2013 № 8 The assessment of health status and working conditions of medical workers (Moscow Regional Clinical and Research Institute (MONIKI) M.F. Vladimirsky, Russia)
Results of this the paper have shown that the sickness rate with temporary disablement of medical workers of the Moscow region is higher than the morbidity in the total working population of this region. The main causes of the sickness rate have been determined. According to judgment of public health organizers, experts of therapeutic and surgical profiles obtained during medico-sociological investigation the factor of psycho-emotional stress at work has the most negative effect upon their health status.
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.
2021 № 4 QUALIMETRIC ASSESSMENT OF THE EFFECTIVENESS OF IMPLEMENTING THE RESULTS OF PROJECT ACTIVITIES IN THE WORK OF MEDICAL ORGANIZATIONS AND HEALTH MANAGEMENT BODIES
In addition to the economic assessment of the effectiveness of the implementation of the results of project activities in the practice of medical organizations and health management bodies, for a qualitative assessment of the implementation results, a qualimetric analysis of the implementation effectiveness can be carried out. A complex qualimetric indicator in a dimensionless form from 0 to 1,0 or as a percentage from 0 to 100% can be reflected by color symbols and at the same time has a certain logical meaning. It shows the degree of deviation of the value of the estimated indicator before and after the implementation of the project results from the original (normative or standard).
2018 № 10 Analysis of morbidity, mortality from malignant neoplasmsand organization specialized medical care for the population with oncological pathology in Moscow region
The article presents morbidity and mortality in the Moscow (MO) from cancer for improvement organization of specialized medical care with oncology pathology. An analysis is made of the reasons for the excess of the specialized Medical Assistance (MSP) (including high-tech medical care - ВМП) for residents of the Ministry of Defense for malignant neoplasms more than 2 times mean values for the Russian Federation, in a 24-hour hospital due to a larger residents of the Moscow region of the NSR and the VMP at the expense of federal medical centers in Moscow.
2018 № 3 On the problem of forming a new model of the primary medico-sanitary management for the patients with pathology of digestion organs in Moscow Region
The article presents monitoring results of the independent evaluation of the work quality of the Moscow Regional medical institutions as well as medico-statistical analysis of morbidity, hospitalization, and lethality indices in different groups of population with digestion organs diseases in Moscow Region which are necessary to form the new model of the primary medico-sanitary management. The special attention in the presented new model is paid to the standard of polite and careful treatment of patients by the medical staff, to increasing the doctor’s work time with an individual patient, to reducing the registration time, the queue to medical specialists, and the time period of pending one’s turn before the doctor’s room. The same attention is paid to shortening the period of prophylactic medical observation and examination
2015 № 9 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.
2015 № 6 Organizational and methological activities of chief specialists of the Ministry of Health of the Moscow Region in current conditions
Organizational and methological activities of chief specialists (CS) is any creative practical, organizational and educational activity aimed at development and implementation of modern medical and organizational technologies into regional system of public healthcare, including diagnostics and treatment of patients, analysis of populational morbidity and mortality, organization of scientific events and various tasks within specific profiles and types of medical activity. A Coordination Council has been established for planning, supervision and assessment of efficiency of CS activities in the Moscow Region, with a special informational monitoring system being run.
2014 № 8 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.
2013 № 9 From the principle of pay for the result-oriented work to the effective contract with MONIKI (Moscow Regional Clinical and Research Institute n.a. M.F. Vladimirsky (MONIKI), Moscow, Russia)
An unceasing work is being carried out in MONIKI on studying different principles of pay for work depending on the qualitative and quantitative parameters of working results which are reflected in the labor (effective) contract of the employee. The closest direct connection between the basic and stimulating salaries of the hospital physicians and sisters was established using index which characterizes satisfaction of patients with treatment process, introduction of contemporary diagnostic and therapeutic methods into medical practice, and operative activity of surgeons. The strongest feed-back was revealed between medical staff salaries and postoperative complications, patients' complaints, penalty sanctions, and the mean duration of hospital treatment.
