Focus of problem
  • 2021 № 8 Study of quality of life related to health in patients with COVID19 on the first day of admission to hospital

    The COVID‑19 pandemic has resulted in exceptional social disruption and consequent changes in quality of life. Assessment of the health-related quality of life in patients infected with the SARS-CoV‑2 (2019-nCoV) virus in a covid hospital is an urgent public health issue that affects the organization of medical care processes and the planning of rehabilitation programs.
    Purpose of the study is to determine the level of health-related quality of life in patients with COVID‑19 on the first day of inpatient treatment for comparison with pre-pandemic norms and planning targeted rehabilitation programs.
    Materials and methods. A study of the quality of life was carried out using the EuroQol EQ‑5D‑5L questionnaire assessing the Index EQ and EQ VAS indicators. Using the method of simple random sampling, the data of patients were collected for three sets having following features: “Both sexes”, “Men”, “Women”. The analysis was carried out using descriptive statistics methods.
    Results. The indicators of health-related quality of life in patients with COVID‑19 on the first day after admission are lower than the pre-pandemic population norms for Moscow residents according to Index EQ by 20%, according to EQ VAS by 29%, on average. Women have more health limitations than men in all EQ‑5D‑5L domains, which is proportionally lower than population norms. In 3,7% of patients on admission to the hospital, the type of quality of life corresponded to “a condition worse than death”, which was practically not observed in the pre-pandemic period in Moscow residents. The greatest losses are observed in the “Self-Care” and “Mobility” domains, both for men and women. On admission to the hospital, no differences were found in the pre-pandemic and pandemic levels of health limitations in the “Anxiety/Depression” domain.
    Conclusions. The results of the study can be used by specialists from various branches to plan clinical, service, educational, economic, and other public health programs related to the rehabilitation of patients who have had COVID‑19. And it also represents an indispensable additional material for further sociological and clinical research.

    Authors: Tsaranov K. N. [5] Tarbastaev A. G. [5] Ayupova I. I. [1] Protsenko D. N. [2]

    Tags: covid-1913 eq vas1 eq‑5d‑5l1 gbuz “city hospital no. 40 dzm”1 hrqol1 index eq1 kommunarka1 quality of life4 sars-cov‑2 (2019-ncov)1

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  • 2018 № 3 Influence of doctors’ patient-orientation on patient involvement in treatment

    In the article it is shown that nowadays in the public health care of different countries researches of patient-orientation are actively conducted. At the same time patient-orientation as a characteristic of the patient’s communication with the doctor is considered the basis of the patient-doctor relationship. All this corresponds with the feasibility of forming in the domestic health care model of 4P medicine, already repeatedly voiced in recent years on various medical forums. The authors carried out an assessment of the patient-oriented corporate culture of the medical organization. For this purpose, two types of questionnaires were developed and analyzed: “Involvement of health workers” and “Patients’ involvement in treatment”. It has been established that the level of the doctor’s involve- ment in achieving the strategic goals of the medical organization directly affects the level of intention of patients to fulfill doctors’ recommendations. The range of this influence is 43.3% on average

    Authors: Piven D. V. [51] Tsaranov K. N. [5] Lindenbraten A. L. [1] Tarbastaev A. G. [5]

    Tags: 4p medicine3 patient adherence  to treatment1 patient-centeredness1 patient-orientation4 physician involvement1

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  • Management in healthcare
  • 2020 № 4 Perception of a threat to personal security medical professionals in the context of the COVID-19 Pandemic

    The article presents the results of an empirical study of the perception of personal safety threats by medical profes- sionals: doctors and nurses. Respondents were medical staff, conditionally divided into two groups: 1) medics in preparation for entering the high-risk zone; 2) medics working in high-risk areas. The resulting text data was processed by IBM Watson Studio (Version 1.1.0–177). Cluster analysis was carried out using the K-Means model. It is shown that the sources of health workers’ fears are determined by the area of actual workspace: preparation for entry to the high-risk zone or working in direct contact with patients infected with COVID-19.

    Authors: Tsaranov K. N. [5] Tarbastaev A. G. [5] Zhiltsov V. A. [1] Klimova E. M. [3]

    Tags: covid-19 pandemic5 fears1 medical professionals1 personal safety1

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  • Social aspects of health
  • 2020 № 9 Value orientations of the doctor as predictor of efficiency of activity of the medical organization

    The article presents the results of an empirical study of the value orientations of dental clinic employees. It is
    suggested that gaps in human values are factors that influence professional activities in terms of communication (in the
    production team) and ultimately the profitability of the individual in the teams. The initial data is obtained from the reports
    of the clinic’s medical information system and the Schwartz’s Value Survey (SVS) and Portrait Values Questionnaire (PVQ).
    In addition, we used a retrospective analysis and a questionnaire survey. Doctors were divided into two groups based on
    the impact of value gaps on the share of revenue plan fulfillment (type one and type two groups). Attention is drawn to the
    direction of relationships in the group of the first type, all correlations of average strength are direct, in the group of type
    2 – reverse. In the structure of the profile of value orientations, there are differences between the groups on the second
    place in importance for the respondents in the group of the first type are the value orientation (VO) “Achievement” and
    secondly, “Self-Direction”, third place in the group of the first type is “Benevolence”, whereas in the group of the second
    type of “Benevolence” in 4th place. To increase economic efficiency, managers of medical institutions need to organize
    activities to create cultural artifacts about the normative ideals of those values that affect the workflow, take into account
    the data of the employee’s value profile for optimal selection of the team composition (work shift).

    Authors: Tsaranov K. N. [5] Tarbastaev A. G. [5] Klimova E. M. [3] Akimov T. V. [1] Zvansky A. B. [1]

    Tags: effective team formation1 human resource1 personnel management4 raise of patient treatment effectiveness1

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  • Sociology of healthcare
  • 2022 № 2 Adaptation and initial reliability testing of the Russian-language version of the safety attitudes questionnaire for medical organizations

    The article presents the results of adaptation and initial reliability testing of the Russian version of the safety attitudes questionnaire (SAQ) for medical organizations. The reliability of using the questionnaire has been proven: all scales have high internal consistency and correlate with original factors. Using exploratory and confirmatory factor analysis, the features of the seven-factor structure of the Russian version of the questionnaire are shown: 1. teamwork climate; 2. safety climate; 3. job satisfaction; 4. stress recognition; 5. perceptions of management (department level); 6. perceptions of management (hospital level); 7. working conditions.

    Authors: Khayrullin I. I. [7] Tsaranov K. N. [5] Tarbastaev A. G. [5] Klimova E. M. [3] Protsenko D. N. [2] Rakhmatullin R. E. [2] Kononov A. N. [1]

    Tags: adaptation of the questionnaire1 approbation of the questionnaire1 confirmatory and factor analysis1 medical organizations21 safety attitude1

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