2016 № 2 Staff time specialist doctors for the provision of medical care in the outpatient setting
In order to implement the Decree of the President of the Russian Federation dated May 7, 2012 № 598 «On improvement of state policy in the sphere of public health» and in accordance with the Action Plan of the Ministry of Health Labor norms in health care, approved by the Interagency Working Group on the organization of rationing of work, the development of professional standards and skill levels in the health sector conducted observed for 2 working weeks of the working process of two specialists: cardiologist, endocrinologist and dentist-therapist in 20 pilot areas of the country. Data analysis observation revealed the need for regulations to establish standards load specialists providing outpatient care to the population due to an increase in the time to visit a patient.
2015 № 7 Staffing level of Russian medical organizations and their outpatient department’s with medical staff: radiologists, radiotherapists and oncologists in the period between 2011 to 2015
Annotation. The analysis of completeness of polyclinic offices of the medical organizations of the Russian Federation by doctors-radio therapists showed its growth by 11,53% at reduction in general to the medical organizations for 9,8%, completeness was reduced by doctors-radiologists by 6,3 and 4,0% respectively. The lowest completeness doctors-radio therapists in North Caucasus federal district, radiologists – in Southern Federal District.
2015 № 4 Supply of general practitioners and their activity in different federal districts of the country in the period from 2007 to 2013 biennium
In the Russian Federation from 2007 to 2013 biennium. indicator of the availability of general practitioners has steadily increased. The most pronounced positive trend registered in the southern federal district (53,9%), the lowest-in the Siberian federal district (2,6%), along with the indicators of the medical and the coefficients of its rejection had considerable variability (maximum in the North Caucasus federal district: +40,6%, minimum-VLS: +14,6%) Also decreased the number of specialists, particularly in the Northwest and Vls, which contributed to the growth in health care ISSUES for the country as a whole, over the period from 2007 to 2013 biennium. was +31,4%. Increased proportion of patients and GPS at home, especially rural people. The overwhelming number of visits to doctors in that specialty was about diseases. This situation requires re-evaluation of the primary health care for the population in order to increase the availability of care provided by general practitioners, and the basis of the positive experience of a number of constituent entities of the Russian Federation.
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.
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.
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.
2016 № 1 Incidents of morbidity and outcomes of pregnancy among women in Moscow in the period between 2010 and 2014 years
Analysis of pregnancy outcomes in Moscow in the period between 2010 and 2014 years demonstrated a growth of some pregnancies 9.2%. Whereas there was recorded an increase in the number of abortions by 5.7% and extra-uterine pregnancies by 15.6%. The number of pregnant women with various pathologies has increased from 78.5% (2010) to 80.7% (2014). Wherein the total morbidity rate among pregnant women decreased from 206.41 to 191.65 in 2014, and the forecasted estimate demonstrates a possible growth. There is also a decline in cases of diseases of the genitourinary system by 4.8%, cases of anaemia by 7.6% and blood circulatory system disease by 1.3%. At the same time, there was recorded a growth in the number of venous complications by 5.1% from 5.86 (2010) to 6.16 (2014) per 100 who ended their pregnancy, and growth of endocrine system diseases.
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.
2017 № 6 Working time of doctors-specialists related to visiting one patient with doctor-physician, doctor-surgeon and doctor-dermatovenerologist
In accordance with paragraph 3 of the Rules for the development and approval of standard labor standards approved by the Government of the Russian Federation on November 11, 2002 No. 804 (Collected Legislation of the Russian Federation, 2002, No. 46, Article 4583) and paragraph 19 of the action plan (“road Card“)” Changes in social sectors aimed at improving the effectiveness of healthcare “approved by the Decree of the Government of the Russian Federation No. 2599-r of December 28, 2012 (Collected Legislation of the Russian Federation, 2013, No. 2, Article 130, No. 45, Articles 5863, 2014, No. 19, Item 2468), in 2016 photo-timing observations of the working process of phthisiatricians, doctors-surgeons and doctors-dermatovenerologists were conducted. The work was conducted in accordance with the methodology of conducting photo-timing studies within ten working days for two physicians in each specialty. The results of the research showed the need to develop new normative documents on setting the time limits for visiting one-patient TB doctors, surgeons and dermatovenereologists who provide primary care in outpatient settings (not providing 24-hour medical supervision and treatment).