Manager Zdravoochranenia 2015 #9

Published: 2015-09-09



    Management in health care
  • The condition and renovation of capital assets of TB-institutions in the Russian Federation (2012–2014)

    The state of capital assets of TB organizations in the Russian Federation: buildings and structures, machinery and equipment, motor vehicles evaluated. Discovered increased depreciation of capital assets, imbalance of wear, imbalances of renovation. The ways of harmonization of state assets offer.

    Authors: Son I. M. [41] Obukhova O. V. [28] Sterlikov S. A. [8]

    Tags: anti-tb institutions1 capital assets1 health economics1 tb care1

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  • Upgrading of organizational technologies for improvement of availability of high-tech medical care to cardiosurgical patients by the example of the Moscow Region

    Annotation. The paper describes the mechanism for upgrading of organizational technologies for improvement of availability of high-tech medical care to cardiosurgical patients, based on regional vascular centers and primary vascular departments in medical organizations in the Moscow Region, as well as on Vascular Center of MONIKI and availability of the leading Federal clinics of MoH RF and RAS. Positive trends in decreasing cardiovascular mortality among population of the Moscow regions are presented with compatible parameters.

    Authors: Gurov A. N. [15] Andreeva I. L. [2] Katuntseva N. A. [2]

    Tags: cardiovascular disorders1 cardiovascular surgery2 high-tech medical care11 mortality causes1

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  • Organizational planning the third phase of the rehabilitation of children with congenital heart disease of different age groups

    Annotation. Analysis of surgery for children and adolescents with congenital heart disease (CHD) in Bakulev Scientific center of cardiovascular surgery in 2013 allowed to justify the quantitative need for the 3rd phase of the rehabilitation of patients with this pathology. Achieved grouping of patients after surgical treatment of CHD for the third phase of rehabilitation depending on the diagnosis, the type and the deggree of disorders of the cardiovascular system.

    Authors: Bockeria L. A. [2] Milievskaja E. B. [4] Krupjanko S. M. [3] Nevedrova M. N. [1]

    Tags: cardiac clinic1 congenital heart disease2 hospital bed3 rehabilitation5 surgical bed1

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  • Financial management
  • Influence on age and gender considerations costs while providing high-aid in profile «traumatology and orthopedics»

    Annotation. Relevance. One of the economic problems in health care in the shortage of funds is to find mechanisms of payment, the most adequate and reliable-specific medical care. This is especially true of the cost of such a species as a high-tech medical care. One of the most appropriate ways to pay for medical care provided in inpatient and day hospital is to pay as part of the clinical and statistical groups of diseases. When forming groups, in addition to such major criteria as the ICD-10 code or having surgery, apply additional criteria, taking into account the peculiarities of medical care to patients of different age and gender categories. Material presented in the article findings justify the need for such a differentiated approach to the formation of groups of high-tech expensive medical care

    Subject of research: the group of high-tech medical care, approved by RF Government Decree of 28.11.2014 №1273 in the framework of the provision of state guarantees of free medical care to citizens for 2015 and the planning period of 2016 and 2017.

    Objective: research to justify the use of a differentiated approach to the establishment of standards for the financial costs of groups of high-tech medical care, taking into account age and gender considerations. Methods of work: statistical, analytical.

    Results: for the first time carried out an in-depth analysis of the cost structure of the federal health care organizations in the provision of high-tech medical care, identified factors affecting the size of the cost of medical organizations in the profile «Traumatology and orthopedics», to justify proposals to optimize the standards of financial costs on the profile «traumatology and orthopedics.»

    Conclusions: the patient population, which is a high-tech medical care in the profile «Traumatology and Orthopaedics », consists mainly of older persons of working age, mainly women. The average standard of financial expenses higher in the older working age.

    Authors: Obukhova O. V. [28] Perkhov V. I. [20] Brutova A. C. [2]

    Tags: high-tech medical care in the profile «traumatology and orthopedics»1

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  • Financial cost estimate of the laboratory tests performance in the samples with hemolysis

    Two different ways of hemolysis evaluation in blood serum were analyzed for better effectiveness as a most frequent mistake in pre-analytical phase. Automatic measurement of hemolysis index (HI) was proved to be of the highest effectiveness as an economical as well as a patient safety matters.

    Authors: Klimenkova O. A. [2] Ivashikina T. M. [2] Pashkova V. P. [2] Berestovskaya V. S. [1] Vavilova T. V. [2]

    Tags: automatic measurement of hemolysis index1 financial costs1 patient safety2 pre-analytical phase1

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  • Law
  • The history of establishment of the service of anesthesiology and intensive care in the Russian Federation in the orders

    In the present study analyzes the formation and development of the service of anesthesiology and intensive care in our country in the regulatory documents. Reflected changes in staffing groups and departments of anesthesiology and intensive care, as well as the functional responsibilities of these offices.

    Authors: Gorbachev V. I. [4] Netesin E. S. [2]

    Tags: anesthesia2 anesthesiology and reanimation1 nurse anesthetist1 orders4 physician anesthesiologist1 staffing ratios1

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  • Special opinion
  • Criteria for assessing the quality of medical aid: an essential step towards respecting the rights of patients, medics and experts

    Authors: Starchenko A. A. [34]

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  • Manager of health care consults
  • Provision of medical aid within a medical approbation

    Currently there are developed legal and methodological principals for medical aid provision within a clinical approbation of prevention methods, diagnostics, treatment and rehabillitation. Despite the imperfections of the developed system, it allows to eccelerate the process of implimenting new medical technologies into the health care system, having simultaneously provided financial support to federal clinics, experiencing serious economical burdens due to budget cuts for the most common types of medical care in circumstances of economical instability. The article analyses the issues and provides recommendations for improving organizational mechanisms of clinical approbation.

    Authors: Kadyrov F. N. [123] Obukhova O. V. [28] Perkhov V. I. [20] Starodubov V. I. [40]

    Tags: clinical approbation1 clinical experiments1 clinical research1 clinical-economical analysis1 effectiveness5 financial support of medical activity1 medical aid2

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  • Questions and answers
  • Questions answered by PhD. of Economic F.N. Kadyrov

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