Articles with tag: «covid-19»

    Questions and answers
  • 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. [103] Chililov A. M. [11]

    Tags: coronavirus  infection5 covid-1910 federal budget7 incentive payments4 medical workers3 vaccination1

    Read more >

  • 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. [9] Shigabutdinova T. N. [2] Mingazov R. N. [2] Allenov A. M. [1]

    Tags: children6 covid-1910 infant mortality2 preventable mortality1

    Read more >

  • Manager of healthcare consults
  • 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. [103]

    Tags: autonomous institutions1 budget6 budgetary institutions1 coronavirus  infection5 covid-1910 federal budget7

    Read more >

  • 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. [103] Obukhova O. V. [21] Bazarova I. N. [9] Starodubov V. I. [32] Yu. V. Endovitskaya [6] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1910 crisis3 financing11 health care21 mandatory health insurance5 medical organizations18

    Read more >

  • 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-1910 crisis3 financing11 health care21 mandatory health insurance5 medical organizations18

    Read more >

  • Manager of health care consults
  • 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. [103] Obukhova O. V. [21] Bazarova I. N. [9] Starodubov V. I. [32] Endovitskaya  Yu.  V. [5]

    Tags: coronavirus3 covid-1910 crisis3 financing11 health care21 mandatory health insurance5 medical organizations18

    Read more >

  • 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. [12] Kuznetsov S. I. [5] Kudinova E. V. [2]

    Tags: blood5 blood collection4 blood service5 blood transfusion8 covid-1910 pandemic4 safety4

    Read more >

  • 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. [12] Kuznetsov S. I. [5] Kudinova E. V. [2]

    Tags: apheresis3 blood5 blood collection4 blood service5 blood transfusion8 covid-1910 pandemic4 platelets4 pooling3

    Read more >

  • 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. [12] Kuznetsov S. I. [5] Averyanov E. G. [3] Shestakov E. A. [3]

    Tags: blood5 blood collection4 blood service5 blood transfusion8 covid-1910 google trends1 pandemic4 safety4

    Read more >

  • 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. [4] Tarbastaev A. G. [4] Ayupova I. I. [1] Protsenko D. N. [1]

    Tags: covid-1910 eq vas1 eq‑5d‑5l1 gbuz “city hospital no. 40 dzm”1 hrqol1 index eq1 kommunarka1 quality of life3 sars-cov‑2 (2019-ncov)1

    Read more >