Vol 30, No 2 (2022)

Full Issue

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Articles
The characteristics of reproductive demographic processes in economically developed countries in conditions of COVID-19 pandemic: international publications review
Mingazova E.N., Tliashinova I.A.
Abstract
The article presents current trends in reproductive demographic process economically developed countries. Today, the total fertility rate in all European countries is below the minimum required to ensure population reproduction in long term - 2.1 children per woman during her life. According statistic data, 4.167 million children were born in the EU in 2019 that corresponds to 9.3 births per 1000 of population. In the EU, 1.53 children went to one woman in 2019 (in 2018 - 1.54). The lowest total fertility rates in 2019 were registered in Malta (1.14), Spain (1.23) and Italy (1.27). In the United States, fall of rate of childless women with higher education disputes well-established observation of positive relationship between education and childlessness. The infertility affects approximately 8-12% of couples worldwide, at that in developed countries, up to 15% of all couples are infertile. In connection with the problem of birth rate reduction in developed countries, researchers highlight such problems as increasing of average age of mothers at delivery (30-35 years and older) and intervals between labors, development of subsidiary reproductive technologies, pregnancy outcomes, newborns health in short and long perspective. The global COVID-19 pandemic resulted in resources deficiency, complexities with medical services support related to reproductive health, risks for maternal and perinatal outcomes in pregnant women with COVID-19. However, actually still there is no complete picture of pandemic impact on global indices of reproductive demographic process.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):185-194
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The effect of the new coronavirus infection on the structure of children traumatism
Gordova L.D., Grishina N.K., Solovyova N.B., Pakhomova E.V.
Abstract
The traumatism, including children traumatism, is one of priority problem of health care in the Russian Federation. The indices of children traumatism and disability because of injuries are the most important indices of children health. They characterize quality of child care in family, depend on common norms of public behavior, reflect cases of aggression and violence in relationship of adults and children and in children communities. The available comparative data permitted to analyze impact of the pandemic on structure and level of children traumatism as exemplified by the Kursk Oblast.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):195-197
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The Russian pharmaceutical market: the main trends of development and pricing in modern conditions
Botnaryuk M.V., Timchenko T.N.
Abstract
The National Russian pharmaceutical market is exposed to strong impact of external environment therefore its transformation is inevitable. Yet, development of market is strategically important for Russia that requires permanent monitoring and timely development of normative documents and target programs focused on supporting of population social guarantees. The global digitization of all industries, including pharmaceutical revealed urgent necessity in shifting accents to area of internet-marketing and internet-trade while elaborating rules of realization of sales of medications. The economical and political actualities of further advancing of concept of import substitution, development of mechanisms of state support of all agents of pharmaceutic market and also strategy of pricing considering transition of trade process to digital rails.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):198-206
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The intermediate outcomes of delegation of obligations of medicinal support of patients with rare diseases to the Federal level in 2019-2020
Komarov I.A., Krasilnikova E.Y., Aleksandrova O.Y., Zinchenko R.A.
Abstract
Lately, in case of a number of life-threatening and chronic progressive rare (orphan) diseases, resulting in decreasing of life expectancy of citizens or their disability, the powers to support patients with medications were transferred from regional to federal level. Among these diseases are hemolytic uremic syndrome, mucopolysaccharidose type I, II, VI, juvenile arthritis with systemic onset, unspecified aplastic anemia, hereditary deficiency of factors II (fibrinogen), VII (labile), X (Stuart-Prauer). The article considers data concerning hemolytic uremic syndrome, mucopolysaccharidosis type I, II, VI, juvenile arthritis with systemic onset - the diseases for which medication support provision was transferred to Federal level in the first place and for which at the time of preparation of the article there were sufficient data to analyze.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):207-210
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The state and actual vectors of development of cardiologic care in conditions of region with low density of population
Gruzdeva A.A., Khokhlov A.L., Ilyin M.V.
