Articles with tag: «doctors»
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2020 № 6 The syndrome of professional emotional burnout in doctors of cancer institutions in Moscow: the prevalence and severity of the syndrome, the factors affecting its development
The health protection system plays an important role in preserving and developing the country’s economic potential. Features of medical activity are a high degree of use of social contacts, its significant responsibility and stress. High requirements for doctors of professional, organizational and psychological nature contribute to the development of constant work stress, against which there is a decrease in the psychological adaptability of specialists, leading to the development of «professional burnout syndrome».
The purpose of this study is to assess the prevalence and severity of the syndrome in doctors who provide specialized high-tech medical care to patients with cancer, as well as to identify factors for the development of this syndrome.
This article presents the results of a survey of 58 doctors. High and extremely high levels of the syndrome were detected in 64% of respondents. Individual, organizational and social factors associated with the development of this condition are identified. As the main methods of prevention and control of this syndrome, preliminary and periodic assessment of the level of employee’s susceptibility to organizational stress, the degree of their satisfaction with organizational factors of work, as well as the social environment is proposed.
The results obtained can help to optimize the process of working with personnel in medical organizations, as well as in- crease the productivity of medical workers. -
2019 № 1 An integrated approach to determining the need for medical personnel on the model of the Tomsk region
The recent history of modernization of the national health care system is characterized by the improvement of the health care system, including in the staff aspect. However, the opinion of the population and experts shows that it was not possible to completely solve the problem of shortage of doctors. This article presents the experience of the Tomsk region in terms of approaches to determining the deficit and imbalance of medical staff. This analysis formed the basis for further actions on staff policy in the health care system of the region.
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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 -
2019 № 4 Activities of departments and offices of functional diagnostics in the Russian Federation, 2012–2017
Relevance. Functional diagnostics is widely used in all branches of practical public health. The purpose of the study was the activities of the departments and offices of functional diagnostics of the Russian Federation. Material and methods. The calculation of intensive indicators of the activity of the departments and cabinets of functional diagnostics according to the number of surveys conducted among the population of the Russian Federation in the outpatient setting among the population of the Russian Federation for the period from 2012 to 2017 has been carried out. Results: analysis of the number of persons examined in total in the units providing medical care on an outpatient basis, by a functional diagnostics doctor per inhabitant of the Russian Federation for the period from 2012 to 2017. showed their growth. Conclusion: the number of surveyed in the offices and departments of functional diagnostics per inhabitant of the Russian Federation for the period analyzed increased by 14.2%. The highest coverage of functional diagnostics is noted in the Volga and Ural federal districts.
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2023 № 3 Scientific substantiation of proposals for improving medical care for villagers.
P u r p o s e o f t h e s t u d y : based on the analysis of the medical and demographic situation and the staffing of the rural population, develop proposals for improving medical care for the villagers.
M a t e r i a l s a n d m e t h o d s : statistical, analytical, direct observation. The article used the forms of state statistical observation of the Ministry of Health of the Russian Federation. The results of the actual research.
Materials and methods: statistical, analytical, direct observation, the forms of state statistical observation of the Ministry of Health of the Russian Federation were used.
R e s u l t s . The rural population in the Russian Federation (2021) is 36,9 million people (25,2% of the country’s population). The proportion of the rural population of working age was 53,8%, which is lower than in Russia as a whole – 56%. A 21-year analysis showed that the birth rate of the rural population increased until 2012, while mortality rates decreased, in 2013 the mortality and birth rates became equal and amounted to 14,5‰ each, in 2020 the death rate increased to 15,4‰ due to the COVID‑19 pandemic. The average (expected) life expectancy of the rural population (70,7 years) is lower than that of the urban population (71,8 years); the indicator for rural men is extremely low (66 years). The
overall incidence of the rural population is 1,4 times lower than that of the urban population, 117993,2 and 166901,5‰oo respectively. Primary morbidity is also 1,5 times lower (55082,4 and 83002,2‰oo, respectively). The difference in primary morbidity rates of the rural population in the federal districts (2020) was 1,3 times, in the constituent entities – 8,3 times. The incidence of COVID‑19 in the rural adult population (2020) was 1986,0‰oo, which is 2 times lower than in the Russian Federation as a whole (3913.9‰oo). There was a significant difference in these indicators (by 59 times) in the subjects of the Russian Federation, which can be associated with a lower density of the rural population,
low availability of medical care in the countryside, as well as the ambiguity of COVID‑19 coding. For 6 years (2016–2021), the provision of doctors in medical organizations in rural areas in the Russian Federation decreased from 14,8 to 13,6‰o, and of nurses – from 54,6 to 49,3‰o. The number of nursing staff individuals working for feldsher-obstetric station decreased by 12,5%, paramedics – by 9,4%. Given the special importance of paramedical assistance in the countryside, the reduction in the number of paramedics should be considered a negative.
C o n c l u s i o n . The unfavorable medical and demographic situation in the countryside requires the development of organizational and managerial decisions aimed at increasing the availability of medical care to the villagers.
C o n c l u s i o n s . Proposals have been developed to improve the provision of medical care to the population of rural areas. -
2019 № 5 The number of the examined doctors of functional diagnostics in calculation per one resident of the Russian Federation
Relevance. Functional research methods are one of the most demanded and important directions in the diagnosis of health care. The purpose of the study was to analyze the number of surveys among the population conducted by doctors of functional diagnostics. Material and methods. Extensive and intensive indicators of the activity of doctors of functional diagnostics in the Russian Federation were calculated according to the forms of federal statistical observation for the period from 2012 to 2017. Results: analysis of the total number of persons examined in the units that provide medical care on an outpatient basis, by a functional diagnostics doctor per resident of the Russian Federation, for the period from 2012 to 2017 showed their growth. Conclusion: the number of functional diagnostics examined by physicians per inhabitant of the Russian Federation increased by 14.2% during the period under review. The highest coverage of functional diagnostics is noted in the Volga and Ural federal districts.
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2018 № 1 About the requirements of the identification and design of preliminary and clinical diagnoses: what you need to pay attention in a medical organization
The article discusses issues related to the organization of the identification and registration of clinical and preliminary diagnoses in accordance with the requirements of order of Ministry of Public Health from 10.05.2017 № 203н. Practical recommendations for filling approved by the Ministry of the Russian Federation of forms of medical documents (medical card of a patient receiving medical care in outpatient facilities, and medical card of the inpatient), taking into account new requirements for the establishment and design of the preliminary and clinical diagnoses. Brought to the attention of healthcare leaders that we now have a criterion of quality of medical care is the fulfillment of the requirements for the compulsory consultation of doctors in case of difficulty of establishing a clinical diagnosis within the specified time
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2016 № 2 Staff time specialist doctors for the provision of medical care in the outpatient setting
In order to implement the Decree of the President of the Russian Federation dated May 7, 2012 № 598 «On improvement of state policy in the sphere of public health» and in accordance with the Action Plan of the Ministry of Health Labor norms in health care, approved by the Interagency Working Group on the organization of rationing of work, the development of professional standards and skill levels in the health sector conducted observed for 2 working weeks of the working process of two specialists: cardiologist, endocrinologist and dentist-therapist in 20 pilot areas of the country. Data analysis observation revealed the need for regulations to establish standards load specialists providing outpatient care to the population due to an increase in the time to visit a patient.