All articles by Konovalov O. E.
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2021 № 10 THE MORBIDITY DYNAMICS MODELING AS AN INFORMATIONAL BASE TO MEDICAL CARE MANAGEMENT FOR THE OVER WORKING AGE POPULATION
P u r p o s e o f t h e s t u d y : The substantiation of the need to use modeling of the dynamics of primary and general morbidity of the elderly and old population to improve the management of medical and preventive care for this age group.
R e s e a r c h m e t h o d s : analytical, modeling and mathematical-statistical methods.
R e s e a r c h b a s e . This study was conducted on the basis of the Moscow region with a population of 7,7 million people as of 01.01.2021.
R e s u l t s . Shown, that use of mathematical modeling of the morbidity rate as an information database is one of the most optimal ways for calculating and assessing the needs in the volume of medical care for specific age groups of the population. The use of a nosological approach is proposed, because it allows to assess the required volume of medical care based on the existing pathology not on existing organizational models that may change. Morbidity modeling and forecasting is designed to promote optimization of medical and preventive examinations for elderly and old people in terms of determining the necessary forces and means based on knowledge of the magnitude of the existing need.
C o n c l u s i o n . Taking into account the forecasting data, the use of the proposed models makes it possible to form an idea of the magnitude of the need and to monitor the implementation of state guarantees for the medical provision of elderly and old people. -
2023 № 4 Determinants of the use of telemedicine in pediatric dentistry.
Currently, favorable conditions are being created in the Russian Federation for the development and effective use of telemedicine in healthcare. Options for the use of information and communication technologies in pediatric dentistry are: telemedicine consultations, consultations, distance education of medical workers, medical education and preventive activities among the child population.
The aim of the research as part of the dissertation work, the research was aimed at studying the attitude of dentists to the use of telemedicine technologies in pediatric dentistry.
Materials and methods. The process of studying the attitude and readiness of pediatric dentists to use telemedicine technologies was aimed at identifying individual (micro) and conceptual (meso- and macro) factors affecting the use of medicine in pediatric dentistry. The study included a semi-formal interview and questionnaire.
Results. As a result of the research on the sections: Telemonitoring – remote monitoring of patients, including outpatient management of patients; storage and transmission of medical data; interactive telemedicine, it was found that doctors in Tver and the Tver region have both positive and negative beliefs and opinions that can promote or hinder their use of telemedicine in their professional practice.
Conclusions. Research with the participation of pediatric dentists will help both developers and managers of medical institutions to understand the limitations and advantages of technologies from the point of view of practicing pediatric dentists, will allow predicting its development.
The results of this study will contribute to solving the problems of implementing telemedicine services, contribute to the rational development of telemedicine platforms in pediatric dentistry in Tver and the Tver region. -
2023 № 6 Overview of the state of dental care to the children’s population of the Tver region for the period 2016–2020 years.
Taking care of the health of the population of the Tver region is an important area of social regional policy. The main task of the dental service of the Tver region is to preserve and strengthen the health of citizens of the Tver region, increase the role of prevention of dental diseases, form a model of the organization of the dental industry, ensuring the availability and quality of dental care, improving the efficiency of dental services, the volumes, types and quality of which should correspond to the level of morbidity and the needs of the population, advanced achievements of medical science.
P u r p o s e . To review statistical data on the provision of dental care to children in public institutions of the Tver region.
M a t e r i a l s a n d m e t h o d s . The review, analysis, collection and comparison of aggregated data for 2016–2020 in Tver and the Tver region were carried out: statistical data on demography, analysis of dental service performance indicators, analysis of indicators of accessibility of dental care to the children’s population by questioning parents/legal representatives of children’s patients, analysis of personnel potential and questioning of dentists in the profile “Pediatric dentistry”.
R e s u l t s . This article is devoted to an overview of the activities of public health institutions of the Tver region providing dental care to the children’s population within the framework of compulsory medical insurance. The results of the study indicate that the prevalence of dental caries among children of the Tver region is consistently high. Further preventive programs and additional research are needed to improve the dental health of children. -
2023 № 1 Review of the work of the state dental service of the Tver region in 2021
Taking care of the health of the population of the Tver region is an important direction of social regional policy. The main task of the dental service of the Tver region is to preserve and strengthen the health of the citizens of the Tver region, to increase the role of preventive care of dental diseases, to form a model of organization of the dental industry that ensures the availability and quality of dental care, to increase the efficiency of dental services, the volume, types and quality of which should correspond to the level of morbidity and the needs of the population, advanced achievements of medical science. The aim of the research is the analysis of the statistical data of the stomatological service of the state public health institutions of the Tver region.
Materials and methods. Analysis of the statistical data reflecting demographic indexes, statistics of the stomatological service structure, staffing, distribution of dentists among the institutions of the Tver region, quality of dental care, the main indexes of the stomatological service of the Tver region, indexes of treatment and preventive work.
Results. The present study is devoted to the analysis of the activity of state medical institutions of health care of the Tver region that provide dental care to the population of the Tver region. The indices of the provision of dentists in this region (not taking into account orthopedists and orthodontists) makes 3,82 posts for 10 thousand population (426,25 rates in total). Indicators of provision of the region’s population with dentists are 4,3 positions per adult population of the region. The deficit specialties have been revealed: pediatric dentists, orthodontists, in the regional institutions there is a shortage of orthopedists. The share of occupied staff positions in the specialty of pediatric dentistry was 49%, which reflects the need for training in this area. The difficulties in the organization of preventive examinations of the
children’s population were revealed, and the low percentage of the examined persons.
Conclusions. The municipal, district and regional medical institutions of health care rendering dental treatment to the population are functioning on the territory of the city of Tver and the Tver region in general. The statistical analysis has revealed a number of difficulties that require further action on the part of the medical community and public organizations. It is necessary to develop comprehensive measures to solve the shortage of pediatric dentists at the level of the Ministry of Health and educational institutions. The difficulties of preventive examinations among the population of different groups are highlighted. It is important to strengthen the preventive profile in order to reduce the cases of complicated caries, tooth extraction. Development of hygienic direction will increase awareness of the population
about the peculiarities of dental and oral hygiene, methods of prevention and treatment of dental diseases.