Abstract
The study was carried out to assess the state of cardiologic care and to determine current vectors of its development in the region with low population density. The health care system of the Kostroma Oblast was determined as research base. The information and methodological foundation of the study was compiled according results of special studies of patients aged from 8 to 80 years (n=1,400). The combination of research methods was implemented. The main vectors of the modern development of the cardiology service are identified: regional automated monitoring of quality of cardiologic care with operational analysis of its potential by 25 conjugated factors; implementation of continuous quality management technology according proposed algorithm; implementation of the decision-making scheme with allocation of 10 alternatives of achieving effectiveness of medical care according 4 criteria (standard performance, clinical result achievement, patient satisfaction, resources saving);, implementation of personalized approach to patient management.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):211-216
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The changes of official requirements to health conditions of the male youths of military age with blood circulation diseases in 1995-2021
Sogiyainen A.A., Shchepin V.O., Chicherin L.P.
Abstract
The article presents results of analysis of changes of official requirements to health of male youths with diseases of circulatory organs (Regulation of military medical expertise, revision of 1995, 2003, 2013). The sections I and II of the Articles 42-48 of the Schedule of diseases of this Regulation are considered from the point of view of category of physical fitness for military service on conscription. The complex of measures is proposed to level consequences of mitigation of requirements to health status of future servicemen for particular nosology.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):217-220
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The social economic aspects of disability resulted from diseases of peripheral nervous system
Berg A.V., Basharova G.R.
Abstract
The diseases of peripheral nervous system (PNS diseases) are diagnosed in 48%-72% of workers in various branches of economy. They made up more than half of all occupational diseases and are the main cause of labor ability and of high level of disability able-bodied population. The purpose of the study is to assess social economic importance of disability because of PNS diseases of able-bodied population in the Republic of Bashkortostan. It is established that in 2014-2018 about 107 individuals of able-bodied age for the first time became disabled because of PNS diseases. The average annual level of individuals of able-bodied age with for the first time established disabilities because of PNS diseases made up to 0.1 cases per 10 thousand of population. Among the disabled 69.0 ± 5.4% are males. The disability rate in males (0.142o/ooo) is twice higher than in females (0.063o/ooo). The average age of the disabled is 48.7 ± 5.7 years. In the structure of disability dominate lumbosacral radiculopathy (50.9%), polyneuropathy of upper (15.3%) and lower (13.5%) extremities. In average, the disability develops in 11.3 years prior to age of 60 years and on 3.8-5.5 years earlier than in case of other diseases. The disability because of PNS diseases shortens healthy life expectancy by 16.0% in males and by 17.8% in females. Annual economic losses come to more than 26 million rubles of non-produced production. The disability because of PNS consists significant social economic problem of society and requires increased attention to prevention, early diagnostics, treatment, improvement of quality of medical social expertise, rehabilitation and habilitation.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):221-225
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The repeated disability because of thyroid cancer in adult population
Pogosyan G.E., Grechko A.V., Puzin S.N., Shurgaya M.A., Memetov S.S.
Abstract
The article presents the results of analysis of repeated disability because of thyroid cancer in adult population of Moscow in 2015-2019. The study established negative dynamics of increasing of the number of individuals with repeated disability because of thyroid cancer in all essential age contingents (young, middle and elderly age) of adult population. The similar trend was revealed in gender contingents of individuals with repeated disability because of thyroid cancer (in males, increase was made up to 112.5% and in females up to 196.3%).In the gender and age structure of repeated disability because of thyroid cancer, predominated females and the elderly. The study established dynamics of decreasing of percentage of individuals with repeated disability because of thyroid cancer of the disability groups I and III and corresponding increasing in disability group II. The percentage of individuals with repeated disability because of thyroid cancer in disability groups I and II was higher in males as compared with females. Most individuals with disabilities because of thyroid cancer don't work.The study results make available spectrum of disorders of main functions of organism, their degree and types and intensity of limitations in vital activity of individuals with repeated disability because of thyroid cancer. The organized database of characteristics of repeated disability because of thyroid cancer in adult population can be used in implementation of personalized approach to medical social rehabilitation of increasing number of disabled individuals with malignant damage of the most important organ of endocrine system.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):226-231
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The diseases of digestive apparatus: the structure and dynamics at regional level
Budaev B.S., Kitsul I.S., Banzarova L.P., Tarmaeva I.Y., Bogdanova O.G.
