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Manager Zdravoochranenia 2015 #4
Published: 2015-04-01
3133
CONTENT OF THE ISSUE
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V.I. STARODUBOV — 65 YEARS
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Safety of medical activity: what is it and how the Chief doctor should provide it
The article deals with the contents of medical organization working to support and monitor the safety of medical activity. Priorities that should be decided by each head of the medical organization in this field. Emphasized that the main body of the medical organization for addressing issues and making decisions on ensuring and monitoring the safety of medical practice must be a medical Commission.
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Supply of general practitioners and their activity in different federal districts of the country in the period from 2007 to 2013 biennium
In the Russian Federation from 2007 to 2013 biennium. indicator of the availability of general practitioners has steadily increased. The most pronounced positive trend registered in the southern federal district (53,9%), the lowest-in the Siberian federal district (2,6%), along with the indicators of the medical and the coefficients of its rejection had considerable variability (maximum in the North Caucasus federal district: +40,6%, minimum-VLS: +14,6%) Also decreased the number of specialists, particularly in the Northwest and Vls, which contributed to the growth in health care ISSUES for the country as a whole, over the period from 2007 to 2013 biennium. was +31,4%. Increased proportion of patients and GPS at home, especially rural people. The overwhelming number of visits to doctors in that specialty was about diseases. This situation requires re-evaluation of the primary health care for the population in order to increase the availability of care provided by general practitioners, and the basis of the positive experience of a number of constituent entities of the Russian Federation.
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List of vital and life critical drugs; meanings of the definition for specifying state guarantees for free drug medical aid
There is analysed an issue of specifing state guarantees for free medical aid provided to citizens within the standard medical aid system, clinical recommendations, lists of medications. State guaranteed free medications for citizens are those mentioned in the List of vital and life critical drugs.
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High-tech medical care in the system of compulsory health insurance
Health care reform had an impact on the such expensive type of medical services as a high-tech medical care. Since in 2015, as planned new federal legislation, went into the system of compulsory health insurance. Answer to the question, what is the purpose of the transfer of high-tech health care insurance rails, whether all the volume of this type of medical care today is subordinate stringent requirements of the compulsory health insurance, and what kind of the medical organization involved in providing this type of care, to what extent and for the what funds are reimbursed which health organizations can get the volume of the entire high-tech medical care, dedicated to this material.
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Improved reporting on blood transfusion
By Delphi method with 58 experts there was carried out a three-step search for indicators reporting on the work of blood transfusion. Lapidary report form containing number of transfused blood components units and recipients has been proposed.
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Standards of medical care in Russia and USA
Annotation. The analysis of the use of the term «standard of care» in the Russian Federation and the United States. The list of normative documents regulating the process of standardization of medical care, defined role and scope of clinical guidelines and standards of their legal component in the resolution of conflict and controversial clinical situations in health care. It is noted that the work on standardization of medical care due to objective socio-economic necessity of generalization, unification, of the desire to improve access to health care, including new medical technologies associated with the development of quality management of medical care.
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A root sheet of selection specialized devices for health-care waste treatment using physical methods. Part 1
In the recent years hardware medical waste treatment technologies are widely spreading. Choosing of a technology and a model of specialized device is a difficult problem for medical enterprises because of wide selection of that devices as well as information about their epidemiological, technological and economical effectiveness. A root sheet of selection specialized devices for health-care waste treatment from the step of technology choosing up to project realization and commissioning of the medical waste treatment site is given in this article.
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Orders of the President of Russian Federation: responsibilities of medical underwriters on protecting citizen's rights in the field of healthcare
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Administrative and legal principals for converting hospital nurses into cleaning personnel of manufacturing or office premises
Requirements of «May» Orders issued by the Russian President force institutions not only search for additional funds but also optimize the structure of institutions and cut expenses. One of the possible solutions — is to convert nurses into a cleaning personnel. The article represents an analysis of labour legislation and other normative acts, related to the issue of converting hospital nurses into a cleaning personnel.
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Questions answered by PhD. of Economic F.N. Kadyrov
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Review of actual normative documents
