2017 № 10 Cancer incidence of Nizhny Novgorod region population from the standpoint of the concept of avoidable mortality
The concept of avoidable mortality to evaluate healthcare provisions and identify priorities for improvement of the activity of cancer services in the region. Nizhny Novgorod region is stable is a region with a high incidence of malignant neoplasms and population mortality from cancer. Therefore, the author, using data from nationwide survey, conducted a comparative assessment of morbidity, mortality, one-year mortality, early detection External testing the main locations for the Nizhny Novgorod region. The cluster method allowed to determine the position of the region among other regions of the Russian Federation as the general indicators of cancer incidence, as well as on the most significant types of cancer. The analysis allows to plan differentiated activities in the primary, secondary and tertiary prevention of cancer pro¬grams aimed at reducing and preventing deaths from External testing of specific sites
2014 № 2 Methodical aspects of the analysis of medical workers' labor productivity (SBEI HVT «Altay State Medical University» of the Ministry of Health of Russian Federation, Barnaul, Russia)
Annotation: The theoretical ideas and methodological approaches to substantiation labor productivity indicators have been reviewed, developing the system of labor productivity indicators in public health services. The technique of the analysis of labor productivity in public health services is offered.
2017 № 4 Operational parameters and characteristics of MRI workflow in outpatient clinics of Moscow
We present continuous data of outpatient MRI units in Moscow, 2016. Unit uniformity, identical working conditions, compensation schemes, study justification, process monitoring and result analysis as well as first-time adoption of newest information technologies in Moscow allowed for process characterization and advanced result analysis of 28 outpatient MRI units. Presented data encompasses operational parameters of 64326 MRI examinations with results being evaluated on-line. Yearly median number of examinations for one MRI unit was 2076, with first and third quartile being 1830 and 2836. Reasons of low workload were analyzed. For instance, average number of work shifts in a month varied from 24 (95% CI 18-30) to 49 (95% CI 43-52). Workload during the day also varied. In first four hours of work shift up to 40% of all examinations were performed (95%; CI 40.5-41.2). In last four hours of work shift only 20% of all examinations were performed (95% CI 19.7-20.2). Additionally, the interval between sequential studies was 38 minutes, with first quartile being 29 minutes, and third quartile being 55 minutes. The delay was observed in 50.7 cases (95% CI 50.3-51.4). Every fifth delay was longer than 60 minutes, and in 7.4% of cases - longer than 90 minutes (95% CI 7.2-7.6). In best outpatient clinics, the prevalence of these intervals was only 4.8%. Average waiting interval in outpatient clinics was 7.8 days (95% CI 7.7-7.9). In 44.9% of cases, it was shorter than 6 days (95% CI 39.6-47.5) and in 8.2% of cases examination was performed on the day of study reservation. In several clinics waiting interval did not exceed one day without any detrimental effect on overall workload. The results highlight the need to improve operational processes and overall quality of diagnostic services.