Abstract
The diseases of digestive apparatus significantly contribute into premature mortality of population. In the Republic of Buryatia, the diseases of digestive apparatus occupy third place in the structure of primary morbidity of population (6.7%) and fourth place in the structure of total mortality (6.6%). The purpose of the study is to establish characteristics of structure and dynamics of morbidity and mortality of population because of diseases of digestive apparatus in the Republic of Buryatia in 2009-2018. The analysis was based on data from state statistical reporting forms and official reports of the Territorial Authority of the Federal State Statistics Service in Republic of Buryatia for 2009-2018, reporting and accounting forms of medical organizations. The study was carried out using statistical, analytical methods, as well as elements of comparative analysis. The analysis testifies increasing of indicator of primary morbidity of diseases of digestive apparatus from 4051.0 to 4226.1 per 100 thousand of population and of mortality of diseases of digestive apparatus in the Republic of Buryatia from 60.6 to 62.5 per 100 thousand of population. The main causes of increasing of morbidity and mortality from diseases of digestive apparatus in the Republic of Buryatia are liver diseases, in particular liver fibrosis and cirrhosis because of alcoholization of population, undue diagnostics and treatment of liver pathology in the group “older than able-bodied age”.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):232-238
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The self-evaluation of health by individuals older than able-bodied age
Madyanova V.V.
Abstract
Health status is one of the most valuable parameters of assessing well-being of elderly generation. It is advisable to study attitude of individuals older than able-bodied age to their own health as instrument adding to awareness of diseases or their symptoms, data concerning psychological and social well-being, degree of satisfaction with their own capabilities. Thus, in conditions of population aging, studying health self-assessment to determine prognosis of life and health of the elderly is of special actuality.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):239-243
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The municipal planning for the benefit of health
Amlaev K.R., Karabakhtsyan G.A.
Abstract
The article, on the basis of analysis of scientific publications, presents brief overview of principles and technologies of development of cities considering impact on population health. The particular attention is paid to analysis of being built areas and careful use of available resources. The definition of the term “sustainable development of territory” and description of necessary measures for its application in practice are given. The actual trend of “coronavirus” transformation of architectural urban environment is presented, including availability for each family member of one's own space, room, house and flat with terrace, balcony, separate entrances (in case when apartment is located on the first floor), expanded house territory, life outside the city. At that, reduction of social relationships is established. To control effectiveness of city management corresponding indices are presented.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):244-246
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The female health: status, causes of deterioration, measures of improvement
Sadykov R.M., Bolshakova N.L.
Abstract
The deterioration of health status of female population is recognized as one of the important medical social problems. On its resolution depends reproduction of population and improvement of social demographic indices in the Russian Federation. The female health can be considered as one of the indices of physical, spiritual and social well-being of family. One of significant aspects of considering importance of female health status is her attitude to issues of her own health. The situation is aggravated by increase of asocial behavior in young women, accompanied by decreasing of quality of life and significant loss of moral values. Besides, organization of treatment and prevention measures for early detection and reduction of gynecological morbidity does not meet modern requirements. The economic conditions and ecological situation negatively contribute to deterioration of female health. Such social factors as lack of work or threat of losing it, low per capita income, inadequate housing and poor-quality nutrition, harmful habits deteriorate health status of female population. The status of one's own health and disease prevention are in last place in female population. In modern conditions, due to employment overload, women pay no due attention to their own health, do not undergo medical examinations, rarely visit physicians as study results confirm. The female health protection is facilitated not only by medical and diagnostic measures, but also by wide range of preventive activities, formation of healthy lifestyle, favorable conditions for education, work and life, legal and social support of women during child-bearing and child-rearing. The female health protection goes far beyond scope of medical problem and requires corresponding management decision-making and inter-departmental measures on legal and financial support of motherhood and childhood. Therefore, protection and promotion of female health, including reproductive health, are necessary conditions of achieving national security and improving demographic indices of the Russian Federation.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):247-252
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The life-span of population of the Irkutsk Oblast
Leshchenko Y.A., Lisovtsov A.A.
