2018 № 8 Base trend on number of Russian children (aged 0–14) require for medical supervision in 2000–2015 years
Growth of Russian children’s incidence is confirmed with many special researches. As has shown the anal¬ysis of Federal statistical observation (form No. 12) for 2000–2015 years, in Russia the number of children at the age of 0–14 years require for medical supervision has grown from 302,6 to 309,0 cases for 1000 per population of the corresponding age (2,1%). The highest increase took place on classes: new growths (105,3%), congenital anomalies (malformations) (63,0%), injuries, poisonings, etc. (56,3%). Decrease in number of the children (0–14 years) require for medical supervision is noted on the following classes: pregnancy, childbirth and postnatal period (–70,0%), separate conditions of the perinatal period (–60,6%), some infectious and parasitic diseases (–59,5%), mental disorders and disorders of behavior (–43,1%). The balance of number of the studied group of children for 2015 year is 6,1% at the expense of bigger number registered (55,3%), in comparison with number of struck off the register (49,2%). At the same time the maximum plus balance was observed on the following classes of diseases: separate conditions of the perinatal period (46,5%), injuries, poisonings, etc. (80,0%), diseases of respiratory organs (21,3). The minus balance of number is noted on classes: some infectious and parasitic diseases (–11,6%), mental disorders and disorders of behavior (–2,4%). The number of children require for medical supervision in Russia for the studied period has grown. As soon as, the health of children and teenagers defines health of future nation, its preservation is an important task, which real¬ization demands development of measures for treatment of diseases of this contingent, and, above all – holding preventive actions with definition of their address introduction (school, the house, healthcare institutions).
2016 № 8 Family-oriented approach to child health care
In this review article you can consider the parent involvement in children medical care, because in paediatric practise precisely parents can influence good relationship with parents and whole healthcare system, what is more they can influence the compliance on attitude between patient (parents or legal representatives) and health provider. The last decade researches indicate the necessity of parent involvement in all stages of medical assistance to children, moreover the last surveys showed that family-centred approaches are highly-efficient. The competence of paediatricians in working with parents and the concept of family-oriented approach in foreign literature are being considered in this topic. Moreover, the advantages of using family-centred approach and barriers, including staff shortages, interrupting the process of using this model, are being under special control in this topic. There are many variants of changing and ways of implementation offering in this article. In conclusion, there is a statement that implementation family-centered medical care to children in whole medical care system requires comprehensive changes in all stages of medical care quality ensuring, including medical care organizers professional outlook, adjusting the regulatory framework and standards of training specialists.