Focus of problem
  • 2019 № 7 To the 10th anniversary of the health centers

    The article analyzes the main performance indicators of health centers for the period 2014–2018. Shows the coverage of comprehensive surveys in health centers per 10000 population; distribution of citizens recognized as healthy and with risk factors; presents indicators characterizing preventive work with the surveyed citizens. In the context of Federal districts and subjects of the Russian Federation, indicators for the last two years – 2017 and 2018 were analyzed. According to the provided results, conclusions are drawn about the absence of significant positive dynamics of the indicators characterizing the activities of health centers over the past 5 years. Thus essential divergences of indicators at the level of Federal districts and subjects of the Russian Federation are revealed. Analysis of indicators of activities of health centers indicates the lack of a unified organizational methodology of their activities. Improvement of organizational processes in health centers should go in parallel with the improvement of accounting and reporting documentation, these processes should be inextricably linked and aimed at solving the strategic problem – ensuring the quality of preventive work with the population, including the formation of management decisions based on them.

    Authors: Son I. M. [38] Senenko A. Sh. [6] Savchenko E. D. [5]

    Tags: evaluation of performance1 health centers for adults1 health centers for children1 indicators of preventive work of health centers1

    Read more >

  • Management in health care
  • 2018 № 10 To the issue of strengthening and preserving health of employees in the enterprises of the russian Federation

    Тhe problem of strengthening and preserving the health of workers at the enterprises of the Russian Federation is сonsidered. It is shown that improving the effectiveness of preventive measures to strengthen and preserve the health of workers is possible with the active participation of employers. This requires control by the trade Union organization, the medical service of the enterprise and preventive organizations of the region (center for medical prevention, health centers).

    Authors: Starodubov V. I. [34] Soboleva N. P. [4] Savchenko E. D. [5] Salagay O. O. [1]

    Tags: employers2 prevention at enterprises1 strengthening and preservation of workers ' health1 trade union organizations2

    Read more >

  • 2018 № 1 To the question about the strengthening and preservation of health of employees in the enterprises (on the example of the Central Federal district)

    Considered the issues of strengthening and preservation of health of people working in enterprises. Studied the role of the leader and trade Union organization in the preventive measures aimed at risk factors that influence the development of chronic noncommunicable diseases. Studied prevention of specific diseases associated with the specific activities of the enterprise, the provision of sanatorium-resort treatment. Examined measures to strengthen and preserve the health of the population, conducted in the territory of the project location. The scheme of interaction of all structures of the region in strengthening health work force

    Authors: Starodubov V. I. [34] Soboleva N. P. [4] Savchenko E. D. [5]

    Tags: prevention in enterprises1 reduction of risk factors at work1 strengthening and maintaining the health of workers1

    Read more >

  • Management in healthcare
  • 2018 № 7 On strengthening and preservation of health of employees at enterprises

    The issues of strengthening and maintaining the health of persons working at the enterprises of the Volga Federal district are Considered. The role of employers and trade Union organizations in this direction is studied

    Authors: Starodubov V. I. [34] Soboleva N. P. [4] Savchenko E. D. [5]

    Tags: employers2 prevention at the enterprises1 strengthening and preservation of health of workers1 trade union organizations2

    Read more >

  • Sociology of healthcare
  • 2022 № 3 Assessment of time spent by patients when visiting a medical organization

    The satisfaction of the population with medical care is considered today as one of the most important indicators of the health care system. At the same time, more and more attention is being paid to the time spent by patients in a medical organization when receiving outpatient care, as a factor affecting satisfaction with medical care in general.
    P u r p o s e of the study is to determine the opinion of patients about their time costs when visiting a medical organization that provides outpatient care.
    M a t e r i a l a n d m e t h o d s . The process of a patient’s referral to a polyclinic, a questionnaire for patients posted on the Internet on an open electronic resource Online Test Pad. The number of questionnaires is 509. Methods: analytical, sociological, descriptive statistics.
    R e s u l t s . During the surveys, respondents subjectively assess the time spent on various actions: communication at the reception desk, searching for an office, waiting for an appointment, etc., as well as the total time spent in a medical organization. In addition, the appearance at the polyclinic may be preceded by an appointment, which also takes time. Respondents were asked to estimate the total time spent in the polyclinic, as well as the time they are willing to devote to visiting it. The respondents’ assessment of the time spent shows significant time reserves: in the organization of an appointment and the work of the registry (clarifications, obtaining background information, obtaining coupons), navigation and, possibly, in the location of offices, in the organization of space in waiting areas.
    C o n c l u s i o n s . A tool for assessing the time spent by patients to receive care in a medical organization providing outpatient care has been developed and tested. There are significant differences in the length of time spent on making an appointment, including by phone and via the Internet. Significant reserves have been identified to reduce the total time required to visit the polyclinic. The developed tool is characterized by a short filling time, contains simple questions and allows you to quickly identify areas of necessary improvements.

    Authors: Senenko A. Sh. [6] Savchenko E. D. [5] Shelgunov V. A. [1]

    Tags: doctor’s appointment1 lean  technologies2 navigation in the polyclinic1 patient satisfaction4 patient survey1 patient time evaluation1 polyclinic3 primary health care13 registry1 waiting for an appointment1

    Read more >