Management in health care
  • 2014 № 8 Working hours expenses of doctors on an out-patient basis according to photochronometric researches (Federal research institute for health organization and informatics of ministry of health of the Russian Federation, Moscow, Russia)

    For the implementation of the Russian Federation President Decree of May 7, 2012 № 598 «About improvement of a state policy in the health care sphere» and according to the Plan of measures on work rationing in health care of the Interdepartmental working group on the organization of rationing of work, development of professional standards and skill levels in the health care sphere, within 2 working weeks phototime observation over work of two experts — therapists of district police officers, pediatricians of district police officers, general practitioners, neurologists, otorhinolaryngologists, ophthalmologists and obstetricians-gynecologists in 17 pilot territories of the country is made. Results of research testify the need of improvement of normative documents on setting standards for the doctors rendering the out-patient help to the population towards increase in time for visit of one patient.

    Authors: Son I. M. [29] Ivanova M. A. [9] Starodubov V. I. [23] Armashevskaya O. V. [4] Liutsko V. V. [3] Sokolovskaya T. A. [5] Bantyeva M. N. [4]

    Tags: improvement of normative documents1 norms of time1 phototime supervision1

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  • 2014 № 7 Rules and law regulations for the labor of general practitioner in Russian Federation (Federal research institute for health organization and informatics of ministry of health of the Russian Federation, Moscow, Russia)

    The current regulatory framework in a grate measure ignores aspects of the labor of general practitioner, and does not ccorrespond modern requirements for primary health care. In consequence of that, possibility of a general practitioner, capable because of its approachability to the public and competence, cconsiderably attend both primary medical health care and emergency medical services, is used inefficiently. One of the main tools in solving this problem in the process of modernization of health care is the revision of regulations governing the labour of general practitioners and nurses with taking account of changed social conditions of society and the epidemiological situation, as well as a significant improvement of material and technical base of medical organizations and the new requirements to the organization of the diagnostic and treatment process.

    Authors: Son I. M. [29] Ivanova M. A. [9] Armashevskaya O. V. [4] Bantyeva M. N. [4]

    Tags: general practitioner2 law regulations1 medical help2 order2

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  • 2014 № 4 Current rules and law regulations for the labor of ophthalmologist (Federal research institute for health organization and informatics of ministry of health of the Russian Federation, Moscow, Russia)

    Existing normative base does not correspond with modern requirements on providing specialized medical aid and is in need of re-consideration. One of the main instruments for achieving this objective in the process of health care modernization is objectivation of physician's work norms and of the middle-level medical staff with the regards of changed social life conditions of the society and epidemiological situation, as well as significant improvement of material-technical base of medical organizations and new requirements towards organization of aid-diagnostics process. Modernization of medical organizations, implementing innovative methods of diagnostics, suggesting high qualification of specialists along with understaffing of personnel set, and the growth of pressure on physician, require re-consideration of existing normatives.

    Authors: Son I. M. [29] Ivanova M. A. [9] Starodubov V. I. [23] Sokolovskaya T. A. [5] Bantyeva M. N. [4]

    Tags: activity1 aid1 normatives2 ophthalmology1 order2 states1

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  • Organization of health care
  • 2014 № 10 Russian and regional parameters of activity of general practitioners (Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia)

    Annotation. The total number of general practitioner's visits within the studied period has increased in Russia and other federal regions, and in some states — significantly. There is noticed a trend of decrease in the number of preventative visits at home, relative share of visits among country side residents. There is a considerable increase in coefficient of double job holding against a general trend for decrease of practitioner's staffing. There is demonstrated a high demand in general practitioners, in their ability to provide first medical aid and high accessibility of their services to the public. Therefore, development of the institute of general practice should be considered as a perspective path for managing medical-sanitary aid.

    Authors: Ivanova M. A. [9] Starodubov V. I. [23] Sorokina U. A. [2] Bantyeva M. N. [4]

    Tags: general practitioner2 home visits1 job holding1 number of visits1 preventive visits1 staffing4 visits of villagers1

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