Manager Zdravoochranenia 2019 #8
CONTENT OF THE ISSUE
Evaluation of the effectiveness of health care in the constituent entities of the Russian Federation using the Bloomberg methodology
A point assessment of healthcare systems efficiency of the regions of the Russian Federation is conducted on the
basis of methodological approaches of Bloomberg international rating agency using Minmax method, according to which the higher life expectancy is, the more efficient healthcare system is. The highest score according to the assessment result was given to Tyumen oblast with life expectancy of 72,1 years and minimal healthcare expenditures both per capita and in share of gross regional product. The leaders in the size of state expenditures on healthcare per capita are Magadan and Sakhalin oblasts, Kamchatka krai, the Republic of Sakha (Yakutia), accordingly reaching 80th, 77th, 78th and 72nd position on the rating. The city of Moscow reached 6th place, while surpassing the city of St. Petersburg by 19 positions, mostly because of higher life expectancy. The study showed that the variability of life expectancy in the context of the regions of the Russian Federation is about 15 times less than the indicators of health expenditure. The authors argue that since the health care system in Russia is predominantly state-owned, any estimates of economic efficiency are conditional, since only a competitive economy can be effective.
Modern management of medical organization based on the process approach in russian scientific publications
The intensity and direction of development of the process approach in the management of medical organizations from the time of the first publications in the Russian literature to the present has been evaluated. 282 literary sources were studied, of which 235 were for managing a medical organization and 47 were papers that analyzed the construction of business processes in non-medical enterprises. It was found that to accelerate the pace of building business processes in medical organizations, it is necessary to use computer programs for building processes.
Reference center of radiology: justification and concept
The situation in radiology (intensive growth of infrastructure against the background of organizational, methodical
and managerial problems) requires a new system approach to organization and management. The concept of radiology
reference center as a structure in the health care system is supposed to provide remote assessment, interpretation, description and control of radiological studies performed in medical centers of all forms of ownership, with the use of telemedicine technologies. The reference center should simultaneously solve organizational, methodological, therapeutic, diagnostic, educational problems, information and coordination tasks and scientific issues. The concept is based on systematized results of publications and own successful experience of creation and effective functioning of the reference center on the basis of the State Funded Healthcare Institution of Moscow “Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies, Department of Health Care of Moscow”. Basing on the concept, it is necessary to keep developing the scientific and practical aspects of normative, legal and methodological support of the activities of radiology reference centers.
Organizational and methodological work of the main external experts Coordination Council in the implementation of the regional project for cardiovascular diseases control in Moscow Region
In this article the role of main external experts (MEE) is discussed. According to the Order of the agency of administration, MEE form a Coordination Council to implement important regional projects. Thus, as a result of the concerted organizational and methodological work, the cardiovascular mortality reduced from 676.2 in 2015 to 475.2 in 2018 per 100 000 population. It is worth to mention that in 2015 the cardiovascular mortality rate in Moscow Region was above the average for the Russian Federation (RF) and Central Federal District (CFD), while in 2018 it became below the average for the RF and CFD.
To the question of transformation of psychiatric care in Moscow
This article reflects the marked dynamics of inpatient care activities in the city of Moscow, however, there is still a
need for further reform of the service. The analysis of the composition of inpatients and the effectiveness of their treatmentwas carried out and studied. The article presents the results of the organization of inpatient care for patients on the basis of GBUZ “PB No. 13 DZM” for the years studied, analyzed the main indicators of the inpatient sector of the hospital and the financing of the psychiatric inpatient service.
Public Health Management in the Context of the Implementation of Preventive Health Programs
In civil society, the features of which are manifested in the country, state bodies and society are increasingly paying attention to the problems of formation, preservation and promotion of health of healthy people of different age groups. The purpose of the study is to determine the role of the nurse of General practice (family medicine), hereinafter – OPSM, in the public administration of the formation of public health of residents of family-territorial areas receiving medical services in OPSM institutions. The objectives of this study is to study the role of nurses OPSM as partners of family doctors to provide medical care to patients on the basis of etiotropic, pathogenetic and sanogenetic therapy of various diseases; implementation of medical care of patients and healthy people of different age groups, in relation to biological, psychological, social and emotional spheres of man; prevent the impact of inadequate behavior of patients or healthy people not only on their health, but also the health of the territorial community.
Health condition of a rural population living in different areas of medical aid accessibility
The problem of preserving the health of the rural population is key in the concept of the development of
rural society. Health issues of rural residents are of great social, political and economic importance. Promising areas for
preserving and improving the health of the rural population are raising the level and quality of life of the rural population.
Research methods: statistical, direct observation, sociological. In the course of the study, the analysis of the reporting data of the Ministry of Health of the Russian Federation (Form No. 47) was conducted, as well as the results of copying information from primary medical documentation in the pilot territory of the Orenburg Region.The results of the study indicate the need to improve the improvement of organizational forms of providing medical care to rural residents, intensify preventive and dispensary work in the village, and involve medical and social services in the village. The determining factors of public health are the lifestyle of the rural population, the financing of health care and the system of social protection of the population, the development of the agro-industrial complex that provides employment to the population. The analysis shows the need to improve the availability of care, medical activity, valeological literacy of the rural population and commitment to a healthy lifestyle, especially for residents living in the service area of the FAP.
Possible revision of sanctions in the system of compulsory health insurance from the position of risk, common sense and balance of interests of patients and doctors
Delegation of authority to regions to determine the need for private clinics: analysis of prospects and possible consequences
It is planned to further assess the needs of medical organizations, including private medical organizations in the framework of licensing of medical activities in accordance with the instructions of the President. Finding a balance betweenthe public (municipal) and private health sectors is very important. However, the fundamental question is what methods shouldbe used: restrictive (prohibitive) or stimulating (methods of taxation, etc.). The desire of the regions to subdue private clinics,to command them can lead to conflicts between the government and business and to real losses of working meth, taxes,insurance premiums, etc. The article attempts to analyze the possible positive and negative consequences of such decisions.
New rules of rendering of medical aid to police officers
Management in healthcare
Population and health
Manager of healthcare consults
Questions and answers