2019 № 8 Organizational and methodological work of the main external experts Coordination Council in the implementation of the regional project for cardiovascular diseases control in Moscow Region
In this article the role of main external experts (MEE) is discussed. According to the Order of the agency of administration, MEE form a Coordination Council to implement important regional projects. Thus, as a result of the concerted organizational and methodological work, the cardiovascular mortality reduced from 676.2 in 2015 to 475.2 in 2018 per 100 000 population. It is worth to mention that in 2015 the cardiovascular mortality rate in Moscow Region was above the average for the Russian Federation (RF) and Central Federal District (CFD), while in 2018 it became below the average for the RF and CFD.
2018 № 7 Formation of new management in the work of a children’s outpatient hospital based on analysis of children’s health problems and independent assessment of the quality of service
In order to form new management in the work of the children’s outpatient hospital by analyzing children’s health problems and independent assessment of the quality of primary health care, special attention is paid to the standard of equipment and work of children’s outpatient hospitals. As a result of the formation of new management in the work of children’s outpatient hospitals, the following indicators are evaluated: increasing the time of the doctor’s work directly with patients; reduction of time required to make an appointment with a doctor; reduction of queues and waiting time for parents with children to receive a consultation; comfortable and accessible environment for parents and children in the clinic, reducing the time for children to undergo medical examination
2022 № 2 Features of the organization of medical care in the interests of clinical testing of methods of prevention, diagnosis, treatment, rehabilitation and registration of necessary documentation
Medical care in the interests of clinical approbation of methods of prevention, diagnosis, treatment and rehabilitation is carried out to confirm evidence of efficiency and is essential function of medical organizations. Based on the clinical approbation, the Expert Council of the Ministry of Health Care of the Russian Federation can recommend a method for inclusion in clinical guidelines (treatment protocols) to providing medical care.
The article contains an example of the assessment of 28 reports on the implementation of the clinical approbation protocols completed in Russian Scientific Center of Roentgenoradiology of the Ministry of Health of Russia at 2016–2020. In the provision of medical care during clinical approbation, improvement is arrived in 59,6%, recovery – 32,9%, no change – 7,5%, there were no bad ones. As well as the procedure for the provision of medical organization to carry out clinical approbation, which is presented to medical organization by the Expert Council of the Ministry of Health Care of the Russian Federation.
2017 № 3 Main directions of forming of effective management and leadership styles by the medical organization
In article the main approaches of assessment of professional competence of heads of the medical organizations, ways of forming of effective management by the Deming’s principles are provided: plan, carry out, control, improve, when the head skillfully combines all known leadership styles: authoritative, liberal, democratic, and in case of problem definition by the subordinate applies smart purposes, on the basis of SMART purposes: specific, measurable attainable, realistic, time-based.
2013 № 12 The directions to improve the admission office staffing in the medical institutions of the Moscow region (Moscow Regional Clinical and Research Institute (MONIKI) M.F. Vladimirsky, Moscow, Russia)
Improvement of the admission office staffing in the Moscow Regional medical institutions like in the whole Russian Federation should be based on the principle of 1 physician per 215 patient beds used for planned hospitalization and 260 beds for urgent cases but no less than 1 daily post per medical department. Medical aid should correspond to these principles which should be differentiated according to the patient stream to admission offices working in planned, urgent regimes or with outpatients without further hospitalization.
2017 № 10 The main trends of analysis of the causes of patients’ discontent with the medical aid based on the patients’ complaints and independent assessment of the medical care quality in medical institutions
The article presents the main approaches to the analysis of the causes of the patients’ dissatisfaction with the medical aid based on the people complaints and independent assessment of the medical care quality in medical institutions found in internet sites of different levels. Sometimes the assessment results are indicative of the rather good and even very good patients’ satisfaction with medical care but the number of patients’ complaints against the dissatisfactory medical aid in some medical institutions remains very high. The main causes of patients’ discontent with medical care are analyzed and concrete recommendations for better medical aid organization are presented