Articles with tag: «pandemic»

    Management in healthcare
  • 2020 № 5 Blood collection during the period of COVID‑19 infection

    We evaluated the work of the Samara Regional Clinical Blood Transfusion Station, the collection and delivery
    of blood components in January-April 2019 and 2020 changes in activity at the beginning of the COVID‑19 pandemic
    infection. The need for blood components decreased: red blood cells – by 16,7%, platelets – by 13,0%, plasma – by 25,6%, cryoprecipitate – by 32,5%. SOKPSK provides the needs of the region’s healthcare in blood components and preparations, as well as the safety of donors and staff. For this: a) new donor recruitment methods have been introduced; b) plasma donors have been transferred to blood and platelet donors. A common pattern is the reduction in the use of medical technologies that require transfusion of blood components. According to the results of the first 4 decades of work, such a reduction in the Samara region is two time less than in other developed countries.

    Authors: Zhiburt E. B. [15] Kuznetsov S. I. [6] Kudinova E. V. [2]

    Tags: blood8 blood collection5 blood service5 blood transfusion10 covid-1924 pandemic6 safety4

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  • Management in health care
  • 2021 № 8 Theoretical approaches to the effective interaction of the state and private medical institutions in the format of public-private partnerships

    Expanding the sphere of interaction between the state and the medical business is one of the priorities for the development of the medical services market in the Russian Federation. The healthcare reform, based on the principles of evidence-based medicine, digital healthcare, and high medical technologies, is primarily aimed at improving the quality of medical services and the availability of highly qualified medical care for all segments of the population. Accessibility, quality and timeliness of medical care are the main postulates of the daily activities of a private medical institution. during the period of increasing crisis phenomena in the economy and social sphere, private medicine can provide significant assistance to the state health service, become the “lifesaver” for the domestic health protection system, which today is mostly represented by the public sector. One of the most effective mechanisms of interaction between the state and private business, adopted all over the world, is the system of public-private partnership.
    The purpose of the study is to analyze possible forms and mechanisms of interaction between the medical business and the state within the framework of public-private partnership.
    M a t e r i a l s a n d m e t h o d s . The assessment of the current regulatory framework was carried out, a significant volume of domestic and foreign literary publications was analyzed, the main theoretical hypothesis was formulated on the basis of the systematic scientific method and a research plan was built.
    R e s u l t s . In the course of the conducted research, objective main cause-and-effect factors affecting the development of an adequate system of public-private partnership in the field of medicine and healthcare have been identified and analyzed, in terms of the distribution of benefits, costs and risks carried out on the principles of long-term, voluntary, manageability, legal validity between a private medical organization and federal and/or municipal executive authorities. The main causal factors include insufficient funding, an unfavorable demographic situation, low efficiency of using the resource base, a reduction in the bed fund under the guise of “optimization”, a decrease in the social level of the population and the redistribution of the medical and diagnostic structure due to the COVID‑19 infection pandemic.
    It should be recognized that the state system of medical care is not always able to fully meet the needs of societies for high-quality qualified medical care. The analysis of foreign literature has shown that medical services abroad successfully use the principle of public-private partnership, redistributing efforts to form the necessary institutional environment in healthcare between private business and the state. Such a form of interaction as concession, leasing, franchise, outsourcing, aufstaffing allows us to optimally balance the interests of the medical business and public health, significantly optimize the budget costs for health protection, especially in a difficult epidemiological period.
    The result of the research was the development of a conceptual and theoretical model of various forms of interaction between private medical business and government agencies within the framework of public-private partnership programs.
    C o n c l u s i o n s . Thus, public-private partnership is an effective economic tool that ensures the coincidence of the interests of private medical business and the state, allowing to make a profit for both subjects of medical activity, with a reduction in state budget expenditures for healthcare purposes, but with the preservation of high quality medical services and resource provision.

    Authors: Muslimov M. I. [1]

    Tags: healthcare management4 healthcare reform1 non-state medical institutions1 pandemic6 ppp1 private healthcare system.2 public healthcare system1 public-private partnership3

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  • 2020 № 9 Donor platelets collection in a pandemic of COVID‑19 infection

    The work of the Samara Regional Clinical Blood Transfusion Station, the collection and delivery of platelet concentrates in
    2018, 2019 and in the first 6 months of 2020 was assessed. The annual demand for platelet concentrates in 2019 increased by 22.9%, and in the first half of 2020 the issue of platelet concentrate decreased by 12.1%, which is associated with a change in treatment work during the period of infection COVID‑19. The proportion of platelets isolated from whole blood in the first half of 2020 decreased from 24.7% (the end of 2019) to 17.4%, (p <0.001). This maneuver made it possible to accept all donors wishing to donate apheresis platelets.