Abstract
The indicator of average life expectancy at birth is widely used as systemic indicator of population quality of life and health.The purpose of the study is to identify, to evaluate quantitative and structural changes of indicator of life expectancy at birth in population of the Irkutsk Oblast during 1990-2019.The data of life expectancy at birth was obtained from the Rosstat websites. The original calculations of survival tables were carried out using the databases of the Center for Demographic Research at the New Economic School. The analysis of trends was carried out using linear regression analysis. The analysis of role of exogenous and endogenous determination of mortality in formation of average life expectancy was carried out.In 1990-2005, in the Irkutsk Oblast, occurred change in ranking of causes of death that determined the greatest irrecoverable losses of population and reduction of indicator of average life expectancy at birth. The essence of this change is in abnormally high proportion of exogenous causes of mortality, especially class of external causes of mortality, in the structure of irreversible demographic losses. In the Irkutsk Oblast, in 2006-2019, occurred favorable changes in the structure of irrecoverable losses, testifying returning to modern type of mortality. During the same period, indicator of average life expectancy at birth increased.It is established that changes occurred since 2006 in the quantitative and structural indices of mortality and average life expectancy at birth are very positive. However, during demographic processes in 2020, the COVID-19 pandemic intervened. This factor is bringing negative impact on economy, and after that on social sphere and public health. The further course of development of social demographic situation in the Irkutsk Oblast, in particular, dynamics of indicator of average life expectancy at birth, will depend on success of activities of authorities of all levels in struggle with pandemic and overcoming crisis events in social economic development.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):253-258
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The opinions of social workers concerning means of development of medical social care of population
Korolev M.A.
Abstract
The article reflects main problems and opinions of social workers about possibilities of improving medical social care of population and providing social medical services. This group of specialists is forced to implement significant amount of work that is not regulated by their official duties. The lack of necessary competencies does not allow social workers to provide medical social assistance to consumers of medical social services to sufficient extent. To ensure interaction between medical and social workers largely falls on shoulders of the latter ones. They have to undertake a number of medical functions (examination, temporary stop of bleeding, blood pressure measurement, etc.). It conceives appropriate to transfer some of functions of junior and paramedical staff to social workers. The study results can be applied as methodological basis of increasing accessibility of medical social care and provided social and medical services to various groups of population.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):259-263
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The surgical activity of medical organizations providing out-patient medical care in The Russian Federation
Shlyafer S.I.
Abstract
One of important directions in improving effectiveness of out-patient surgical medical care is development of in-patient replacement forms.The purpose of the study. is to investigate volume of surgical work performed in medical organizations providing outpatient care in the Russian Federation in 2010-2019.To evaluate changes in dynamics of number and structure of implemented surgical operations, number of operated patients in subdivisions of medical organizations providing outpatient medical care and in conditions of day-stay hospitals, data from the Federal statistical observation form № 30 for 2010-2019 was analyzed. The statistical and analytical methods were applied.It was established that in the Russian Federation, during 10 years, in subdivisions of medical organizations providing outpatient medical care, the number of implemented operations decreased from 5,639,983 to 4,962,020 (by 12.0%), and the number of operated patients - from 5,277,077 to 4,580,195 (by 13.2%). The structure of surgical interventions performed in medical organizations providing outpatient care has practically not changed (operations on the skin and subcutaneous tissue, oral cavity and maxillo-facial region, female genital organs, musculoskeletal system, organ of vision).The structure of surgical interventions practically had no changes (operations on skin and subcutaneous tissue, oral cavity and maxillo-facial region, female genital organs, musculoskeletal system, organ of vision). During the studied period, the number of operations performed in day-stay hospitals of medical organizations providing outpatient medical care increased from 181,659 to 720,633 (4.0 times), the number of operated patients - from 168,188 to 650,196 (3.9 times). Mainly in day-stay hospitals, operations are performed on organ of vision, female genital organs, skin and subcutaneous tissue.In 2010-2019, the percentage of operations performed in subdivisions of medical organizations providing outpatient medical care, decreased from 96.9% to 87.3%, and in day-stay hospitals increased from 3.1% to 12.7%.The study results testify expansion of volumes of surgical work in day-stay hospitals of medical organizations providing outpatient medical care.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):264-269
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The results and perspectives of primary health care reforming in Moscow
Kalininskaya A.A., Lazarev A.V., Allenov A.M., Merekina M.D., Kizeev M.V.
