2019 № 1 To the question of volume reducing of dispansserization and preventive examinations
The beginning of mass prophylactic medical examination in Russia was accompanied by an excessive inclusion of screening methods and additional diagnostic interventions. Such tactic was not justified from the financial, economic and organizational point of view. Although in 2017 the volume of medical examination was significantly reduced, analysis of official documentation and reporting forms shows that imbalance in its structure is still preserved, and some methodic, used for screening and additional diagnostic, are not justified from position of evidence-based medicine. In 2015, only due to optimization of clinical examination structure on the first stage it would possible to reduce costs by more than 10 billion rubles, increasing the effectiveness of preventive interventions through rational reallocation of funds.
2015 № 5 Risk factor for mortality from cardiovascular diseases: the expert estimation doctors of various specialties
No statistically significant differences in the average score evaluation by physicians of different specialties of each indicator (p > 0,05 for each item). Average effect on mortality from cardiovascular diseases comorbid somatic pathology according to the doctors is 3,5±1,5, and more than a third of experts evaluated the contribution of comorbid somatic pathology in maximum 5 points. Average impact of comorbid psychopathology — 2,7±1,4; comorbid diseases caused by alcohol and drug use — 3,5±1,5; failure to doctor's recommendations — 4±1,3; ignorance of the major risk factors for the Ivory Coast, or the rejection of their correction — 3,8±1,4; ignorance of the main manifestations (symptoms) of life-threatening diseases or complications requiring first aid and emergency medical services — 3,9±1,4. Almost 50% of specialists have put the maximum score in the answers to the last two questions. Аccording to doctors at the level of regional mortality from BSK is strongly influenced by physical and mental comorbid pathology, ignorance of the risk factors, symptoms and methods of providing emergency assistance in the Ivory Coast.
2014 № 12 Regional experience of the organization of work of the Centers of health on the example of the Smolensk region (Department of health care, Smolensk, Russia)
Annotation. This review presents regional experience of improving preventive measures in the Smolensk region on the example of the organization of the health center. The results of analysis of sectoral statistical monitoring indicators of different categories of patients visiting health centers Smolensk region for the period 2010–2014. (2014 results are presented for the first 9 months). The dynamics of the number of persons trained in healthy lifestyles in-depth individual prevention counseling and thematic School of Health, the number of patients who visited the Health Centre in the Smolensk region in 2010–2014, represented the organization of exit work Regional Health Center. The role of health centers in improving the system of medical prevention in primary care Smolensk region.