Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot153910.32687/0869-866X-2024-32-5-924-932НеопределенThe evaluation of professional potential of medical personnel in preventing medical risks at medical care support of patients with inflammatory diseases of maxillary antrum based on integral assessment of quantitative indicators of sociological surveysRusskikhSergey Vrusskikh1@mail.ruSavlevichElena Leonidovnasavllena@gmail.comVasilievaTatyana Pvasileva_tp@mail.ruShurupinaAnastasiia Vladimirovnadr.shurupina@yandex.ruGerasimovAndrey Nandr-gerasim@yandex.ruN. A. Semashko National Research Institute of Public Health, 105064, Moscow, RussiaThe National Research University “The Higher School of Economic”, 101000, Moscow, RussiaThe State Budget Institution of Moscow “The Research Institute of Health Care Organization and Medical Management” of the Moscow Health Care Department, 115088, Moscow, RussiaThe State Budget Institution of Health Care of the Moscow Oblast The M. F. Vladimirsky Moscow Oblast Research Clinical Institute, 129110, Moscow, RussiaThe Federal Budget Institution of Science “The Central Research Institute of Epidemiology” of the Rospotrebnadzor, 111123, Moscow, Russia271020243252604202526042025Copyright © 2025,2025<p>The article presents results of quantitative sociological surveys based on original on-line questionnaire that allows to assess professional competence of otorhinolaryngologists in prescribing antibiotics to patients with acute and chronic rhinosinusitis. The professional potential of otorhinolaryngologists within the framework of national security strategy in the field of public health. The pilot approbation was carried out in February-December 2023 by means of quantitative sociological on-line survey of 627 otorhinolaryngologists from 32 subjects of the Russian Federation. The results of sociological survey permit to obtain valuable data to detect problematic aspects of activity of physician.<br />To standardize survey data processing, automated system of collection and processing of information was developed. The proposed evaluation algorithm was successfully adapted for other profiles of medical care and taken as basis of methodology of studying professional potential of specialists of different profiles.</p>public healthmedical determinantpersonnelacute and chronic rhinosinusitistreatmentantibioticsprofessional potentialmedical risksotorhinolaryngologistsociological researchmaxillary sinus diseasesобщественное здоровьемедицинская детерминантакадрыострый и хронический риносинусит (ОРС и ХРС)лечение, антибиотикипрофессиональный потенциал, медицинские рискиврачи-оториноларингологисоциологические исследованиязаболевания верхнечелюстной пазухи1.Russkikh S. V., Larionov A. V., Vasiliev M. D. Methodical approach to the construction of the index of doctors' confidence in their activities. Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny. 2023;31(Special Issue 2):1183–8. doi: 10.32687/0869-866X-2023-31-s2-1183-1188 (in Russian).2.Russkikh S. V., Vasil'eva T. P. Scheme “Methodology for calculating the trust index medical workers (IDMR)”. Patent for industrial design No. 140920, 03.06.2024. Application No. 2023505804 dated November 21, 2023. Available at: https://www.fips.ru/registers-doc-view/fips_servlet (accessed 01.04.2024) (in Russian).3.Russkikh S. V., Tarasenko E. A., Vasil'eva T. P., Moskvicheva L. I., Gabuniya N. Yu., Makarova E. V., et al. Attitudes towards the introduction of a risk-oriented committee into the Russian healthcare system among employees of medical organizations. 2023. Sibirskiy nauchnyy meditsinskiy zhurnal. 