All articles by Liutsko V. V.
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2016 № 2 Staff time specialist doctors for the provision of medical care in the outpatient setting
In order to implement the Decree of the President of the Russian Federation dated May 7, 2012 № 598 «On improvement of state policy in the sphere of public health» and in accordance with the Action Plan of the Ministry of Health Labor norms in health care, approved by the Interagency Working Group on the organization of rationing of work, the development of professional standards and skill levels in the health sector conducted observed for 2 working weeks of the working process of two specialists: cardiologist, endocrinologist and dentist-therapist in 20 pilot areas of the country. Data analysis observation revealed the need for regulations to establish standards load specialists providing outpatient care to the population due to an increase in the time to visit a patient.
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2023 № 7 The economic effect of providing medical care using simultaneous dental implantation by one specialist.
The economic effect of the introduction of a new organizational model “dentist-implantologist-orthopedist” is considered. Optimization of work, cost savings of the Ministry of Defense and an increase in the responsibility of a dentist who owns related specialties “Orthopedic Dentistry” and “Surgical Dentistry” were obtained.
Purpose: assessment of the economic effect in the provision of medical care using simultaneous dental implantation.
Materials and methods. The study was conducted in the dental polyclinic of the AUZ UR “RSP MZ UR” of Izhevsk, Udmurt Republic.
The economic effect was assessed by comparing two models of providing medical care in orthopedic dentistry using dental implantation: the first – medical service was provided by two separate teams (1 – surgical care; 2 – orthopedic care); the second – medical service was provided by one team entitled to provide this type of care.
Results. The economic effect of providing medical care using simultaneous dental implantation by one specialist allowed to reduce the use of the area of the medical organization, the number of full-time positions of nurses and reduced the costs of the medical organization for consultation.
Conclusion. With the introduction of a new organizational model “dentist-implantologist-orthopedist”, an economic effect was obtained by reducing staff positions, reducing wage costs and rational use of MO areas. All this contributes to the optimization of the work of a medical organization, saving the Ministry of Health without reducing the quality of services provided and increasing the responsibility of one specialist for the final result of the treatment at the moment and in the future, which is one of the main factors of a value-based approach in healthcare. -
2021 № 4 DYNAMICS OF THE INCIDENCE OF DIABETES MELLITUS AMONG CHILDREN IN THE RUSSIAN FEDERATION FOR 2014–2018 YEARS
Diabetes mellitus among children is one of the urgent health problems due to high morbidity and disability.
Objective – establishing the main trends in the incidence of children.
Materials and methods. A statistical analysis of the data of reporting forms of federal statistical observation No. 12 “Information on the number of diseases registered in patients living in the service area of a medical organization” for the period from 2014 to 2018 was carried out.
Results. During the analyzed period, the incidence of diabetes mellitus in the Russian Federation among children aged 0–17 years increased by 28,1%. In dynamics for 2014–2018 the primary incidence of diabetes among children aged 0–17 years in the Russian Federation increased by 15,5%. In 94,9% of cases of diabetes in children account for type I diabetes. In dynamics for 2014–2018 it grew by 26,2%.
Conclusion. The results of the analysis of diabetes mellitus among children indicate the need for the development of primary prevention of type I in children and raising public awareness of a healthy lifestyle in children