Abstract
The primary health care is characterized by its directivity to population health, while general practitioner is key figure in its organization and is responsible for assigned population health. The Russian Federation continues to suffer from overspecialization of medical care in outpatient health care. At that, the number of unreasonable visits to medical specialists is too high.The general practitioner, with appropriate training, can appoint patients by 11 specialties and in conditions of municipal polyclinic can undertake up to 81% of visits to medical specialists.The purpose of the study is to evaluate primary health care functioning in Moscow and to formulate proposals for reforming health care, considering development of general medical practices in a metropolis.The study was focused on analysis of morbidity of population of Moscow, on support of out-patient health care with physicians before and after implementation of three-level system of ambulatory polyclinic care, on evaluation of preventive activities of general practitioners and on development of proposals for improving organizational forms of activities with emphasis on health preservation.In the study were applied such methods as statistical, direct observation, sociological. The analysis was applied to forms of federal statistical observation i.e. form № 30 in Moscow and the Russian Federation for 2010-2019. The population sociological surveys concerning satisfaction with medical care were carried out. The research base was Moscow.The analysis demonstrated that results of Moscow health care system reformation is economically effective because of shortage of medical personnel primarily of administrative staff and its rational employment. The reformation results were positively assessed by patients, whose satisfaction with medical care made up to 95.6%.The general practitioner is to be responsible for health status of attached population and is called upon not only to carry out treatment and preventive activities, but also to coordinate organization of medical care of attached population at all stages of its provision.The implementation of general medical practice in conditions of municipality is to calculate complete transition of medical organizations providing out-patient medical care to general medical practice, that will result to certain extent, in reduction of staff positions of medical specialists. It is necessary to expand duties of medical nurse in general practice. The optimal model of joint work of general practitioner with feldsher and medical nurse of general practice. The complex general practice team can include medical registrar.The proposed perspective models permit to implement integrating role of general practitioner and to increase accessibility and efficiency of primary health care.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):270-274
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The state and private sector of health care system of The Russian Federation: From competition to integration and partnership
Skvirskaya G.P., Volnukhin A.V., Reze A.G.
Abstract
The private health care sector in the Russian Federation is developing and its role in providing not only paid, but also free medical care is increasing. The issues of cooperation between state and private health sectors becomes more actual. The purpose of the study is to investigate current research and practical issues of private health care in the Russian Federation and to identify shared and specific problems with state sector and to develop proposals for evolution of intersectorial interaction and partnership. The study used analytical, sociological and statistical methodologies. The sociological survey covered 409 executives of state and private medical organizations. It was established that current and prospective research and practical problems of state and private health care are mostly shared. The statistically significant differences in opinions of respondents were determined. The list of most actual research and practical problems of private health care was composed.The commonality of derived valuations confirmed trend to integration. The identified sporadic differences are explained by greater social orientation of state health care and directness on competition of private health care. The generalization of national and foreign experience permitted to formulate proposals on partnership between state and private health care. The trend to integration of state and private health care can be transformed into active process of development of long-term partnership cooperation in health recovery and maintenance that will result in ensuring active longevity of population of the Russian Federation.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):275-280
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The development of mechanism of participation of private clinics in the mandatory medical insurance system
Kovaleva I.P., Strizhak M.S., Zayarnaya I.A.
Abstract
The article considers actual aspects of participation of private clinics in implementation of territorial program of mandatory medical insurance from position of development of mechanism of interaction at micro-level. The principles of public-private partnership are gaining more popularity in social sphere, especially in health care. In Russia, private clinics developed their own motives to participate in implementation of territorial program of mandatory medical insurance, but mechanism itself is not always elaborated considering regional characteristics. Therefore, medical organizations encounter problems concerning implementation of mechanism of public-private partnership: application deadline, normative legal base, positioning of executive and regulatory authorities, etc. The situation is aggravated by lacking of municipal health care departments in region that could inform private business about its corresponding rights and obligations. The problems of implementing public-private partnership are analyzed and mechanism of participation of private clinics in implementation of program of mandatory medical insurance (as exemplified by the Krasnodar Kray). The study permitted to determine detailed algorithm of participation of private medical organizations in program of mandatory medical insurance. The study results permitted to scope regional features of development of interaction between state and business.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):281-287
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The criterion mode of evaluating functioning of stomatologic polyclinic
Grynin V.M., Avetisyan A.Y., Reshetnikov V.A.
