2020 № 5 Incidence of microsporia and trichophytis in the Russian Federation in 2013–2018
Introduction. Purpose. Study of the incidence of microsporia and trichophytis among children. Material and methods. Data of forms of federal statistical observation No. 9 “Data on sexually transmitted infections and contagious skin diseases” in the federal districts of the Russian Federation for the period from 2013 to 2018. The work uses descriptive statistics. Main results. An analysis of the incidence of microsporia in the Russian Federation showed that in the federal districts the dynamics of indicators among children was almost similar to the total population. The highest incidence is found in the Volga and Southern federal districts, both in the general population and among the child population. During the period under study, the incidence of microsporia decreased by 0.2% in the general population and by 8.1% in the infant population. Indicators of trichophytis in both the general population and the infant population were also unstable. At the same time, the incidence of trichophytis in the general population decreased by 7.1%, in children by 11.5%. The most disadvantaged situation in trichophytia was observed in the North Caucasus Federal District, further as the Far East and Siberian federal districts declined. Among the children between the ages of 0 and 14, an unprecedented high incidence rate is observed in the North Caucasus Federal District: from 28.8 in 2014 to 34.7 in 2016, which is higher than in the country as a whole by 4, 4 and 6.7 times, respectively. Conclusion. During the period under study, the incidence of microsporia decreased by 0.2%, among the infant population – by 8.1%, the incidence of trichophytia – 7.1% and 11.5%, respectively.
2017 № 10 Cancer incidence of Nizhny Novgorod region population from the standpoint of the concept of avoidable mortality
The concept of avoidable mortality to evaluate healthcare provisions and identify priorities for improvement of the activity of cancer services in the region. Nizhny Novgorod region is stable is a region with a high incidence of malignant neoplasms and population mortality from cancer. Therefore, the author, using data from nationwide survey, conducted a comparative assessment of morbidity, mortality, one-year mortality, early detection External testing the main locations for the Nizhny Novgorod region. The cluster method allowed to determine the position of the region among other regions of the Russian Federation as the general indicators of cancer incidence, as well as on the most significant types of cancer. The analysis allows to plan differentiated activities in the primary, secondary and tertiary prevention of cancer pro¬grams aimed at reducing and preventing deaths from External testing of specific sites
2014 № 2 Methodical aspects of the analysis of medical workers' labor productivity (SBEI HVT «Altay State Medical University» of the Ministry of Health of Russian Federation, Barnaul, Russia)
Annotation: The theoretical ideas and methodological approaches to substantiation labor productivity indicators have been reviewed, developing the system of labor productivity indicators in public health services. The technique of the analysis of labor productivity in public health services is offered.
2017 № 4 Operational parameters and characteristics of MRI workflow in outpatient clinics of Moscow
We present continuous data of outpatient MRI units in Moscow, 2016. Unit uniformity, identical working conditions, compensation schemes, study justification, process monitoring and result analysis as well as first-time adoption of newest information technologies in Moscow allowed for process characterization and advanced result analysis of 28 outpatient MRI units. Presented data encompasses operational parameters of 64326 MRI examinations with results being evaluated on-line. Yearly median number of examinations for one MRI unit was 2076, with first and third quartile being 1830 and 2836. Reasons of low workload were analyzed. For instance, average number of work shifts in a month varied from 24 (95% CI 18-30) to 49 (95% CI 43-52). Workload during the day also varied. In first four hours of work shift up to 40% of all examinations were performed (95%; CI 40.5-41.2). In last four hours of work shift only 20% of all examinations were performed (95% CI 19.7-20.2). Additionally, the interval between sequential studies was 38 minutes, with first quartile being 29 minutes, and third quartile being 55 minutes. The delay was observed in 50.7 cases (95% CI 50.3-51.4). Every fifth delay was longer than 60 minutes, and in 7.4% of cases - longer than 90 minutes (95% CI 7.2-7.6). In best outpatient clinics, the prevalence of these intervals was only 4.8%. Average waiting interval in outpatient clinics was 7.8 days (95% CI 7.7-7.9). In 44.9% of cases, it was shorter than 6 days (95% CI 39.6-47.5) and in 8.2% of cases examination was performed on the day of study reservation. In several clinics waiting interval did not exceed one day without any detrimental effect on overall workload. The results highlight the need to improve operational processes and overall quality of diagnostic services.
2020 № 3 Collection of statistical data characterizing the quality and safety of medical activities and their analysis by order of the ministry of health of the Russian Federation № 381 of 07.06.2019: what andd how a medical organization should collect and analyze
In the article, the authors pay attention to the fact that in accordance with the Requirements for the organization and conduct of internal control of the quality and safety of medical activities, approved by the order of the Ministry of health of the Russian Federation from 07.06.2019, № 381n, medical organizations must ensure the collection of statistical data characterizing the quality and safety of medical activities, and their analysis. The authors show that, on the one hand, this work includes the collection and analysis of primary statistical data, traditionally carried out by medical organizations within the framework of Federal statistical observation, at the same time, on the other hand, now medical organizations must collect and analyze indicators that characterize the implementation of the tasks set by the Requirements. The publication presents and justifies a specific list of these indicators.