Manager Zdravoochranenia 2020 #5

Published: 2020-05-27



    Focus of problem
  • Is a medical organization required to provide medical documents of a deceased patient for review at the request of his / her spouse or close relatives

    The article presents a detailed analysis of the legal situation related to issues of medical confidentiality after the death of a patient. The publication brought to the attention of the medical organizations, now in accordance with the Decision of the constitutional Court of the Russian Federation of January 13, 2020, № 1-P the denial of a spouse (wife), close relatives of a deceased patient access to his medical records may be considered valid only if during the life of the patient expressed prohibition on disclosure of information constituting a medical secret.

    Authors: D.  V.  Piven [4] I.  S.  Kitsul [3] I.  V.  Ivanov [3]

    Tags: close relatives1 medical documentation2 medical organization53 medical secrecy2 patient13 quality  control  and  safety  of  medical  activities4

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  • Management in healthcare
  • Basis of a programmatic approach to ensuringthe quality and safety of antitumor treatment

    The article presents the rationale for the introduction of a single territorial approach to improving the oncological service of the Republic of North Ossetia-Alania on the basis of the “Program for the management of quality and safety of anti-tumor treatment” (Program). The program is based on the principles of quality management, on the industrial model of managing a medical organization and should help increase the efficiency of the entire oncology service of the region

    Authors: A.  M.  Кarsanov [1] A.  V.  Khasigov [1] A.  A.  Kultchiev [1]

    Tags: antitumor treatment1 oncology7 patient safety2 program2 quality management2

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  • Analysis of the activities of a multidisciplinary day hospital in a city

    In the article, based on literature sources, analysis of reporting data on the activities of medical organizations providing inpatient care (MOSU) and medical organizations providing outpatient care (MOAU), as well as studying work experience in a number of territories of the Russian Federation, the tasks are shown, organizational forms of work, medical and economic feasibility of organizing day hospitals. The experience and performance indicators of the patient care center based on the outpatient department of the city clinical hospital are presented. The medical and social efficiency of the work of the homestead and the possible economic effect of the organization of the homestead are estimated.

    Authors: A.  A.  Kalininskaya [1] M.  D.  Merekina [1]

    Tags: beds3 day hospital (ds)3 diseases3 medical organizations providing inpatient care (mosu)1 medical organizations providing outpatient care (moau)1 patient13 treatment periods1

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  • Dermatovenerologic service resources in the Republic of Bashkortostan

    The article presents the analysis of accessibility parameters related to medical care in the area of dermatovenerology in
    the Republic of Bashkortostan. We studied the dynamics of such provision parameters as the number of dermatovenerologists and
    the number of in-patient and day-patient beds for the period from 2013 to 2018. In the Republic of Bashkortostan the number of
    dermatovenerologists has decreased from 0.68 specialists/10,000 people to 0.59 specialists/10,000 people (decrease rate 13.2%);
    the amount of dermatovenerologic offices has decreased by 9.3% (from 107 to 96). We noticed the decrease in the bed capacity
    due to the decrease of in-patient beds from 1.31/10,000 people to 0.94 beds/10,000 people (decrease rate 28.2%). At the same
    time we shall point out the increase in the time of bed occupation: from 320 days/year to 344 days/year. Patient turnover per one
    bed (further referred as bed turnover) has increased from 16.1 to 24.9 patients per year (increase rate 54.7%). The average time of
    bed stay for one patient has decreased from 20.0 days to 13.8 days (decrease rate 31.0%). In the Republic of Bashkortostan (RB),
    the number of day-patient beds has increased. For outpatient medical institutions the number has increased by 12.2 times (from 10
    to 122 beds); for in-patient medical institutions it has increased by 13.8% (from 81 to 94 beds). For in-patient medical institutions,
    the accessibility of day-patient beds has increased from 0.2 beds/10,000 people to 0.23 beds/10,000 people and for outpatient
    medical institutions it has increased from 0.2 beds/10,000 people to 0.3 beds/10,000 people. By 2018, the average day-patient
    bed occupation amounted to 314 days, regardless of institution type. Further study of medical care accessibility in the sphere of
    dermatovenerology in the Republic of Bashkortostan is important; measures on its improvement shall be scientifically proven.

    Authors: Mukhamadeeva O. R. [2] N. Kh. Sharafutdinova [1] Sharafutdinov М. А. [1] M. Yu. Pavlova [1]

    Tags: accessibility of dermatovenerologic care1 dermatologic hospital bed1 estimation of medical care accessibility1 parameters of hospital bed accessibility1 s pecialized dermatovenerologic care1 venereology hospital bed1

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  • Medical rehabilitation: issues in licensing

    The article provides a legal study of a number of current problems in the field of licensing of medical rehabilitation activities and suggests some ways to resolve them

    Authors: Gameeva E. V. [1] Gabaj P. G. [1] Kostin A. A. [1] Pashigorova L. V. [1]

    Tags: licensing of medical rehabilitation1 licensing requirements2 medical rehabilitation9 oncology7 works (services) that make up medical rehabilitation1

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  • Blood collection during the period of COVID‑19 infection

    We evaluated the work of the Samara Regional Clinical Blood Transfusion Station, the collection and delivery
    of blood components in January-April 2019 and 2020 changes in activity at the beginning of the COVID‑19 pandemic
    infection. The need for blood components decreased: red blood cells – by 16,7%, platelets – by 13,0%, plasma – by 25,6%, cryoprecipitate – by 32,5%. SOKPSK provides the needs of the region’s healthcare in blood components and preparations, as well as the safety of donors and staff. For this: a) new donor recruitment methods have been introduced; b) plasma donors have been transferred to blood and platelet donors. A common pattern is the reduction in the use of medical technologies that require transfusion of blood components. According to the results of the first 4 decades of work, such a reduction in the Samara region is two time less than in other developed countries.

