Articles with tag: «covid-19»

    Questions and answers
  • 2022 № 7 Issues related to changing the procedure for providing state guarantees to employees of medical organizations working with COVID-19

    Emergency and rather extraordinary measures aimed at increasing the degree of social protection of medical workers in connection with the spread of COVID‑19 have been repeatedly changed. At the current stage, characterized by a decrease in the spread of coronavirus infection, these measures have undergone quite drastic changes, the essence of which is discussed in this article.

    Authors: Kadyrov F. N. [113] Chililov A. M. [18]

    Tags: coronavirus  infection7 covid-1916 occupational disease1 social support measures3 state guarantees4

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  • 2021 № 8 Questions implementation of incentive payments to medical workers for vaccination against Covid -19

    In order to financially support medical workers and further motivate them to increase the rate of vaccination against COVID‑19, the Russian Government has introduced special incentive payments for additional workload for medical workers. The established mechanism of financial support and the procedure for making payments is quite complex, since it is aimed at achieving specific practical vaccination indicators. This publication explains some of the issues that arise in connection with the implementation of these payments.

    Authors: Kadyrov F. N. [113] Chililov A. M. [18]

    Tags: coronavirus  infection7 covid-1916 federal budget8 incentive payments5 medical workers4 vaccination1

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  • Public health
  • 2021 № 9 Elimination of preventable child mortality as a global task of the XXI century, including in the context of the COVID‑19 pandemic

    Despite a sharp reduction (by almost 60 percent) over the past 30 years in the mortality of children and young people, including those under the age of five, the global burden of this problem, according to the UN, remains enormous. The paper provides information on the analysis of data from foreign scientific literature on the indicators of child mortality and its causes in foreign countries, including in the conditions of the COVID‑19 pandemic. It is during the pandemic that many countries experience interruptions in the provision of maternal and child health services, such as medical examinations, vaccination, prenatal and postpartum care due to lack of resources. Studies show that the overall risk of death from COVID‑19 in children is quite low. The causes of infant mortality are mainly factors associated with neonatal mortality: premature birth, low birth weight, complications during childbirth, neonatal sepsis, as well as infectious diseases, more often pneumonia, diarrhea and malaria, and insufficient vaccination. In order to prevent and reduce global child mortality, strategies are needed to provide adequate medical and social services to the population, as well as poverty eradication programs.
    P u r p o s e o f t h e s t u d y : to review foreign scientific literature containing information on the analysis of child mortality rates and its causes in foreign countries, including in the conditions of the COVID‑19 pandemic.
    M a t e r i a l s a n d m e t h o d s of research: bibliographic, information and analytical methods and methods of comparative analysis were used.
    R e s u l t s . Studies have shown that only 122 countries were able to achieve the target of mortality of children under the age of five, designated in the “Sustainable Development Goals (SDGs) ” – 25 or less deaths per 1,000 live births by 2019. The death rate of young children is highest in areas where the poor, ethnic or religious minorities, indigenous peoples and people who are discriminated against live. Studies conducted in 2020 showed that the overall risk of death from COVID‑19 in children is quite low.
    The COVID‑19 pandemic has led to serious disruptions in the work of health services, which threaten to negate efforts to eliminate child mortality.
    F i n d i n g s . In order to prevent and reduce global child mortality, strategies are needed to provide adequate medical and social services to the population, programs to eradicate poverty, and provide access to obstetric and prenatal services. Many countries are experiencing disruptions in the provision of maternal and child health services, such as medical examinations, vaccination, prenatal and postnatal care due to a lack of resources during the pandemic. Due to failures in the health system during the COVID‑19 pandemic, additional deaths of children are possible as a result of potential disruption of health systems.

    Authors: Mingazova E. N. [13] Shigabutdinova T. N. [2] Mingazov R. N. [5] Allenov A. M. [1]

    Tags: children7 covid-1916 infant mortality2 preventable mortality1

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  • 2022 № 3 Features of the state of health of students during their training, including in the conditions of COVID‑19

    Purpose: to assess the characteristics of the health status of students in the conditions of education during the pandemic period – 2020–2021. The analysis of the data obtained will form the basis of the developed medical recommendations, organizational measures aimed at maintaining the health of students, including various periods of increased infectious risks.
    Materials and methods: Medical and sociological research was conducted among students of one of the Institutes of the Russian
    State University named after A. N. Kosygin (Technology. Design. Art). The continuous sample of students was 505 people. In the course of the study, socio-hygienic, clinical, statistical, and analytical methods were used.
    Results: It was revealed that in the process of teaching student youth, an increase in the number of people with chronic diseases is determined; diseases of the nervous system, organs of the digestive system, ENT organs and the cardiovascular system prevailed in the structure of chronic diseases of students.
    Findings: It was found that there is no difference between the number of patients with coronovirus infection among students who do not have chronic diseases and among those who have chronic pathology. Among students with chronic diseases and recovering from Covid‑19, the most common were people with chronic diseases of the cardiovascular system, chronic diseases of the upper respiratory tract, and people who often get colds (4 or more times a year). Studying the state of health of students is important, both from the point of view of its comprehensive assessment, and from the standpoint of analyzing subsequent dynamic changes, which makes it possible to identify trends in changes in health in the dynamics of education, as well as to introduce appropriate medical and social adjustments.

