Articles with tag: «prevention»

    Sociology of health care
  • 2020 № 3 Population relation research to the healthy lifestyle (on the example of the fish and suburban region of Republic of Tatarstan)

    One of the main tasks of modern health care is decrease in incidence and noninfectious diseases mortality of the population which are preventable at observance of a healthy lifestyle, early identification and timely effective treatment. Results of a sociological research of the relation to a healthy lifestyle on estimates of adult population of the Fish and Suburban Region of Republic of Tatarstan are presented in article. Purpose: reveal commitment of the population to a healthy lifestyle, investigate connection of a healthy lifestyle with presence of noninfectious diseases. The research is conducted on the basis of questionnaire by method of random check of adult population. 2346 respondents from 21 year to 74 years took part in questioning. Authors developed the questionnaire concerning commitment of the population to a healthy lifestyle and presence of noninfectious diseases.. The average physical activity among all respondents is slightly higher than 20%. The commitment to a healthy power supply in all groups does not exceed 25%. Respondents aged from 31 to 40 years are most committed to healthy nutrition. Among the polled respondents smoke 22.21%, regularly take alcohol of 0.2%. From among the respondents who noted presence of cardiovascular diseases of 98.6% monthly visit the doctor and regularly take medicines; with digestive tract diseases monthly visit the doctor of 16.3% and regularly take the drugs of 18.5% of respondents; from among respondents with diabetes regularly take the drugs and monthly visit the doctor of 100%. Analyzing data retrieveds, authors came to a conclusion that the commitment to a healthy lifestyle among the population does not exceed 30%. Results of questioning of the population can be used when developing the address program of treatment-and-prophylactic actions for forming of commitment to a healthy lifestyle for each age group.

    Authors: E.  A.  Kitayeva [1] Т.  А.  Suyetina [1] S.  R.  Sabitov [1] M.  R.  Kitayev [1]

    Tags: commitment2 healthy lifestyle5 noninfectious diseases3 population4 prevention15 questioning1 republic  of  tatarstan.1

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  • Social aspects of health
  • 2019 № 5 Satisfaction of the population with the organization of clinical examination of certain groups of the adult population on the example of a constituent entity of the Russian Federation

    One of the criteria for the quality and availability of clinical examinations is the satisfaction of the population with the obtained preventive care. The subject of the study was the level of satisfaction of citizens who underwent medical examination, accessibility and quality of its organization. The following methods are used in the work: content analysis of scientific literature and regulatory documents; statistical method; analytical method. The reliability of the results obtained was evaluated by the method of calculating confidence limits. Applied correlation analysis. A sociological survey of 568 respondents who have undergone clinical examination of the adult population. Identified a number of subjective and objective problems in the organization of clinical examination. The degree of satisfaction of the population with the availability and quality of the organization of clinical examination of the adult population is determined. A correlation was found between the satisfaction of citizens with clinical examination and its availability. Proposed measures aimed at improving the organization of medical examination.

    Authors: Khodakova O. V. [3] N.  V.  Koshevaya [1]

    Tags: citizens’  satisfaction1 clinical  examination  of  the  adult  population1 correlation  interrelation.1 prevention15

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  • 2019 № 2 The sistem of the pushing influences (Nudge) as a factor of increase in efficiency of formation at the population of commitment to a healthy lifestyle

    Results of the researches devoted to studying of a role of a system of the pushing impacts on increase in efficiency of prevention of noninfectious diseases and formation of commitment to a healthy lifestyle are presented in the review of literature. These literatures demonstrate that a complex of actions on increases in efficiency of prevention of noninfectious diseases and pushing of the population to maintaining a healthy lifestyle by change of a context of the environment and indirect impact on their representations concerning a healthy lifestyle have the proved efficiency and has a certain potential for reduction of risk of development of noninfectious diseases. Article is constructed on pilot studies of the foreign scientists connected with identification of features of thoughts and behavior of people at assessment and forecasting of uncertain situations within which, in particular, it is shown that people are mistaken at decision-making and their mistakes are subordinated to certain psychological regularities which are revealed and well experimentally proved by researchers. It is about fundamental laws of social psychology in the field of decision-making: heuristics in decision-making, the subjective probability, forecasting psychology, irrational predictability, causal and diagnostic conclusion, the theory of attribution and an error of attribution, tendency to conformality, assessment of difficult probabilities, intuitive forecasting, etc. Most fully the description of experiments in Russian is submitted at D. Kahneman [16], and the applied aspect is most fully presented in [8]. On the basis of the carried-out analysis of foreign and Russian literature of approaches to the organization of prevention in the field of noninfectious diseases and formation of a healthy lifestyle we allocated incentives and factors which do not bear in themselves the direct bans or restrictions, but are capable to have a necessary impact on people in terms of formation of a healthy lifestyle and prevention of noninfectious