    Authors: Zhiburt E. B. [15] Kuznetsov S. I. [6] Kudinova E. V. [2]

    Tags: blood8 blood collection5 blood service5 blood transfusion10 covid-1928 pandemic8 safety4

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  • Analysis of the study of the opinions and satisfaction of medic al personnel with features in the organization of the work of a network of d ental clinics, united in a research and production network

    The article presents the results of a sociological survey according to a specially developed questionnaire, which made it possible to elicit the opinion of medical personnel (dentists and managers) in certain areas of improving the organization of medical care, affecting the level of service in branch clinics integrated into a research and production network. Based on this questionnaire, answers were received about the organization of activities and recommendations were developed to improve the organization of work of the integrated research and production network.

    Authors: Mingazova E. N. [34] Yu. A. Ulianov [1]

    Tags: corporate culture5 dental medical clinics united in a research and production network1 medical staff satisfaction1 motivation2 questionnaires2 sociological assessment1

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  • Personnel management
  • Availability and staffing of gastroenterologists in the Russian Federation and in pilot regions, 2013–2017

    Human resource issues are of high relevance for accessibility of the quality of health care. The aim of the study was to conduct analyses of actual staffing of health care facilities for provision of gastroenterological care on an outpatient basis in the Russian Federation and its subjects. Materials and methods: calculation of occupied positions and physicians-gastroenterologists rate, extensive indicators, method of descriptive statistics. Results. Multidirectional levels and trends in physicians-gastroenterologists coverage rates in the constituent entities of the Russian Federation have been established. In a number of federal districts there is an increase in the studied indicators, in some – levelling. Conclusions. An analysis of the availability of gastroenterologists roviding health care an outpatient basis showed that the supply of gastroenterologists in the federal districts increased or levelled. Moreover, in six of them there was a decrease in the staffing rate by these specialists. The results of the study could be used for the human resources planning and for decision-making.

    Authors: Guryanova N. E. [6]

    Tags: coverage1 gastroenterologists1 outpatient care6 russian federation3 staffing11 subjects1

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  • Technological management
  • The new model for improving quality of service: entering into l ife-cycle contracts for the purchase and maintenance of medical devices

    This article is devoted to improving the quality of services in the healthcare and medical industry. The purpose of this work is to analyze the effectiveness of enterprises and individual services in healthcare, taking into account the introduction of life-cycle contracts in Russia from 2019. The scientific novelty of the work consists in the generalization and analysis of existing approaches to the organization of medical device service in order to develop conclusions and recommendations to improve the quality and effectiveness of this activity.

    Authors: Gertsik Y. G. [1]

    Tags: medical industry enterprise1 medical devices2 medical institution2 metrological support1 service department1 technical maintenance1

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  • Medical statistics
  • Incidence of microsporia and trichophytis in the Russian Federation in 2013–2018

    Introduction. Purpose. Study of the incidence of microsporia and trichophytis among children. Material and methods. Data of forms of federal statistical observation No. 9 “Data on sexually transmitted infections and contagious skin diseases” in the federal districts of the Russian Federation for the period from 2013 to 2018. The work uses descriptive statistics. Main results. An analysis of the incidence of microsporia in the Russian Federation showed that in the federal districts the dynamics of indicators among children was almost similar to the total population. The highest incidence is found in the Volga and Southern federal districts, both in the general population and among the child population. During the period under study, the incidence of microsporia decreased by 0.2% in the general population and by 8.1% in the infant population. Indicators of trichophytis in both the general population and the infant population were also unstable. At the same time, the incidence of trichophytis in the general population decreased by 7.1%, in children by 11.5%. The most disadvantaged situation in trichophytia was observed in the North Caucasus Federal District, further as the Far East and Siberian federal districts declined. Among the children between the ages of 0 and 14, an unprecedented high incidence rate is observed in the North Caucasus Federal District: from 28.8 in 2014 to 34.7 in 2016, which is higher than in the country as a whole by 4, 4 and 6.7 times, respectively. Conclusion. During the period under study, the incidence of microsporia decreased by 0.2%, among the infant population – by 8.1%, the incidence of trichophytia – 7.1% and 11.5%, respectively.

    Authors: Golubev N. A. [6] Ogryzko E. V. [11] Sachek O. I. [1] Os’kova L. P. [1] Shevchenko A. G. [1] Ju. I. Os’kov [1]

    Tags: children13 federal districts2 general population1 incidence4 indicators5 microsporia1 trichophytics1

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  • Manager of healthcare consults
  • Russian Health Care in the background coronavirus COVID-19: Opportunities and Threats

    The effectiveness of any public system, including health care, is determined by the adequacy of its legal regulation. The situation with coronavirus exposed many problems in this area, a number of which were quickly resolved with varying degrees of success. However, there are still many unresolved issues and the need to further improve the legal regulation of health care. This applies, among other issues, to the remuneration of medical workers engaged in providing medical care to patients who have been diagnosed with COVID‑19 coronavirus infection. The article presents an analysis of the procedure for implementing incentive payments at the expense of Federal funds, and suggests measures to improve it. The article presents a SWOT analysis of the state of Russian healthcare against the background of the spread of COVID‑19 coronavirus.

    Authors: Kadyrov F. N. [123] Obukhova O. V. [28] Bazarova I. N. [12] Starodubov V. I. [40] Yu. V. Endovitskaya [6] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1928 crisis3 financing13 health care24 mandatory health insurance5 medical organizations23

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  • Questions and answers
  • Issues of application of labor legislation during the period of combating coronavirus

    Authors: Kadyrov F. N. [123] Chililov A. M. [24] Panov A. V. [2]

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