All articles by Kochorova L. V.
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2022 № 9 The role of naming in healthcare. From a psychiatric hospital to a mental health center.
An urgent issue today is to increase the confidence of citizens in the healthcare system. Moreover, the issue of trust is of particular importance in the provision of psychiatric care, due to the high level of stigmatization of this area of medicine.
The purpose of the study was to assess the significance for patients of the names of medical organizations in the profile of «psychiatry».
Materials and methods. In 2021 Kirov Regional Clinical Psychiatric Hospital named after Academician V.M. Bekhterev changed its name and became the Center for Psychiatry and Mental Health Academician V.M. Bekhterev. A survey was conducted of 216 patients who applied or are undergoing treatment at the Center of Psychiatry and Mental Health named after Academician V.M.
Bekhterev, using a specially designed questionnaire consisting of 24 questions. The results obtained were statistically processed.
Results. A large proportion of the respondents had one or another mental disorder, and more than half are worried because of this, to one degree or another. One-fifth of the respondents indicate that their rights were violated due to their mental disorders.
All this points to the problems that exist to this day associated with the stigmatization of patients with mental disorders, as well as the stigmatization of the psychiatric service itself. 43% of respondents noted that the name of a medical organization has an impact on their trust in a medical organization. The patients surveyed gave the highest rating to the name «Mental Health Center».
Conclusions. Thus, the name of a medical organization directly affects the trust of patients in it. In addition, the name also affects the subjective assessment of the quality of medical care provided in a medical organization. -
2023 № 6 Statistical accounting improvement as a measure to increase the effectiveness of prevention of circulatory system diseases.
Improving the provision of medical care for diseases of the circulatory system, including disease prevention, is an urgent problem, the solution of which is carried out in the Russian Federation at the state level.
Purpose of the study is to evaluate information on the features of accounting for peripheral artery diseases and the level of their prevalence on the basis of information contained in official statistical reporting forms.
Materials and methods. Based on the information of medical organizations contained in official statistical reporting forms No. 12 and No. 14, an assessment of the features of accounting for peripheral artery diseases and their prevalence in St. Petersburg for the period from 2015 to 2020 was carried out. In order to neutralize the influence of regional peculiarities of the organization of medical care during the pandemic of a new coronavirus infection, 2019 was chosen as the main research period. Extensive and intensive indicators were calculated with an assessment of the reliability of their difference, a correlation analysis was carried out.
Results. The official statistical forms take into account a limited list of diseases of the peripheral arteries, which accounts for only 1,2% in the structure of diseases of the circulatory system in St. Petersburg. The proportion of other diseases of the circulatory system that are background is high: high blood pressure – 38,7%, cerebrovascular diseases – 25,5%, coronary heart disease – 22,5%. At the same time, the contribution of peripheral artery diseases in assessing their long–term consequences is significant – there is an increase in the level of surgical interventions, including amputations. In addition, a strong correlation was established between the prevalence of peripheral artery diseases and background diseases (p = 0,78; p < 0,01), which indicates a “cumulative effect” of peripheral artery diseases in the
population.
Conclusions. It is necessary to develop separate preventive programs for patients with peripheral artery diseases, the instrument of which can be the organization of their effective accounting by means of a register specially created for these purposes.