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Manager Zdravoochranenia 2016 #6
Published: 2016-06-04
1250
CONTENT OF THE ISSUE
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Order for examination of quality of medical care
The article deals with the factors that must be considered when establishing the order of examination of quality of medical care in the Russia with the exception of medical assistance provided in accordance with the Russian legislation on mandatory medical insurance. Analyzed and systematized information on the powers of constituent entities of control of quality and safety of medical activities in feald of examination of quality of medical care. Subject to the authority of constituent entities of control of quality and safety of medical activities proposed to allocate external and internal examination of quality of medical care. The content of examination of quality of medical care carried out by medical organizations.
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Dynamics of injuries among adult population in Russian Federation in 2010–2014
Dynamics of injuries among adult population based on the state statistical observations for 2010–2014 is presented. The structure, rate of out-of-hospital and hospital injuries was studied. Accuracy and completeness of injury registration was evaluated. Recommendations for close interaction in injury registration between out- and in-hospital patients were suggested.
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To a question of outsourcing of motor transportation service in an emergency medical service
The analysis of a condition of vehicle fleet of an emergency medical service in the Russian Federation testifying to need of updating about a half of cars is presented in article. One of problem solutions – outsourcing of transport service of an emergency medical service which is already successfully applied in a number of regions of the country is considered.
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Improving the efficiency of operation of robotic systems for medical rehabilitation through the implementation of information and telecommunication technologies
s. Currently, the actual implementation is to study the possibilities of telemedicine and telecommunication technologies in the operation of high-tech medical equipment, such as robotic surgery and rehabilitation complexes. Increasingly in demand methods of personalized medicine, the computerization of administrative and business procedures. Widely implemented public health practice in technology automation jobs of medical specialists, registry staff, laboratories, diagnostic rooms, pharmacies, accountants and managers, electronic document management and electronic patient records. Promising is the use of information technology for telemedicine and remote of the medical-diagnostic and rehabilitation methods. The purpose of this article is to state data coverage problems in the actual practice of national health care and the analysis of the possible prospects of development of telemedicine in health care with the introduction of cluster systems.
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About the national healthcare system
The reasons to of establish a national health system are given in the article. A number of problems existing in public health are mentioned there, one of the problem is the absence of equal participation of private healthcare settings in the programs of government guarantees. The advantages of the using the resources of private health care settings on a national wide scale are presented as the example of a health system of «Russian Railways».
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Features of the national biological crossmatch for blood transfusion
Knowledge of 184 physicians on the procedure of the biological crossmatch at the beginning of bloodtransfusions has been studied. Special formalized questionnaire was established for answers to the 4 questions aboutnumber of drops in 1 ml of blood; about actions during the biological crossmatch; about diagnostic monitoringmethods; about records. An ambiguous understanding of the regulatory requirements has been found. The maximumfrequency of the most popular answer to the questions was 49.1%, 44.2%, 74.5% and 47.9%, respectively. It isadvisable to change the text of the standards in order to harmonization of scientifically sound international practice.
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High-tech medical care for patients with rare diseases problems of organization and financing
The article analyzes the problem of providing high-tech medical care for patients with rare (orphan) diseases. The authors propose recommendations for improving organizational and financial mechanisms of the organization of medical care for patients with rare (orphan) diseases.
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Questions answered by PhD. of Economic F.N. Kadyrov
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Actual normative document
