Management in healthcare
  • 2018 № 4 Comparative characteristic of victims in road transport accidents in the arctical zone of the arkhangelsk region depending on the alcohol factor

    Road traffic trauma nowadays remains an urgent medical and socio-economic problem in Russian Federation. For the purpose of comparative analysis of characteristics in groups of victims with alcohol intoxication in road accidents that occurred in the Arctic zone of the Arkhangelsk region, a continuous, analytical, population study was conducted – documentary observation. A sample of 518 medical cards (f.003/у) of victims in road traffic accidents, who received medical care in hospitals, was analyzed in Severodvinsk from 2012 to 2016. It was found that up to 30% of injured in accidents were in a state of alcohol intoxication; young men predominated among victims, and severe concomitant trauma predominated in the structure of all injuries. The results of the research may be in demand in the development of regional programs to prevent and reduce the number of accidents and prevention of road traffic trauma

    Authors: Menshikova L. I. [4] Petchin I. V. [1] Baranov A. V. [1] Barachevskiy Y. E. [1] Klyuchevsky V. V. [1] Modyanov N. Y. [1]

    Tags: alcohol intoxication1 arctic zone1 arkhangelsk region4 injury severity1 traffic accident1

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  • Marketing in health care
  • 2021 № 9 Health care organizers about the possibility of using outsourcing in medical organizations.

    I n t r o d u c t i o n . The ratio of the number of administrative and administrative and auxiliary personnel to the main staff, as well as the share of their remuneration in the total cost structure, is one of the criteria for the effective use of resources of medical organizations.
    The use of the outsourcing mechanism allows us to solve a number of problems that arise when such a ratio is observed, without reducing the quality and availability of medical care.
    T h e p u r p o s e o f t h e s t u d y is to study the opinion of health care organizers about the possibility of transferring certain areas of activity of a medical organization to outsourcing.
    M a t e r i a l s a n d m e t h o d s . The following methods were used in the study: statistical, sociological and analytical.
    R e s u l t s a n d d i s c u s s i o n . More than half of health care organizers believe that the introduction of outsourcing in a medical organization is necessary (66,1%). The study participants believe that it is possible to outsource such positions as cleaning of territories (94,4%), security of a medical organization (93,5%), laundry services (91,1%), maintenance of vehicles of a medical organization and maintenance of non-medical equipment and communications (87,1% each), etc. In their opinion, it is impossible to outsource such functions as planning and economic activities (69,4%), personnel records management (68,5%), procurement / contracts (58,1%), accounting (57,3%), legal support of the activities of a medical organization (37,9%), etc. Most often, the following functions have already been outsourced in medical organizations: laundry services (64,3%); maintenance of medical equipment (57,3%), motor transport of the Ministry of Defense (46,4%), non-medical equipment and communications (46,4%); cleaning of territories (35,7%).
    C o n c l u s i o n . Outsourcing allows you to focus on the profile activities of a medical organization and improve the quality of services provided to the population. Before transferring certain functions of a medical organization to outsourcing, the head needs to analyze the practical experience of regions and other medical organizations, which will help to avoid the negative aspects of outsourcing, expand its scope and the range of functions transferred to outsourcing companies.

    Authors: Menshikova L. I. [4] Ivanov A. V. [1] Burkovskaya Yu. V. [1]

    Tags: functions of a medical organization1 medical organization47 outsourcing4

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  • Personnel management
  • 2021 № 1 The role of local governments in solving the problems of providing primary health care personnel

    The problem of staffing in healthcare remains relevant for a long time. The article considers the possibilities of participation of local self-government bodies in attracting and securing medical workers, primarily primary care. The
    analysis of normative legal acts of the Federal level is presented. Amendments to Federal laws № 131-FZ and № 323-FZ related to specifying the powers of local self-government bodies in terms of health personnel are proposed. The necessity of a comprehensive assessment of the implemented measures of social support for medical workers to identify the most effective measures and select the best practices is justified.

    Authors: Son I. M. [38] Senenko A. Sh. [6] Menshikova L. I. [4] Flagler N. A. [1] Rugles L. V. [1]

    Tags: health  personnel2 local governments1 medical staff7 primary health care14 social support measures3

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  • Quality of medical aid
  • 2014 № 5 Assessment of reliability of patients' opinion about quality of inpatient care (Ministry of Health care of the Arkhangelsk region, Northern state medical university, Arkhangelsk, Russia)

    The problem of evaluation of patients' satisfaction with quality of healthcare is relevant in the process of modernization of national health care system. In order to assess the validity of patients' opinions about the quality of inpatient care 1960 patients aged 18 to 81 years were interviewed. Respondents' satisfaction with the quality of inpatient care is not affected with socio-demographic characteristics of respondents. Respondents' satisfaction is determined by effectiveness of the treatment and satisfaction with some components of the process of providing of inpatient care.

    Authors: Menshikova L. I. [4] Dyachkova M. G. [1] Mordovsky E. A. [1]

    Tags: inpatient medical care1 patients' satisfaction2

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