2018 № 6 The role of injury, poisoning and certain other consequences of external causes of mortality in the population of the Russian Federation
The most significant dynamics of mortality reduction among the main classes is noted from external causes, according to the Russian Federation, the indicator decreased in 2017, in comparison with 2006, twice. Injuries, poisonings and some other consequences of external causes are related to «manageable» causes of mortality and are not only an important indicator of health care, but also the state of the economy and society as a whole. Despite such a significant decline, the mortality from external causes is on indicators that are 2–5 times higher than those of economically developed and developing countries. The greatest contribution to the reduction of mortality from external causes was achieved, first of all, due to road traffic injuries, as well as through injuries, the provision of medical care in which was carried out in a three-level system of trauma centers. A significant proportion in the structure of mortality from external causes is due to acute poisoning. The example of the Chelyabinsk region shows an increase in mortality from drug poisoning, including synthetic origin. The received data testify to the need to take measures aimed at further optimization of the three-level system of trauma centers, as well as the formation of a system for providing medical care for poisoning, including the organization of acute poisoning centers
2021 № 5 Organization of medical care for patients with cancer on the basis of lean production in the interests of developing organizational health-saving technologies during the pandemic
The article presents the results of the application of lean manufacturing (LM) technologies for the successful implementation of the state task of a clinical medical organization to provide high-tech medical care during the restrictions caused by the COVID19 pandemic. The highest degree of implementation of LM values and technologies was achieved in the section of respect for the person and corporate culture – 89%, compliance with specialized standards – 86%, satisfaction with quality and safety, as well as quick response to changes‑85% for each,
which allows implementing organizational health-saving technologies. The most accessible and widespread health-saving technology can be considered specialized information on the prevention of non-communicable diseases posted on the website of a medical organization in a special section and attracting the attention of patients in a voluntary informed consent. The organizational and methodological department can become the organizing structural unit of a medical organization for testing the introduction of lean production technologies and testing organizational health-saving technologies, whose specialists should be engaged in improving the level of professional training of doctors,
specialists in clinical profile and secondary medical personnel on health-saving issues, conducting communication campaigns aimed at increasing the responsibility of patients who come for examination and treatment for their health, their relatives and relatives, awareness of the value of human life and health, the formation of a culture of health in various age and social groups.