the labor force after internship training and clinical studies (Bashkirskiy State Medical University, Ufa, Russia)
There has been a survey conducted on work ethics of physicians, prepared in the system of postgraduate education towards their chosen profession and organization of professional activity. There were validated opinions of physicians on such topics as fulfilling their professional goals, perspectives of career growth in regards to migration and change of work place.
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Independent validation system of scientific medical organizations in the paradigm of twenty years remoteness (Federal Research Institute for Health organization and Informatics of Ministry of Health of Russian Federation, Moscow, Russia)
There has been created a new system for evaluating scientific organizations and their subdivisions. Readings of publication and patent activities of organizations were used as key efficiency indicators. There was a study conducted on modern patterns in development of a global scientific — technological field, which questioned the information capacity of these efficiency indicators on scientists and institutions.
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Valutaiton of scientific organization's actitivites: development prospects: expert session FAHO
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Position of Ministry of Healthcare of Russian Federation in the questions of developing state-private partnership
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A physician's error — is not only physician's problem
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With the regard to the order project of Ministry of social development and health care of Russia «To provide specialized medical care to patients with chronicle kidneys disease of 5th stage, receiving treatment through hemodialysis»
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Up-to-date problems of disability prevention and evaluation of employability level of people diagnosed with ischemic heart disease
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An analysis of possible consequences from introduction of co-payments from unemployed population into the system of mandatory medical insurance (Federal Research Institute for Health Care Organization and Information of the Ministry of Health Care and Social Development of Russian Federation, Moscow)
In accordance with the current legislation, employers are obligated to cover expenses for mandatory medical insurance system. Constituent territories of Russian Federation are responsible for making payments to support unemployed population (children and elderly and as such). Ministry of Finance of Russia suggested to introduce a mechanism in accordance to which the unemployed population (with exceptance of certain categories) would be responsible for covering expenses for mandatory medical insurance system themselves. The article is dedicated to an analysis of consequences of establishing proposals of Russian Ministry of Finance with regards to introducing co-payments into the system of mandatory medical insurance.
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Questions answered by PhD. of Economic F.N. Kadyrov
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INNOVATIONS IN MEDICINE
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REVIEW OF ACTUAL
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NORMATIVE DOCUMENTS