Manager Zdravoochranenia 2015 #5

CONTENT OF THE ISSUE

Management in health care

• 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.

  Authors: Samorodskaya I. V. [7] Boytsov S. A. [7] Vatolina M. A. [2] Barbarash O. L. [1] Ovcharenko O. N. [1] Bykovskaja T. J. [1] Kovalenko T. N. [1]

  Tags: cardiovascular disease4 mortality21 risk factors15

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Financial management

• Direct costs calculator as a tool for economic justification of health care expenditures for patients with castration-refractory prostate cancer

  The article describes a tool to calculate the direct medical costs of treating patients with castrationre fractory prostate cancer. This tool will allow to assess cost of medical procedures and to justify treatment choice.

  Authors: Son I. M. [39] Kreknina E. A. [5] Gazheva A. V. [6]

  Tags: direct costs5 prostate cancer4

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• On the issue of statutory normatives of rehabilitation centers for children with congenital heart disorders

  To date the statutory normatives of rehabilitation centers and rehabilitation departments for children with congenital heart disorders are not approved, methodological recommendations on this issue are missing. There has been undertaken a review of specific normative-legal acts as well as theoretical findings from the literature related to development and approval of statutory normatives for healthcare and regulations on provision of medical aid to the population. There has been presented an organizational-statutory structure of a rehabilitation center for children with congenital heart disorders. The purpose of this article is to make a defense case for optimal statutory normatives of a children's rehabilitation center for children with congenital heart disorders.

  Authors: Milievskaja E. B. [4] Krupjanko S. M. [3] Boсkeria L. A. [1] Manerova O. A. [2]

  Tags: children's rehabilitation center1 congenital heart disorders1 medical rehabilitation9 statutory normative in the healthcare1

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Healthcare and law

• Specific organizational and legal issues of regulationsapplied to special assessment of workingconditions of health workers

  Annotation. Legal analysis of changes in federal law in terms of regulation of working conditions of health workers. Identified the legal problems of interpretation of federal law, organizational problems of its execution, the problem of efficient use of budget funds. It has been shown that changes in federal law lead to the restoration of the constitutional principle of justice for the assessment of working conditions of health workers; changes in federal law enforce the principle of efficient use of public funds.

  Authors: Ugolnikov A. L. [1]

  Tags: guarantees and compensation1 special assessment1 working conditions1

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Technological management

• A root sheet of selection specialized devices for health-care waste treatment using physical methods. Part 2

  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.

  Authors: Timofeeva T. V. [3] Balakaeva A. V. [2] Glazunova O. I. [2]

  Tags: devices for health-care waste treatment2 economical effectiveness3 medical waste2 medical waste treatment site2 points of establishment of medical waste treatment site2 technological effectiveness2

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Special opinion

• A heated debate on the issue of independent medical expertise — what will its profile be in Russia?

  Authors: Starchenko A. A. [34]

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Manager of health care consults

• Issues related to utilizing standards of medical aid in the mandatory medical insurance system

  The article is dedicated to analysis of legislation, other normative acts, related to application of regulations on providing medical aid and standards of medical aid, medical aid quality control and enforcement of penalty sanctions towards medical organizations in the system of mandatory medical insurance.

  Authors: Kadyrov F. N. [122] Starodubov V. I. [40]

  Tags: criteria for evaluating medical aid quality1 mandatory medical insurance10 medical-economic expertise1 penalty sanctions1 quality expertise of medical aid1 regulation on providing medical aid1 standards of medical aid3

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Questions and answers

• Questions answered by PhD. of Economic F.N. Kadyrov

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Review of actual normative documents

• Review of actual normative documents

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