Abstract
To improve quality and efficiency of primary health care and to strengthen its preventive directivity is possible through health care modernization including implementation of management technologies, development of database for evaluation and control. The purpose of the study is to develop method of evaluating activity of stomatologic clinic. The methodology was based on concepts of “functional systems” and “decision making”. The listing of informative criteria was based on data analysis of functioning of stomatologic service of the Chechen Republic in 2002-2016 and results of sociological survey of stomatologists (n=181), health care administrators in stomatology (n=45), paramedics (n=220) and patients (n=359). The experts (n=13) developed required number of criteria and their gradation. The algorithm of evaluating activity of stomatologic clinic was developed using systematic approach. The listing of 52 criteria and their 10 blocks were established. The experts established coefficients of significance of criteria (0.0084-0.0781; ≥0.0224 - more significant, <0.0224 - less significant). Three levels were determined for each criterion (according principle of minimization) that became a basis for calculation of integrated indicator of efficiency of functioning of stomatologic polyclinic. The expanded methodological approaches ensure comparartivity of estimates of stomatologic polyclinic in various time periods. The health care authorities have opportunity to objectify analysis of functioning of a number of polyclinics in different periods.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):288-291
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The ways of developing organizational principles of coloproctologic care of patients with large intestine neoplasms
Lisichkin A.L.
Abstract
The colorectal cancer remains one of leading problems of modern coloproctology and oncology. The polyps are one of pathology of colon widespread in population and predictor of colorectal cancer. Their timely detection and removal is considered as only effective measure of prevention of colon malignant neoplasms. The morbidity of colon malignant neoplasms in the Perm Kray was monitored in 2004-2018. Its structure and dynamics were evaluated. The software is described that allows both physicians and patients to evaluate probability of detecting colon neoplasms that contributes to expansion of the research database of coloproctologic studies. The ways of increasing effectiveness of predicting incidence of colorectal cancer and colon polyps were proposed on the basis of neural networks, that permit to increase detection of corresponding pathology by personalizing screening.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):292-296
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The innovative approach to work in specialized medical organization
Bogush E.A., Dvoinikov S.I.
Abstract
In the context of restructuring of health care, activities of nursing staff should meet requirements demanded by patients and health care authorities to accessibility and quality of medical care, organization of work of personnel in medical organizations providing medical care to population.Actually, without optimizing of human, material and financial resources it is impossible to develop any sphere of human activity.At the actual stage of development of national health care, studies of issues related to organization, implementation and application of new organizational technologies improving efficiency of staff that can significantly improve quality of medical care are of special scientific and practical interest.The new model of medical personnel activity is presented that was organized by redistributing functional responsibilities of para and junior medical personnel in order to free up time for working directly with patients. According to results of photo-timekeeping, auxiliary and other activities were redistributed after organizational measures were taken and when photo-timekeeping was repeated, time of main activity increased. All this resulted in increase of patients satisfaction with quality of medical care in general.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):297-300
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The evaluation of efficiency of accreditation of graduates of medical universities as a measure supporting increase of numbers of physicians in primary health care section
Makarov S.V., Gaydarov G.M.
Abstract
One of the most important tasks in transition to primary accreditation of health care professionals is increasing manning of primary health care section. It is achievable at the expense of opportunity for graduates of medical universities to find employment as district physicians and pediatricians without residency training. The purpose of the study was to assess impact on increasing of number of physicians of primary health care section of their admission to professional activities after primary accreditation. The study was carried out in the Irkutsk State Medical University provided objective quantitative evaluation of this occurrence. It was revealed that only every fifth graduate in specialty “General Medicine” and “Pediatrics” is employed as district physician, in half of cases combining this work with residency training, that subsequently results in leaving primary health care section. Only one out of ten continues to work in this position during 3-5 years.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):301-306
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The research activity of students in “The public health and health care, health care economics” discipline
Fomin A.A.
Abstract
The article considers research work of students in “The Public health and health care, health economics” discipline in 2001-2020, organized in course of public health and health care of the Medical Institute of Petrozavodsk State University. The article reveals such concepts as student scientific activity, knowledge requirements for discipline to prepare student research work, classification of student research works by degree of collection and analysis of material, levels of student work performance, stages and classes of social hygienic research, requirements for content of presentation, criteria of evaluating report and presentation. During 2001-2021, 250 students of medical institute in the section “Public health and health care” made more than 200 reports, published more than 20 thesis and articles. The annual plan of 30 topics for student research works was developed, including requirements for content of presentation, 3 indices to evaluate quality of work. The text of presentation-report in 90% included information on one discipline “Public health and health care, health economics”. At that, topic was disclosed in format of describing research objectives with construction of diagrams and graphs, comparison of indices and only 10% of reports contained statistical analysis of the results.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):307-311
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The volunteership as on of trends of medical university functioning
Chuikov O.E., Lagutin I.B., Svechnikov V.A., Babina A.S., Batiukov V.V.
