Articles with tag: «oncology»

    Sociology of health care
  • 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.

    Authors: Moskvicheva  L.  I. [1]

    Tags: doctors6 health care system5 human resource management system1 oncology6 organizational  factors1 quality of medical care16 social consequences1 syndrome  of  professional  emotional  burnout1

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  • Management in healthcare
  • 2020 № 5 Medical rehabilitation: issues in licensing

    The article provides a legal study of a number of current problems in the field of licensing of medical rehabilitation activities and suggests some ways to resolve them

    Authors: Gameeva E. V. [1] Gabaj P. G. [1] Kostin A. A. [1] Pashigorova L. V. [1]

    Tags: licensing of medical rehabilitation1 licensing requirements2 medical rehabilitation8 oncology6 works (services) that make up medical rehabilitation1

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  • 2020 № 5 Basis of a programmatic approach to ensuringthe quality and safety of antitumor treatment

    The article presents the rationale for the introduction of a single territorial approach to improving the oncological service of the Republic of North Ossetia-Alania on the basis of the “Program for the management of quality and safety of anti-tumor treatment” (Program). The program is based on the principles of quality management, on the industrial model of managing a medical organization and should help increase the efficiency of the entire oncology service of the region

    Authors: A.  M.  Кarsanov [1] A.  V.  Khasigov [1] A.  A.  Kultchiev [1]

    Tags: antitumor treatment1 oncology6 patient safety2 program2 quality management2

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  • 2021 № 1 Activity of daily stay oncological hospitals in the Russian Federation and its regions for 2010–2019

    Relevance. Oncological diseases both in our country and in other countries of the world make a significant
    negative contribution to the overall mortality and disability of the population. Moreover, in the last decade, oncopathology is significantly more often affects the younger, employable population. One of the factors improving medical care is the provision of the population with specialists and hospital beds of oncological profile, including day care, where patients with this class of diseases could undergo a full course of pre-treatment, treatment, rehabilitation and recovery.
    Aim. To identify the dynamics of the main activity indicators of daily stay oncological hospitals of the public health sector in the Russian Federation, federal districts and regions of the Russian Federation for 2010–2019.
    Materials and methods. Using the data of federal statistical observation (form № 14DS) by the method of descriptive
    statistics, the main activity indicators of daily stay oncological hospitals in the Russian Federation, federal districts and
    regions of the Russian Federation in dynamics for 2010–2019 were analyzed.
    Results and discussion. In General, in the Russian Federation, the absolute number of oncologic hospital beds in daily
    stay hospitals of medical organizations providing inpatient care for the period from 2010 to 2019 increased by 3,5 times
    (from 1,448 to 5,013 beds), in daily stay hospitals of medical organizations providing outpatient care for the period from
    2014 to 2019 by 67,1% (from 2,465 to 4,120 beds). At the same time the number of patients treated in oncological hospital beds in inpatient daily stay hospitals for the period 2010–2019 increased by 405,245 (from 78,120 to 483,365 people), and in outpatient daily stay hospitals for the period from 2014 to 2017 increased by 93939 (from 218,502 to 312,441 people). The average occupancy of an oncological hospital bed per year and the average duration of treatment in Russia in inpatient daily stay hospitals decreased from 409 days in 2010 to 380 days in 2019 and from 7,7 to 5,6 days, respectively, in outpatient daily stay hospitals from 407 days in 2014 to 386 days in 2017 and from 4,7 to 4,6 days, respectively.
    Conclusion. The expansion of the bed fund of daily stay hospitals of oncological profile is timely and justified, but its
    development in different regions of the Russian Federation is characterized by a pronounced disproportion. At present
    there are all the necessary reserves to continue the active development of the network of daily stay hospitals of this profile.

    Authors: Evdakov V. A. [5] Banteva M. N. [9] Manoshkina E. M. [7] Melnikov Y. Y. [2]

    Tags: bed fund3 daily stay hospitals1 neoplasms3 oncology6 provision of the population with oncological beds in daily stay hospitals1

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  • Management in health care
  • 2017 № 1 The incidence of malignant neoplasms

    The article provides an analysis of the incidence of malignant neoplasms in Russia in dynamics for 10 years. The main feature of formation and development of cancer care in Russia is its preventive orientation. The experience of early diagnostics of malignant neoplasms expedient from the economic point of view a long-term strategy for the fight against cancer.

    Authors: Denisenko A. N. [2] Kalininskaya A. A. [9] Sulkina F. A. [3] Terentyeva D. S. [2]

    Tags: early diagnosis1 economic impact1 malignant neoplasms3 oncology6 prevention15

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  • 2020 № 10 Efficiency indicators of the round-the-clock hospital beds of the oncologic profile in the Russian Federation

    The steady growth trend of oncological diseases in Russia in recent years requires a response from the health
    care system: development of prevention aimed at early detection of diseases; improvement of methods of diagnostics and treatment of oncopathology; improving the quality and effectiveness of medical care.
    A i m : to identify trends in changes of the neoplasms incidence and performance indicators of oncological beds for
    round-the-clock stay of the state health care system in the Russian Federation, federal districts and regions of the Russian Federation in dynamics for 2010–2019.
    M a t e r i a l s a n d m e t h o d s . Using the data of federal statistical observation (forms NoNo. 12, 30) by the method of
    descriptive statistics, the main indicators of the neoplasms incidence in the population are analyzed, as well as the work
    of round-the-clock oncological beds in the Russian Federation, federal districts and regions of the Russian Federation in
    dynamics for 2010–2019.
    R e s u l t s . On the background of an increase in the neoplasms incidence in the population (by 24.9%), including malignant (1.5 times), for the period 2010–2019 in the Russian Federation increased: the absolute number of oncology beds of round-the-clock stay from 30,970 to 36,186 (+ 16.8%), the provision with these beds from 2.17 to 2.47 per 10,000 population (+ 13.8%), hospitalization rate from 6.1 to 9.6 per 1000 population (+ 57.4%), and decreased: the average length of stay in an oncological bed (from 12.1 days to 8.4 – by 30.6%), as well as the average bed occupancy per year (from 345 to 330 days – by 4.3%). The extreme values of the indicators of the hospitalization rate for round-the-clock oncological beds in the regions of the Russian Federation in 2019 differ 12.8 times, the provision of these beds – 9.2 times, the average bed occupancy per year – 1.5 times, the average length of stay in a bed – 2.4 times. Mortality in oncological hospital beds increased from 0.76% in 2010 to 0.95% in 2019 (by 25%).
    C o n c l u s i o n . The 24-hour oncological bed capacity, against the background of the growth of oncological morbidity,
    has naturally increased, but at the same time it is characterized by an extreme disproportionality of development in the
    Federal Districts and the regions of the Russian Federation. Optimization of the bed fund should be carried out based on
    the objective needs of a particular region, taking into account its characteristics and with the simultaneous development
    of alternative medical services.

    Authors: Evdakov V. A. [5] Banteva M. N. [9] Manoshkina E. M. [7] Melnikov Y. Y. [2]

    Tags: bed fund3 hospital bed3 morbidity9 mortality16 neoplasms3 oncology6 provision with hospital beds3

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