    Authors: Kitayeva E. A. [2] Suetina T. A. [1] Kitaev M. R. [1]

    Tags: behavioural economy.1 noninfectious diseases3 nudge1 prevention15 pushing1

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  • Public health
  • 2021 № 8 Concerning the process of forming motivation to a healthy lifestyle

    The components of the concept of a healthy lifestyle, starting with the provisions presented in early sources, are considered from the standpoint of management. It was found that it is difficult to achieve the increase of the number of citizens leading a healthy lifestyle in the absence of clear criteria for the healthy lifestyle, since there is an objective difficulty in assessing the lifestyle of people. It is definitely necessary to formulate the basic principles for creating lists of criteria for healthy lifestyle in order to effectively motivate citizens for health-preserving behavior.
    The need was identified to update and expand a number of modern lists that are used to obtain information that serves as the basis for making managerial decisions in the field of public health protection at the strategic level based on the analysis of the main existing lists of criteria for a healthy lifestyle. It is proposed to create an individual list of criteria for a healthy lifestyle by forming a low-variability part using the traditional approach, and a high-variability part using the personalized approach.
    The formulated principles of compiling lists of criteria for a healthy lifestyle can be used in the system of motivating and stimulating citizens to health-preserving behavior, aimed at reducing the prevalence of known behavioral risk factors for diseases.

    Authors: Vigdorchik Y. I. [1]

    Tags: health protection2 healthy lifestyle5 motivation2 motivation process1 prevention15 public health8

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  • Personnel management
  • 2021 № 4 PROFESSIONAL BURNOUT OF NURSES: FEATURES OF GENERATIONS

    Professional burnout among nurses is an urgent public health problem, which negatively affects the quality of medical care. A specialist’s belonging to a certain generation determines its own characteristics of the response to stress factors and the development of professional burnout.
    Purpose of the study is to determine the main patterns of occurrence of professional burnout among nurses depending on the generation for development and implementation of targeted prevention methods.
    Materials and methods. A one-stage comparative study was planned and conducted using a specially designed questionnaire, including a burnout questionnaire MBI (Maslach Burnout Inventory) and questions assessing professional performance and socioeconomic status to determine the factors of professional burnout. All nurses were stratified into three generational groups.
    Results. The study involved 2486 nurses. It was found that respondents of all generations were prone to professional burnout, with a high and extremely high degree. At the same time, the third generation was most susceptible to the development of professional burnout, the first was the least. The main predictors of the development of professional burnout in the third generation were: lack of sleep and rest, low salary and large loan payments, excessive work load; in the first – the presence of chronic diseases. The second generation had a smaller percentage of respondents with an extremely high degree of professional burnout, because they were characterized by lower labor intensity, lack of sleep deficit and the highest salary.
    Findings. Thus, prevention measures can be individual for each generation, with considering the differences in predictive and protective factors. While, it is necessary to focus on the youngest, third generation, reinforcing factors preventing the development of professional burnout.

