2016 № 10 Experience the reorganization of outpatient ophthalmologic services in the Kaluga region with the participation of the Federal medical institutions
The article presents the experience of the reorganization of the outpatient ophthalmic services in the Kaluga region with the aim of improving the quality of outpatient services; improve the availability and proximity of high-tech eye care in conditions of the respective Federal agencies for the population of the region. To achieve this goal was proposed the algorithm for providing ophthalmological care, which allowed accelerating the provision of specialized high-tech diagnostic and surgical eye care to the needy residents of the city of Kaluga. For today in hospitals of the regional center there are 5 rooms of the IRTC «Eye Microsurgery». For the period 2009–2015 in the outpatient clinics were adopted 587 103 patients of them sent to the Kaluga branch of IRTC «Eye Microsurgery» 23 230 patients (22,4%) with different ophthalmopathology. The cases in the branch was extended to 31 192 medical services, including 7 565 patients underwent surgical treatment. The obtained results testify to the relevance and prospects of the work done, which would merit its continuation in other medical institutions in Kaluga region.
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.
2016 № 9 Рayment of primary health care on per capita financing
Examines conditions and problems of translation of health care organizations on a per capita principle of financing. The material is based on the experience of the constituent entities of the Russian Federation, a long-time practicing activities in terms of per capita funding. Recommendations for minimization of financial risks of healthcare organizations.