Articles with tag: «disability»

    Management in health care
  • 2014 № 6 Problems of evaluation and interpretation of indicators of morbidity, morality and disability from diseases of the circulatory system (Federal State Budgetary Institution <State Research Center for Preventive Medicine under the Ministry of Health of the Russian Federation>, Moscow, Russia; South Ural State Medical University under the Ministry of Health of the Russian Federation, Chelyabinsk, Russia)

    The article examines the differences in the approaches to their assessment of morbidity, mortality and disability caused by diseases of the circulatory system (SBR). On mortality from BSK affect coding errors and selecting the cause of death, the lowest frequency of autopsies on the background of high mortality outside hospitals. Indicators of overall morbidity due to peculiarities of the collection of statistical information is significantly more than the population , while the actual number of sick people is unknown. On disability rates have a significant impact not only and not so much the degree of violation of physical state as psychological characteristics and evaluation of subjective perception of disease by patients and physicians; social factors, regulatory documents. These factors lead to the problems of comparing mortality, morbidity and disability between the Russian Federation and other countries, and between regions of the Russian Federation, the complexity of the information support for management decision-making in health and health care organization.

    Authors: Samorodskaya I. V. [7] Boytsov S. A. [7] Vatolina M. A. [2] Efros L. A. [3]

    Tags: alzheimer's disease1 cardiovascular disease4 daly3 disability4 disease3 mortality16 years of life lost1 yld1

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  • 2013 № 2 Evaluation of the economic efficiency of building workforce disabled after coronary bypass surgery (based approach «cost-benefit of loss») («Chelyabinsk State Medical Academy» of Federal Agency for Healthcare and Social Development the Russian Federation, Chelyabinsk, Russia)

    The research is based on the analysis of the register of patients operated on for CHD in the period 2000–2009 in Chelyabinsk interregional cardiac center on the basis of the Chelyabinsk Regional Clinical Hospital. The present article is concerned with estimation of the potential loss of employment due to disability of patients after coronary bypass surgery. Purpose — the calculation of economic damage from the underproduction of the gross regional product of the Chelyabinsk region in case of disability of the patients with coronary artery disease after coronary bypass surgery. These results allowed us to estimate lost profits for the disabled after coronary artery bypass grafting in total economic loss.

    Authors: Efros L. A. [3]

    Tags: disability4 economic loss1 internal regional product1

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  • 2013 № 1 Utilitarian analysis of the health care effectiveness in the group of patients with disabilities after coronary bypass surgery («Chelyabinsk State Medical Academy» of Federal Agency for Healthcare and Social Development the Russian Federation, Chelyabinsk, Russia)

    Summary. The research is based on the analysis of the register of patients operated on for CHD in the period 2000–2009 in Chelyabinsk interregional cardiac center on the basis of the Chelyabinsk Regional Clinical Hospital. Utilitarian analysis of cardiac surgery may play a crucial role in making organizational, clinical and financial decisions. The purpose — to carry out clinical and economic analysis with the use of the utility index («utility») DALY's (disability adjusted life years) in patients with coronary artery disease after coronary bypass surgery. The result — the values obtained allowed to conclude that a decrease in the degree of disability potentially duration of the life quality increases.

    Authors: Efros L. A. [3]

    Tags: coronary bypass surgery2 daly3 disability4 economic efficiency6

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  • 2020 № 2 Improving the quality of organization and provision of medical care for children with injuries in order to reduce their disability

    Children’s disability is an urgent medical and social problem of modern society, one of the main characteristics
    of public health and social well-being of the country. This article provides additional data on the main trends in primary
    childhood disability, depending on the age and type of injury, type of injury and a damaging factor; presents a medium-
    term prognosis of primary childhood disability due to injuries for the Kursk region. The types of psychological status of a
    family with a child with an injury are determined, and their effect on the implementation of measures for its rehabilitation in
    various types of injuries is studied. The results obtained indicate the importance of an individual approach to each specific
    family with a child with an injury, and the need for work aimed at achieving optimal treatment outcomes and preventing
    the formation of disability. A scheme has been developed for the interaction of various organizations and departments
    involved in the prevention of childhood injuries and the comprehensive rehabilitation of children with the consequences of
    injuries. A scheme of the relationship between the types of rehabilitation and the level of adaptation (somatic, psychological,
    socio-environmental) of children with the consequences of injuries under the age of 12 years is proposed.

    Authors: Grishina N. K. [6] Gordova L. D. [1]

    Tags: childhood injuries1 children with disabilities1 disability4 prevention15 quality of organization and provision of medical care1

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