2023:43(1):211–29. doi: 10.18699/SSMJ20240121 (in Russian).4.Klyukina E. O. Features of human potential development in the health care system. Al'manakh sovremennoy nauki i obrazovaniya. Tambov: Gramota. 2015;(94):85–8. Available at: https://www.gramota.net/materials/1/2015/4/19.html (accessed 01.04.2024) (in Russian).5.Vasil'eva T. P., Khaletskiy I. G., Kuksenko V. M., Trofimov V. V., Istratova T. A., Alekseeva E. G., et al Personal potential of a doctor as a factor in improving the quality of medical care. Meditsinskiy al'manakh. 2011;(3):85–90. Available at: https://cyberleninka.ru/article/n/lichnyy-potentsial-vracha-kak-faktor-uluchsheniya-kachestva-meditsinskoy-pomoschi (accessed 01.04.2024) (in Russian).6.Daikhes N. A., Karneeva O. V., Kim I. A., Savel’ev S. V., Serebryakova I. Yu., Daikhes A. N., et al. The state of otorhinolaryngological service of the Russian Federation. Rossiiskaya otorinolaringologiya. 2019;18(3):9–16. doi: 10.18692/1810-4800-2019-3-9-16 (in Russian).7.Fokkens W. J., Lund V. J., Hopkins C., Hellings P. W., Kern R., Reitsma S., et al. European Position Paper on Rhinosinusitis and Nasal Polyps. Rhinology. 2020;58(Suppl S29):1–464. doi: 10.4193/Rhin20.6008.Korkmazov M. Y., Zyryanova K. S., Beloshangin A. S. Evaluation of the clinical efficacy of a phytotherapeutic drug in the treatment and prevention of recurring acute rhinosinusitis in children of Chelyabinsk. Meditsinskiy sovet. 2016;(7):90–3. doi: 10.21518/2079-701X-2016-07-90-93(in Russian).9.Savlevich E. L., Kozlov V. S., Doroshchenko N. E., Zaseeva T. Y., Kubaeva L. M. Assessment of the diagnostic algorithm for allergic and non-allergic rhinitis using the database of Moscow outpatient units. Kremlin Medicine Journal. 2017;2(4):58–64. Available at: https://elibrary.ru/download/elibrary_32400451_44136941.pdf (accessed 01.04.2024) (in Russian).10.Savlevich E. L., Kozlov V. S., Zharkikh M. A., Chernyshova D. A., Ruzakova E. A. Analysis of current therapeutic approaches to chronic rhinitis according to the polyclinic data of ambulatory service of Moscow. Meditsinskiy sovet. 2017;16:60–7. doi: 10.21518/2079-701X-2017-16-60-67 (in Russian).11.Kurbacheva O. M., Polner S. A., Smirnov D. S. Allergic rhinitis. Perpetual problem and current solutions. Meditsinskiy sovet. 2015;(3):84–91. doi: 10.21518/2079-701X-2015-3-84-91 (in Russian).12.Savlevich E. L., Kozlov V. S., Farikov S. E. Analysis of current diagnostic and treatment approaches for acute rhinosinusitis according polyclinics data of the outpatient service of Administrative Directorate of the President of the Russian Federation. Vestnik otorinolaringologii. 2020;85(4):51–7. doi: 10.17116/otorino20208504151 (in Russian).13.Krukov A. I., Tsarapkin G. Yu., Khamzalieva R. B., Tovmasian A. S., Panasov S. A., Artem'eva-Karelova A. V. Conservative treatment of acute bacterial sinusitis. Russian Rhinology. 2018;26(3):3–8. doi: 10.17116/rosrino2018260313 (in Russian).14.Savlevich E. L., Egorov V. I., Shachnev K. N., Tatarenko N. G. The analysis of polypous rhinosinusitis treatment regimens in the Russian Federation. Rossiiskaya otorinolaringologiya. 2019;18(1):124–34. doi: 10.18692/1810-4800-2019-1-124-134 (in Russian).15.Larin R. A., Mokeeva P. P., Grishin A. S. Experience of biological therapy in severe forms of chronic rhinosinusitis with nasal polyps in the conditions of regional healthcare. Russian Bulletin of Otorhinolaryngology. 