    Authors: Mingazova E. N. [13] Gureev S.  A. [6]

    Tags: chronic diseases1 covid-1916 health status1 prevention17 students4

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  • 2022 № 4 Physical activity of students during the COVID‑19 pandemic as a health-saving perspective

    According to the WHO, physical activity contributes to the prevention and treatment of noncommunicable diseases. Lack of fitness is considered an important cause of future lifestyle-related diseases, including metabolic syndrome, diabetes, hypertension, and cardiovascular disease. People with low levels of physical activity have higher body mass index, higher waist circumference and fat mass than those with high levels of physical activity. In recent decades, especially during the COVID‑19 pandemic, physical inactivity and sedentary lifestyles have become a major global public health problem, even among younger populations. All this suggests the special importance of the physical activity of students in difficult life situations, including the conditions of the COVID‑19 pandemic.
    Purpose: to review foreign scientific literature containing information about the characteristics of physical activity of students during the COVID‑19 pandemic and their impact on health indicators, about risk factors and ways to level them.
    Materials and methods: bibliographic, information-analytical and methods of comparative analysis.
    Results: during the COVID‑19 lockdown, students, regardless of baseline fitness scores, reduced time spent in moderate to vigorous physical activity, increasing sedentary lifestyle and screen time. At the same time, first-year students turned out to be the most vulnerable to lifestyle changes due to isolation due to the difficulties of adapting to the conditions of study at the university and to the new realities during the COVID‑19 pandemic. During the lockdown, there has been an increase in the positive relationship observed before the pandemic between students’ physical activity indicators and gender, weight, psychological state and year of study. There is a greater adaptability of women to the conditions of isolation, women more often retained physical activity due to concern for health and shape. Women were more sociable, more often used social networks when doing physical exercises.
    Findings: when developing strategies to stimulate physical activity and create a favorable environment for its implementation during isolation, one should take into account gender differences, socio-cultural factors, the role of the family and close circle, the role of educational organizations. Promoting physical activity among students during the COVID‑19 pandemic requires the joint efforts of the family, the public, the state, health organizations and educational institutions.

    Authors: Gureev S.  A. [6] Sadykova R. N. [2] Mingazov R. N. [5] Tliashinov A. O. [1]

    Tags: covid-1916 physical activity1 sedentary lifestyle1 students4

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  • POPULATION HEALTH
  • 2022 № 7 Analysis of morbidity and staffing of the population of rural areas in the Russian Federation

    Rural health care is the most important socio-economic resource in the system of the agrarian economy.
    Purpose of the study. Based on medical and demographic indicators and analysis of morbidity and staffing of the rural population, develop proposals for improving the organization of medical care for rural residents.
    M a t e r i a l s a n d m e t h o d s : analytical, statistical, direct observation. The article used the forms of federal statistical observation of the Ministry of Health of the Russian Federation.
    R e s u l t s . The mortality rate of the rural population over the 20 years of analysis for all the years has been and remains higher than that of the urban population. In 2020, there was a sharp increase in the mortality of the population: urban – from 11,9 to 14,3‰, rural – from 13,3 to 15,4‰, which is associated with the COVID‑19 pandemic. The indicators of the general and newly diagnosed morbidity of the rural population are lower than those of the urban population, which is associated with the low availability of medical care to the rural population.
    The ranking of indicators of the general incidence of the rural population in the federal districts of the Russian Federation (2020) showed that the difference in indicators was 1,5 times. The highest indicator was noted in the Volga Federal District – 142220,6‰00, the lowest in the Far Eastern Federal District – 96922,8‰00. In the subjects of the Russian Federation, the difference in indicators is 8 times. Lower rates of primary morbidity in the rural population than in the urban population were noted for all classes of diseases. The incidence of COVID‑19 among rural residents was 2151,9‰00, lower than in urban areas – 4539,5‰00, in the Russian Federation the figure was 3384,5‰00. In 2020, the primary morbidity rate of the rural population decreased for all classes of diseases, except for respiratory diseases. In dynamics (2014–2020), the provision of medical organizations located in rural areas increased with doctors from 12,1 to 14,0‰0, with nurses from 44,4 to 50,3‰0, the number of physical EMS persons decreased by 14,8%, paramedics – by 11,6%, the number of FAPs and AFs decreased by 8,9%. The analysis shows that the Decree of the Government of the Russian Federation dated 02.02.2015 No. 151-r “Target indicators of the strategy for sustainable development of rural areas of the Russian Federation for the period up to 2030” is not being implemented.
    C o n c l u s i o n . Proposals for providing medical care to the population of rural areas are presented