    Authors: Kobyakova O. S. [9] Deev I. A. [6] Kulikov E. S. [2] Levko A. N. [1] Tyufilin D. S. [1] Chigrina V. P. [1] Kononova L. A. [1] Chernov D. Y. [1] Kuzhuget R. A. [1]

    Tags: factors3 generations1 nurses5 prevention15 professional burnout2

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  • Management in healthcare
  • 2019 № 4 Prevention of chronic non-infectious diseases prevention in Russia: possibilities of optimization

    Chronic non-communicable diseases (CNCD) remain the cause of three-fourths of deaths in Russia, but their control is not productive enough. Achieving of planned mortality reduction to 2025 among employable persons by 25,4%, from cardiovascular diseases – by 16,5% and from cancer – by 6% is possible only due to CNCD prevention. However, the costs on the «Centers of Health» activity are not justified from the point of view of their effectiveness, and dispanser- ization is not yet fully balanced in structure and volume. The analysis of some financial, organizational, methodological, legal and reporting documents makes will be it possible to identify problems and to offer systemic measures to optimize CNCD prevention.

    Authors: T.  M.  Maksikova [1] A.  N.  Kalyagin [1]

    Tags: chronic non-infectious diseases2 dispanserization1 organizational problems1 prevention15 risk factors5 the centers of health1

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  • Management in health care
  • 2021 № 5 Health centers – a tool for improving the prevention of chronic non-communicable diseases in the Russian Federation

    There are Health Centers in Russia that deal with the early diagnosis and prevention of risk factors for chronic non-communicable diseases (NCD).
    M a t e r i a l a n d m e t h o d s : the data of 9505 visitors who applied to the Health Centers of Tomsk were analyzed.
    Purpose to identify the most significant combinations of risk factors for the development of NCD among visitors to Health Centers.
    R e s u l t s : 70% of people had two or more behavioral risk factors. Two or more metabolic risk factors were identified in 37% of people. The prevalence of combinations of behavioral risk factors remains almost constant in all age groups, while the prevalence of metabolic risk factors significantly increases starting from the age of 30–34 years. The combination of physical inactivity and inappropriate nutrition is most significant for the development of high blood pressure, hypercholesterolemia and excess body weight in persons under 30 years of age. Individuals under 30 years of age have a higher risk of developing coronary artery disease and diabetes in the presence of combinations of metabolic risk factors (excess body weight, increased blood pressure and hypercholesterolemia). The risk of developing hypertension, ischemic heart disease and diabetes mellitus significantly increases with an increase in BMI for each unit, starting from a BMI of 22 kg/m2. It is noteworthy that this is still within the normal range. The risk of developing hypertonic disease and coronary artery disease significantly increases with an increase in cholesterol for every 0.5
    mmol/l, starting from normal values.
    C o n c l u s i o n s : the primary goal of preventive measures should be persons under 30 years of age without metabolic risk factors and with a combination of behavioral factors.

    Authors: Shibalkov I. P. [7] Starovoitova E. A. [1]

    Tags: chronic non-communicable diseases2 combinations of risk factors1 health centers2 prevention15

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  • 2015 № 8 Adult population’s quality clinical examination management in outpatient organizations on the basis of the process approach

    Aim of the study: Development of quality management system in health care organization in periodic health examination of target adult population groups. The developed materials could be exploited in similar institutions engaged in the periodic health examinations.

    Authors: Son I. M. [38] Tyazhelnikov A. A. [1] A. Sh. Senenko [5] Yumukyan A. V. [1] Volkova N. V. [1]

    Tags: periodic health examination1 prevention15 process approach7 quality management system7

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  • 2020 № 7 Modern approaches to the construction of an effective model of preventive work with children

    The approaches to the analysis of the information of the medical information system about the child population
    attached to the medical organization (22,950 children) are described to identify homogeneous groups in order to build a
    preventive work plan with each. The team of experts of the medical organization has developed an electronic work plan for
    4,745 options for monitoring a child, which is implemented as a computer program that allows you to automatically rearrange
    the plan. It is considered as a sequence of standard operating procedures. The program automatically “restructures”
    the calendar plan of work with the child, allowing you to complete the missed work in an acceptable time for the child
    and the performer. The use of such planning is especially necessary for work in the conditions of prevention of COVID‑19.