Abstract
The article considers activities of the Kursk State Medical University directed to organization and development of student volunteer teams. The model of training volunteers in conditions of the university is presented. The necessity of developing altruistic motives of medical students engaged in volunteer activities is substantiated. The organizational motivational model of volunteer training in medical university is presented.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):312-317
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The classifier of surgical operations and manipulations in system of medical services financing in the Kyrgyz Republic
Kaliev M.T., Imankulova A.S., Djumalieva G.A., Azimzhanova M.N., Tolbashieva G.U., Naraliev U.T.
Abstract
The health care reforms in the Kyrgyz Republic are directed to develop hospital financing system. In 2003 the system of clinical-cost groups was introduced. The surgical clinical-cost groups are organized on the basis of existing classifier “The Surgical Operations and Manipulations”, which is not revised since its approval in 1997, that resulted in distortion of statistical information. Hence, need in development and implementation of modern reference book is obvious. The purpose of the study is to comparatively analyze international classifiers of surgical operations and manipulations, to evaluate their accordance to clinical practice in the Kyrgyz Republic and to develop new national classifier to be applied in the Kyrgyz Republic. The actually applied national classifier of Surgical Operations and Manipulations includes 2181 types of surgical interventions, 250 (12%) out of which have no accurate formulation (for example “The other types of brain surgeries”). In addition, 453 (21%) surgical operations are not applied. The detailed analysis of such international classifiers as the International Classification of Diseases-10 Procedure Coding System (ICD-10-PCS), the Australian Classification of Health Interventions (ACHI), the NOMESCO Classification of Surgical Procedures (NCSP), Nomenclature of Health Services, the Russian Nomenclature of Health Services (RNHS) was implemented.The systematization of analyzed data permitted to determine the Russian classifier “Nomenclature of medical services” as the most optimal for implementation in the Kyrgyz Republic. The obtained and analyzed data made it possible for the Ministry of Health of the Kyrgyz Republic to proceed activities related to development of new classifier of surgical interventions on the basis of the Nomenclature of Medical Services of the Russian Federation.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):318-321
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The Russian pharmaceutical branch in 1990s. Report II. The optics of external observers
Zatravkin S.N., Vishlenkova E.A., Ignatiev V.G.
Abstract
The article proceeds to explore history of the pharmaceutical branch in the 1990s. The changes in system of medicinal supply in Russia are demonstrated through infrastructural transformations and their assessment by political figures and regulators of pharmaceutical market.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):322-328
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“The letters of S. P. Botkin from Bulgaria. 1877”: The history of publication of autograph
Zhuravskii S.G., Goncharova S.G., Poddubny M.V.
Abstract
The letters of S. P. Botkin from Bulgaria (1877) to his wife, E. A. Botkina (née Princess Obolenskaya), were published as travel diary in the journal “Vestnik Evropy” in 1892 and as separate book in 1893. The family events related to publication of epistolary were restored. For publication, material of private nature was abridged by E. A. Botkina. Then, passages with compromising criticism were removed by editor of the journal. In spite of good quality of prepared text, publication was postponed by E. A. Botkina herself and afterwards it was lingered on because of claims of censorial department. The role of N. A. Belogolovy, public figure and friend of S. P. Botkin of many years and M. M. Stasyulevich, a publisher, in final decision to publish epistolary is emphasized. The comparison of original and printed matter carried out for the first time, established that cuts made up to more than one third of author's text.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):329-338
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Sergej Aleksandrovich Novoselsky (1872-1953)
Egorysheva I.V., Chalova V.V.
Abstract
The article is devoted to one of the founders of sanitary and demographic statistics in Russia. The works of S. A. Novoselsky covering issues of natality, total and child mortality, average life expectancy attained blaze of publicity and until present time keep their significance. S. A. Novoselsky developed for the first time both complete Russian population mortality tables and first the USSR population mortality tables.
Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):339-342
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