    Authors: Kalininskaya A. A. [12] Lazarev A. V. [3] Shlyafer S. I. [4] Kizeev M. V. [3] Bakirova E. A. [2]

    Tags: covid-1916 doctors7 medical and demographic situation2 morbidity (general1 mortality19 paramedic1 primary health care (phc)2 primary premedical health care (pfmsp)1 primary)1 rural population4 staffing9

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  • Manager of healthcare consults
  • 2020 № 5 Russian Health Care in the background coronavirus COVID-19: Opportunities and Threats

    The effectiveness of any public system, including health care, is determined by the adequacy of its legal regulation. The situation with coronavirus exposed many problems in this area, a number of which were quickly resolved with varying degrees of success. However, there are still many unresolved issues and the need to further improve the legal regulation of health care. This applies, among other issues, to the remuneration of medical workers engaged in providing medical care to patients who have been diagnosed with COVID‑19 coronavirus infection. The article presents an analysis of the procedure for implementing incentive payments at the expense of Federal funds, and suggests measures to improve it. The article presents a SWOT analysis of the state of Russian healthcare against the background of the spread of COVID‑19 coronavirus.

    Authors: Kadyrov F. N. [113] Obukhova O. V. [24] Bazarova I. N. [12] Starodubov V. I. [34] Yu. V. Endovitskaya [6] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1916 crisis3 financing12 health care23 mandatory health insurance5 medical organizations21

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  • 2020 № 9 State measures to support the budget and budget institutions at the current stage of the spread of coronavirus infection

    Despite the fact that the main source of financial support for health care is currently the means of compulsory
    medical insurance, the importance of the Federal budget and the budget system as a whole for the functioning of the
    industry cannot be overestimated. In the context of the spread of coronavirus infection, budget legislation is undergoing major changes, with many changes being temporary and aimed at ensuring the budget process in specific conditions related to the fight against COVID‑19.

    Authors: Kadyrov F. N. [113]

    Tags: autonomous institutions1 budget7 budgetary institutions1 coronavirus  infection7 covid-1916 federal budget8

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  • 2020 № 4 The effect of coronavirus Сovid-19 on the situation in Russian healthcare

    The relatively slow initial rate of spread of COVID-19 coronavirus in Russia has its own objective reasons related to the size of the territory, population density, tourist activity of the population, etc. They have played a positive role in making it possible to better prepare for the fight against it, taking into account, among other things, the experience of countries where the rate and scale of the spread of the coronavirus was much higher.
    Despite the serious damage to the economy, there are no global financial threats to health care yet. However, it is important that resources arrive in time to medical organizations in the context of large-scale conversion of beds, etc. Unavoidable periods of downtime during periods of re-profiling, being in standby mode, etc., lead to the fact that many medical organizations risk finding themselves in a difficult financial situation, even with sufficient resources in the industry. Therefore, at this stage, it is sometimes more important than serious financial infusions, and mechanisms aimed at com- pensating for the loss of income.

    Authors: F.  N.  Kadyrov [9] O.  V.  Obukhova [3] Yu. V. Endovitskaya [6] V.  I.  Starodubov [1] I.  N.  Bazarova [1] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1916 crisis3 financing12 health care23 mandatory health insurance5 medical organizations21

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  • Manager of health care consults
  • 2022 № 1 Financing of the compulsory health insurance system in 2022

    The most important factor affecting the amount and methods of financial support of the compulsory medical insurance system, as in the last two years, continues to be the spread of coronavirus infection COVID‑19.
    In the proposed paper discusses not only the indicators of the budget of the Federal compulsory medical insurance Fund, but the dynamics of indicators, including, in comparison with the rate of inflation, and other factors.
    New directions of the use of compulsory medical insurance funds are identified, the reasons for their appearance are considered.