    Authors: Zhiburt E. B. [15] Kuznetsov S. I. [6] Kudinova E. V. [2]

    Tags: apheresis4 blood8 blood collection5 blood service5 blood transfusion10 covid-1924 pandemic6 platelets5 pooling4

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  • Information management
  • 2022 № 4 Relevance of introducing remote surveillance technologies for high-risk patients suffering with cardiovascular diseases during a pandemic Professional burnout of medical nurses: features of generations

    The organization of health support for people with cardiovascular diseases during a pandemic requires limiting direct contact with the patient. It is necessary to introduce/improve technologies for remote monitoring of the condition of high-risk patients with the possibility of prompt response in case of deterioration.
    The purpose of the work – a detailed study of the possibilities of implementing remote technologies for analyzing the condition of high-risk patients with cardiovascular diseases.
    Methods and materials: a detailed analysis of literature sources concerning remote monitoring of the condition of persons suffering from cardiovascular diseases and being at high risk was carried out. Particular attention is paid to studies conducted during the pandemic. The study of the state of the issue of interest was carried out by analyzing publications in the databases: Cyberleninka, PubMed, Elibrary, ScienceDirect, Springerlink.
    Results: the trends in the development of modern technologies for remote analysis of the parameters of the functioning of the cardiovascular system, including pulse rate, blood pressure, and electrocardiographic studies, were determined. Particular attention is paid to assessing the possibilities of counseling the patient through remote communication, options for transmitting data on the patient’s condition, methods of emergency communication.

    Authors: Murzagalieva A. N. [1]

    Tags: cardiovascular diseases2 high-risk group1 pandemic6 remote monitoring2

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  • 2020 № 6 Blood collection during the period of COVID-19 infection

    We searched Google Trends using terms in Russian and English: “coronavirus”, “blood transfusion”, “plasma transfusion”, “donate blood”. Object of study – requests submitted from February 15 to May 25, 2020 in the world, Russia and the USA. Anomalous increase in demand in the USA was revealed corresponding to the booming demand for plasma donors – convalescents of COVID-19: a) for “plasma transfusion” – March 30 – May 2, b) for “donate blood” March 17 – April 7. The studied Russian Google Trends indicators correspond to the reliable work of the blood service, which during the pandemic period solved the main task to provide hospitals with effective and safe components of donated blood. These data provide additional evidence of differences in the scientific validity of blood services in developed countries, and show that Google Trends can serve as a tool to track trends in blood donation.

    Authors: Zhiburt E. B. [15] Kuznetsov S. I. [6] Averyanov E. G. [6] Shestakov E. A. [6]

    Tags: blood8 blood collection5 blood service5 blood transfusion10 covid-1924 google trends1 pandemic6 safety4

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  • Financial management
  • 2022 № 1 Analysis of medical organization website during the Covid-19 pandemic

    The Web site has become an integral part of organizations that use the power of the Internet and online communication platforms to build trust and strengthen relationships with stakeholders during and after a crisis.
    The COVID‑19 pandemic is an uncertain risk factor that requires ongoing analysis of interventions in order to make effective decisions.
    P u r p o s e of the study is to analyze user behavior pattern at medical organization website.
    M a t e r i a l s a n d m e t h o d s . The analysis of the website of the SamSMU Clinics performed using the web-analytics tool Yandex Metrics. The measurement periods has been done between January 2020 and June 2021.
    R e s u l t s . The results showed a change in visitor behavior during the pandemic in the direction of an increase in visits, a decrease in time and depth of browsing, and a change in the type of device used to access the site in favor of the smartphone. The main result was the need to make decisions to improve interaction with patients as part of the development of mobile health.
    F i n d i n g s . The COVID‑19 pandemic has had an impact on medical organization digital marketing. A behavioral shift of site visitors toward increased activity in the use of electronic registration and mobile devices has been revealed. To improve interaction with the target audience, it is necessary to categorize website content into different categories: for the patient, for medical students, and for medical staff.

    Authors: Arhipova S. V. [2] Dvoinikov S. I. [2]

    Tags: marketing analysis1 medical organization50 pandemic6 website1

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