2019 № 4 Organization of medical and social assistance to the population at the level of the subject of the Russian Federation
The unstable social and economic situation in Russia leads to an increase in families from groups of high medical and social risk, which has a negative impact on the health of children. The purpose of the study is to study the organization of medical and social assistance to children at the regional level. Sociological and expert methods were used to achieve this goal. The assessment of the degree of consistency of expert opinions was carried out using the concordance coefficient, the reliability of the results – using the method of calculation of Chi-square. According to the results of the study it was found that medical and social assistance is provided in the framework of primary health care to minors mainly by specialists in Pediatrics and social work. Taking into account regional peculiarities, the presented direction includes the following tasks: provision of medical and social patronage of families from risk groups, antenatal protection of the fetus, preservation of reproductive health of the child population. Expert evaluation allowed to identify the main problems in the system of maternal and child health, which reduce the effectiveness of medical and social care. As the main problem areas noted: the insufficient level of professional competence of specialists in the provision of medical and social assistance, the low degree of continuity between the medical organizations of the system of protection of motherhood and childhood, the low efficiency of interdepartmental cooperation in the provision of medical and social assistance. The presented problems are manageable and require improvement of appropriate organizational and managerial mechanisms both at the level of the Ministry of health and at the level of social protection bodies.
2018 № 7 Development of an integrated assessment tool health and social well-being of patients aged 60 years and over and their needs for different types of care
A tool for the comprehensive assessment of the condition of patients 60 years of age and over which allows to objectify patients’ demand for medical and social assistance, taking into account their individual characteristics has been developed and tested In the framework of this study. The suggested methodical tool is primarily focused on the use in the primary health care, makes it possible to form both a program of work with each patient at the age of 60 years and older, and an action plan to support the attached population of the given age category at the site or a specific medical organization level, and also assess the efficiency of the assistance provided
2018 № 1 The Department of Medical and Social Assistance to the Adult Population and the Department of Nursing: the concept and principles of organization
The concept of the organization of medical and social assistance to the most socially vulnerable population contingents (people in the residential and senile age, the disabled and citizens with a temporary restriction of the ability to move and self-care after the transferred diseases and injuries) is proposed. This includes the creation departments of medical and social assistance in medical organizations that provide assistance to the adult population on an outpatient basis