Focus of problem
  • 2019 № 7 To the 10th anniversary of the health centers

    The article analyzes the main performance indicators of health centers for the period 2014–2018. Shows the coverage of comprehensive surveys in health centers per 10000 population; distribution of citizens recognized as healthy and with risk factors; presents indicators characterizing preventive work with the surveyed citizens. In the context of Federal districts and subjects of the Russian Federation, indicators for the last two years – 2017 and 2018 were analyzed. According to the provided results, conclusions are drawn about the absence of significant positive dynamics of the indicators characterizing the activities of health centers over the past 5 years. Thus essential divergences of indicators at the level of Federal districts and subjects of the Russian Federation are revealed. Analysis of indicators of activities of health centers indicates the lack of a unified organizational methodology of their activities. Improvement of organizational processes in health centers should go in parallel with the improvement of accounting and reporting documentation, these processes should be inextricably linked and aimed at solving the strategic problem – ensuring the quality of preventive work with the population, including the formation of management decisions based on them.

    Authors: Son I. M. [38] Senenko A. Sh. [6] Savchenko E. D. [5]

    Tags: evaluation of performance1 health centers for adults1 health centers for children1 indicators of preventive work of health centers1

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  • Management in health care
  • 2018 № 1 The Department of Medical and Social Assistance to the Adult Population and the Department of Nursing: the concept and principles of organization

    The concept of the organization of medical and social assistance to the most socially vulnerable population contingents (people in the residential and senile age, the disabled and citizens with a temporary restriction of the ability to move and self-care after the transferred diseases and injuries) is proposed. This includes the creation departments of medical and social assistance in medical organizations that provide assistance to the adult population on an outpatient basis

    Authors: Son I. M. [38] Leonov S. A. [14] Skvirskaya G. P. [5] Gazheva A. V. [6] Shlyafer S. I. [4] Senenko A. Sh. [6] Gorshunova N. K. [1]

    Tags: department of medical and social assistance1 disabled people2 medical and social assistance3 medical organizations that provide assistance on an outpatient basis1 persons of elderly and senile age2 primary health care14

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  • 2016 № 7 The activities of day hospitals in the Russian Federation in 2000–2014

    The article analyzes legal documents, which that regulate the work of day hospitals in the Russian Federation since the late 90-ies of XX century to the present. Presents an analysis of the performance of activities of day hospitals in health institutions providing medical care in ambulatory and stationary conditions in the country in 2000–2014. Marked increase in the number of beds in day hospitals 2,3 times, which is mainly due to the increase of beds in day hospitals in health institutions providing medical care in ambulatory conditions. Spend the evaluation of use of hospital beds hospitals for 15 years. During the study period the number of beds in hospitals has decreased by 27,7%, the number of discharged patients has almost not changed, which is associated with the intensity of the work beds. Shows the comparison of the number of persons treated in day hospitals and hospitals round-the-clock stay. The total number of patients treated in day hospitals and round hospitals, the proportion of patients treated at a convenience care hospitals declined from 92,5 to 80,3%, the proportion of patients treated in day hospitals increased from 7,5 to 19,7%.

    Authors: Son I. M. [38] Evdakov V. A. [6] Shlyafer S. I. [4] Senenko A. Sh. [6] Melnikov Yu. Yu. [3]

    Tags: beds3 day hospital3 hospital organizations1 the average bed occupancy in a year1 the average duration of treatment1 the medical organizations giving help in out-patient conditions1 turnover (function) bed1

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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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  • 2018 № 3 To create a new model of medical organization providing primary health care: characteristics of medical staff of district health services

    The results of the analysis of the provision of the population of the russian federation by district physicians, general practitioners, district pediatricians are presented. Significant differences in the indicators in the subjects of the Russian Federation were established. These differences necessitate a differential approach when planning actions to improve the organization of primary health care in the subjects of the Russian Federation

    Authors: Son I. M. [38] Kupeeva I. A. [7] Gazheva A. V. [6] Senenko A. Sh. [6] Pogonin A. V. [2] Garmaeva A. B. [1]

    Tags: . general practitioners2 district  physicians1 primary health care14 provision  of  the  population  with doctors1

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  • Sociology of healthcare
  • 2022 № 3 Assessment of time spent by patients when visiting a medical organization

    The satisfaction of the population with medical care is considered today as one of the most important indicators of the health care system. At the same time, more and more attention is being paid to the time spent by patients in a medical organization when receiving outpatient care, as a factor affecting satisfaction with medical care in general.
    P u r p o s e of the study is to determine the opinion of patients about their time costs when visiting a medical organization that provides outpatient care.
    M a t e r i a l a n d m e t h o d s . The process of a patient’s referral to a polyclinic, a questionnaire for patients posted on the Internet on an open electronic resource Online Test Pad. The number of questionnaires is 509. Methods: analytical, sociological, descriptive statistics.
    R e s u l t s . During the surveys, respondents subjectively assess the time spent on various actions: communication at the reception desk, searching for an office, waiting for an appointment, etc., as well as the total time spent in a medical organization. In addition, the appearance at the polyclinic may be preceded by an appointment, which also takes time. Respondents were asked to estimate the total time spent in the polyclinic, as well as the time they are willing to devote to visiting it. The respondents’ assessment of the time spent shows significant time reserves: in the organization of an appointment and the work of the registry (clarifications, obtaining background information, obtaining coupons), navigation and, possibly, in the location of offices, in the organization of space in waiting areas.
    C o n c l u s i o n s . A tool for assessing the time spent by patients to receive care in a medical organization providing outpatient care has been developed and tested. There are significant differences in the length of time spent on making an appointment, including by phone and via the Internet. Significant reserves have been identified to reduce the total time required to visit the polyclinic. The developed tool is characterized by a short filling time, contains simple questions and allows you to quickly identify areas of necessary improvements.

    Authors: Senenko A. Sh. [6] Savchenko E. D. [5] Shelgunov V. A. [1]

    Tags: doctor’s appointment1 lean  technologies2 navigation in the polyclinic1 patient satisfaction4 patient survey1 patient time evaluation1 polyclinic4 primary health care14 registry1 waiting for an appointment1

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