Management in health care
  • 2016 № 7 The activities of day hospitals in the Russian Federation in 2000–2014

    The article analyzes legal documents, which that regulate the work of day hospitals in the Russian Federation since the late 90-ies of XX century to the present. Presents an analysis of the performance of activities of day hospitals in health institutions providing medical care in ambulatory and stationary conditions in the country in 2000–2014. Marked increase in the number of beds in day hospitals 2,3 times, which is mainly due to the increase of beds in day hospitals in health institutions providing medical care in ambulatory conditions. Spend the evaluation of use of hospital beds hospitals for 15 years. During the study period the number of beds in hospitals has decreased by 27,7%, the number of discharged patients has almost not changed, which is associated with the intensity of the work beds. Shows the comparison of the number of persons treated in day hospitals and hospitals round-the-clock stay. The total number of patients treated in day hospitals and round hospitals, the proportion of patients treated at a convenience care hospitals declined from 92,5 to 80,3%, the proportion of patients treated in day hospitals increased from 7,5 to 19,7%.

    Authors: Son I. M. [35] Evdakov V. A. [3] Shlyafer S. I. [2] Senenko A. Sh. [4] Melnikov Yu. Yu. [2]

    Tags: beds3 day hospital2 hospital organizations1 the average bed occupancy in a year1 the average duration of treatment1 the medical organizations giving help in out-patient conditions1 turnover (function) bed1

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  • 2016 № 4 Public Health and Formation of the Uniform Preventive Space

    Annotation. The task of unifying the efforts of all participants of the preventive process, the whole society in order to create a preventive space became urgent In the last decade. The development of the public health system is suggested as such а unite. A great number of discussions on public health at various levels allowed us to formulate the definition and the core functions of public health. It is crucial to realise the public health system both as a totality of different structures and as their purposeful and coordinated activity. Of particular importance is the municipal level as a place of direct contact of the population, bodies of local self-government, the realization of the actions directed on preservation and strengthening of health of the population, with the active participation of citizens themselves.

    Authors: Senenko A. S. [4] Leonov S. A. [14] Starodubov V. I. [29] Evdakov V. A. [3] Son I. A. [1] Korotkova A. V. [3] Сheshkovsky M. S. [1] Bondarenko A. A. [1]

    Tags: a single preventive space1 function of public health1 health promotion1 interagency cooperation2 local authorities1 public health3 the formation of a healthy lifestyle1

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  • 2016 № 3 Provision of medical rehabilitation care for the population of Russian Federation on an outpatient basis

    Annotation. Demographic changes in the direction of increasing of older age groups in the population structure, chronicity diseases, disability height, high premature mortality from chronic non-communicable diseases and due to this enormous economic damage to the national economy of the country pose the problem of organizing measures of effective medical rehabilitation of patients to the category modern Russian health priority issues. The results of analysis of medical institutions and professionals activities, that provide assistance for medical rehabilitation in outpatient settings, indicate that there is a low level of cabinets and experts providing assistance on medical rehabilitation in Russia. The low number of visits to the professionals of all profiles in combination with a high coefficient of combining and low understaffing, indicates lack of sending patients for this type of restorative treatment, that is unfairly against a background of increased morbidity, especially chronic and disabling forms of diseases. This, in turn, shows the lack of organizational and legal forms of regulating the flow of patients from the active treatment to the rehabilitation, that leads to the dissatisfaction of the population need for this type of care. The structural analysis of the situation and identify unsolved problems so far give us basis for looking for priority actions for the development of provided medical rehabilitation on an outpatient basis – a necessary condition for the implementation of medical and social functions of the state to preserve and strengthen health of the population.

    Authors: Son I. M. [35] Evdakov V. A. [3] Banteva M. N. [6] Kuznetsova V. P. [2]

    Tags: chiropractic1 manual therapy1 medical rehabilitation8 physiotherapy1 provision with doctors for medical rehabilitation1 rehabilitation treatment1

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