2018 № 3 To create a new model of medical organization providing primary health care: characteristics of medical staff of district health services
The results of the analysis of the provision of the population of the russian federation by district physicians, general practitioners, district pediatricians are presented. Significant differences in the indicators in the subjects of the Russian Federation were established. These differences necessitate a differential approach when planning actions to improve the organization of primary health care in the subjects of the Russian Federation
2019 № 2 Organizational and methodological basis of the preliminary analysis of the work of outpatient clinics at the stage of the beginning the project «Lean polyclinic
In order to start optimization and structural transformations, the external (questionnaires of patients, n = 200) and internal audit (time-related studies, n=186) of the outpatient clinic participating in the implementation of the priority project «Creating a new model of primary health care». For this purpose, 5 interrelated processes are identified in which the patient participates in the receipt of primary health care: 1 process – «Record for outpatient admission»; 2 process – «Registration»; 2 process – «Waiting for reception »; 4 process – «Medical care of the patient». 5 process – «Analysis of the nearest and remote end points». It is shown that there is a need in the outpatient clinic for information and technical improvement of the polyclinic’s Internet portal; need to improve sanitation in public places; optimizing the activity of outpatient doctors to reduce waiting times in the queue (optimizing the workplace, analyzing the workload of medical personnel, reducing the time spent on medical documentation, personalized approach to patients). Overall, 82,4% of patients were satisfied with the work of the polyclinic, assessing it as «good» (76,5%) or «excellent» (5,9%). In the future, it is planned to monitor morbidity, disability and mortality indicators as a criterion for the effectiveness of the project.
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
2016 № 3 Primary Health care. Medical Network organization features and staff provision
Annotation. Changes of Medical organizations network, providing ambulatory treatment, were studied, for past 10 years. In addition, trends of manning tables formation in outpatient clinic were analyzed, as well as population provision by district doctors (uchastkoviy doctor) and general doctors. The analysis of main indicators of doctors’ activities in medical organizations, providing ambulatory treatment, is provided.
2018 № 8 Modern approaches to organization of care to persons of elderly and senile age: a review of international experience
The research is devoted to the study of international experience in organizing care for people of older age groups. The analysis of literature data has shown that the organization of care for patients of elderly and senile age varies considerably in different countries, reflecting their specific economic, social, cultural conditions. At the same time, the use of structured questionnaires for assessing the health status and social well-being of older people becomes a common approach, making it possible to organize targeted assistance to such patients in the most rational way.