    Authors: Kadyrov F. N. [113] Obukhova O. V. [24] Bazarova I. N. [12] Endovitskaya  Yu.  V. [8]

    Tags: budget7 compulsory health insurance15 covid-1916 deficit6 expenses7 federal chi fund2 financing12 healthcare9 income6 inter-budget transfers2 subventions2

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  • 2020 № 6 Assessment of public policy in relation to certain issues of healthcare functioning during the spread of COVID-19 Coronavirus 

    Health care, as a predominantly public system, is objectively subject to serious regulation in special operating conditions, which include the spread of COVID-19 coronavirus infection. It is also important that the private healthcare system is also subject to direct or indirect regulation. At the same time, public authorities are sometimes forced to resort to "manual management", the consequences of which are not always clear for both public and private health care.

    Authors: Kadyrov F. N. [113] Obukhova O. V. [24] Bazarova I. N. [12] Starodubov V. I. [34] Endovitskaya  Yu.  V. [8]

    Tags: coronavirus3 covid-1916 crisis3 financing12 health care23 mandatory health insurance5 medical organizations21

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  • 2022 № 7 Issues related to the replacement of special social payments for work with COVID-19 with compensation payments

    The article discusses issues related to the suspension of special social payments for work with COVID‑19 and their replacement with compensation payments. Problems such as the procedure for completing existing payments, lists of employees who are subject to compensation payments, measures that need to be taken by medical organizations in a new situation are considered.

    Authors: Kadyrov F. N. [113] Chililov A. M. [18]

    Tags: compensation payments1 coronavirus  infection7 covid-1916 social support measures3 special social benefits1

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  • Management in healthcare
  • 2020 № 5 Blood collection during the period of COVID‑19 infection

    We evaluated the work of the Samara Regional Clinical Blood Transfusion Station, the collection and delivery
    of blood components in January-April 2019 and 2020 changes in activity at the beginning of the COVID‑19 pandemic
    infection. The need for blood components decreased: red blood cells – by 16,7%, platelets – by 13,0%, plasma – by 25,6%, cryoprecipitate – by 32,5%. SOKPSK provides the needs of the region’s healthcare in blood components and preparations, as well as the safety of donors and staff. For this: a) new donor recruitment methods have been introduced; b) plasma donors have been transferred to blood and platelet donors. A common pattern is the reduction in the use of medical technologies that require transfusion of blood components. According to the results of the first 4 decades of work, such a reduction in the Samara region is two time less than in other developed countries.

    Authors: Zhiburt E. B. [14] Kuznetsov S. I. [6] Kudinova E. V. [2]

    Tags: blood7 blood collection4 blood service5 blood transfusion10 covid-1916 pandemic6 safety4

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  • Management in health care
  • 2020 № 9 Donor platelets collection in a pandemic of COVID‑19 infection

    The work of the Samara Regional Clinical Blood Transfusion Station, the collection and delivery of platelet concentrates in
    2018, 2019 and in the first 6 months of 2020 was assessed. The annual demand for platelet concentrates in 2019 increased by 22.9%, and in the first half of 2020 the issue of platelet concentrate decreased by 12.1%, which is associated with a change in treatment work during the period of infection COVID‑19. The proportion of platelets isolated from whole blood in the first half of 2020 decreased from 24.7% (the end of 2019) to 17.4%, (p <0.001). This maneuver made it possible to accept all donors wishing to donate apheresis platelets.

    Authors: Zhiburt E. B. [14] Kuznetsov S. I. [6] Kudinova E. V. [2]

    Tags: apheresis4 blood7 blood collection4 blood service5 blood transfusion10 covid-1916 pandemic6 platelets5 pooling4

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  • Information management
  • 2020 № 6 Blood collection during the period of COVID-19 infection

    We searched Google Trends using terms in Russian and English: “coronavirus”, “blood transfusion”, “plasma transfusion”, “donate blood”. Object of study – requests submitted from February 15 to May 25, 2020 in the world, Russia and the USA. Anomalous increase in demand in the USA was revealed corresponding to the booming demand for plasma donors – convalescents of COVID-19: a) for “plasma transfusion” – March 30 – May 2, b) for “donate blood” March 17 – April 7. The studied Russian Google Trends indicators correspond to the reliable work of the blood service, which during the pandemic period solved the main task to provide hospitals with effective and safe components of donated blood. These data provide additional evidence of differences in the scientific validity of blood services in developed countries, and show that Google Trends can serve as a tool to track trends in blood donation.

    Authors: Zhiburt E. B. [14] Kuznetsov S. I. [6] Averyanov E. G. [5] Shestakov E. A. [5]

    Tags: blood7 blood collection4 blood service5 blood transfusion10 covid-1916 google trends1 pandemic6 safety4

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  • 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. [6] Tarbastaev A. G. [6] Ayupova I. I. [1] Protsenko D. N. [2]

    Tags: covid-1916 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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