2023;88(2):51–8. doi: 10.17116/otorino20228802151 (in Russian).16.Russkikh S. V., Vasiliev M. D., Dvornikova T. A., Vasilieva T. P., Egorov V. I., Savlevich E. L., et al. Scheme “Algorithm for assessing the professional potential of medical personnel of doctors-otorhinolaryngologists, in the prevention of medical risks in the provision of medical care to patients with inflammatory diseases of the maxillary sinus on the basis of an integral assessment of quantitative and qualitative indicators of sociological research”. Design patent No. 139327, 21.11.2023. Application № 2023503029 from 20.06.2023. Available at: https://fips.ru/EGD/5d4a7dab-13a2-4a2d-b577-532a0ab6fed2 (accessed 01.04.2024) (in Russian).17.Zudin A. B., Russkikh S. V., Vasilieva T. P., Kostrov A. A., Pershin A. V., Vasiliev M. D. System of Automatic Data Processing and Questionnaire Administration (SODA version 1). Certificate of registration of computer program № 2024613395. Available at: https://www.fips.ru/registers-doc-view/fips_servlet (accessed 01.04.2024) (in Russian).18.Russkikh S. V., Vasiliev M. D., Kaunina D. V., Vasilieva T. P. Scheme “Algorithm for assessing the professional potential of medical personnel and specialists in the field of medical and preventive vaccination in the prevention of medical risks in the organization of immunoprophylaxis on the basis of integral assessment of quantitative and qualitative indicators of sociological research”. Design patent № 139326, 21.11.2023. Application № 2023503028 from 20.06.2023. Available at: https://www.fips.ru/registers-doc-view/fips_servlet (accessed 01.04.2024) (in Russian).19.Russkikh S. V., Vasiliev M. D., Dvornikova T. A., Vasilieva T. P., Faizullaev A. H., Sakbaeva G. E., et al. Scheme “Algorithm for assessing the professional potential of medical personnel of pediatricians in preventing medical risks in providing medical care to patients with Duchenne myodystrophy on the basis of integral assessment of quantitative and qualitative indicators of sociological research (awareness of pediatricians about a rare genetic disease)”. Design patent No. 139328, 21.11.2023. Application No. 2023503030 from 20.06.2023. Available at: https://www.fips.ru/registers-doc-view/fips_servlet (accessed 01.04.2024) (in Russian).20.Lopatin A. S. Acute rhinosinusitis in EPOS 2020 and updated guidelines of the Russian Rhinologic Society. Pharmacology & Pharmacotherapy. 2022;(Special Issue):30–6. doi: 10.46393/27132129_2022_S_30 (in Russian).21.Karoli N. A., Aparkina A. V., Grigoryeva E. V., Magdeeva N. A., Nikitina N. M., Smirnova N. D., et al. Antibacterial Therapy of Patients With COVID-19 During The Outpatient and Hospital Stages. Antibiotics and Chemotherapy. 2022;67(1-2):24–31. doi: 10.37489/0235-2990-2022-67-1-2-24-31 (in Russian).22.Wang J. C., Moore C. A., Epperson M. V., Sedaghat A. R. Association of the sinonasal bacterial microbiome with clinical outcomes in chronic rhinosinusitis: a systematic review. Int. Forum Allergy Rhinol. 2020 Apr;10(4):433–43. doi: 10.1002/alr.2252423.Riazantsev S. V., Kirichenko I. M., Savlevich E. L., Popadyuk V. I., Kozlova N. S., Chernolev A. I. Acute and chronic rhinosinusitis age characteristics. Russian Bulletin of Otorhinolaryngology. 2024;89(1):64–72. doi: 10.17116/otorino20248901164 (in Russian).24.Monahan C., Morris D., Nag R., Cummins E. Risk ranking of macrolide antibiotics — Release levels, resistance formation potential and ecological risk. Sci Total Environ. 2023 Feb 10;859(Pt 2):160022. doi: 10.1016/j.scitotenv.2022.16002225.Savlevich E. L., Egorov V. I., Savushkina E. Yu, Zurochka A. V., Gerasimov A. N., Mitrofanova E. S., et al Study of microbial factors in exacerbation of chronic rhinosinusitis with nasal polyps. Journal of microbiology, epidemiology and immunobiology. 2022;99(4):445–52. doi: 10.36233/0372-9311-201 (in Russian).