    Authors: Choloyan S. B. [9] Pavlovskaya O. G. [8] Sheenkova M. V. [7] Ekimov A. K. [8] Baygazina E. N. [6] Tricomenas N. N. [3]

    Tags: medical care for children4 medical information system5 medical planning1 prevention15 process approach7

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  • 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 № 2 Improving the quality of organization and provision of medical care for children with injuries in order to reduce their disability

    Children’s disability is an urgent medical and social problem of modern society, one of the main characteristics
    of public health and social well-being of the country. This article provides additional data on the main trends in primary
    childhood disability, depending on the age and type of injury, type of injury and a damaging factor; presents a medium-
    term prognosis of primary childhood disability due to injuries for the Kursk region. The types of psychological status of a
    family with a child with an injury are determined, and their effect on the implementation of measures for its rehabilitation in
    various types of injuries is studied. The results obtained indicate the importance of an individual approach to each specific
    family with a child with an injury, and the need for work aimed at achieving optimal treatment outcomes and preventing
    the formation of disability. A scheme has been developed for the interaction of various organizations and departments
    involved in the prevention of childhood injuries and the comprehensive rehabilitation of children with the consequences of
    injuries. A scheme of the relationship between the types of rehabilitation and the level of adaptation (somatic, psychological,
    socio-environmental) of children with the consequences of injuries under the age of 12 years is proposed.

    Authors: Grishina N. K. [6] Gordova L. D. [1]

    Tags: childhood injuries1 children with disabilities1 disability4 prevention15 quality of organization and provision of medical care1

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  • Law
  • 2020 № 7 On the issue of legal protection of adolescent girls ‘ reproduc tive health

    The article presents an overview of modern approaches to legal protection of reproductive health of adolescent girls
    in the Russian Federation. The system aspects of health protection of girls and adolescent girls, as well as prevention of violations
    of reproductive health formation, are taken into account. The research was based on Federal laws, regulatory and legislative acts
    of individual subjects of the Russian Federation, and relevant scientific publications. The legal priority in ensuring the reproductive
    health of girls and adolescent girls is determined by the availability and quality of specific medical care, as well as relevant sections of the main legal documents.

    Authors: Mingazova E. N. [8] Zhelezova P. V. [2] Samojlova A. V. [1] Zagorujchenko A. A. [1] Shigabutdinova T. N. [2]

    Tags: adolescent girls1 eproductive health1 health3 health protection2 legal regulation1 legislation4 prevention15 regulatory framework1

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  • Infection security in health and prevention entities
  • 2013 № 1 Modern Aspects of prevention of hospital infection in high-tech medical center (as exemplified by trauma and orthopedic profile) (The Federal State Institution Federal Center for Traumatology, Orthopedics & Endoprothesis Replacement, Cheboksary, Russia)

    Based on the analysis of FSBI «Federal Centre for trauma, orthopedics and endoprosthesis replacement », the Health Ministry of Russia (Cheboksary) developed a scheme for prevention of hospital infections in high-tech medical center. During 2009–2011 laboratory studies of environmental, medical products, swabs from the hands of members of the operating team, the patient's skin in the surgical field 100% of cases showed negative results. A group disease incidence of hospital infections and occupational diseases among medical workers are not registered. Proportion of infectious complications is at the average 0,36%, which, in our opinion, is due to endogenous infection (pathogenic and conditionally pathogenic micro flora in the setting of chronic foci of infection, long-term use of steroids, cytotoxic drugs).

    Authors: Nikolaev N. S. [4] Orlova A. V. [3] Andreeva V. E. [2]

    Tags: endoprosthesis replacement1 hospital infection1 organization1 prevention15

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  • Foreign experience
  • 2019 № 10 Overview of interdepartmental programs for public health care

    “In the Decree of the President of the Russian Federation of 07.05.2018 No. 204 “About the national purposes and strategic problems of development of the Russian Federation until 2024” achievement of the following target indica¬tors is established: increase by 2024 in the expected life expectancy at the birth till 78 flyings and till 80 flyings by 2030)”. Prevention of noninfectious diseases on an interdepartmental basis is necessary for achievement of such indicators. We carried out the overview of federal orders, resolutions, a regulatory framework and interdepartmental programs for public health care. The analysis of literature showed that in the Russian Federation development and realization of the strategy, projects and programs directed to prevention of noninfectious diseases and forming of commitment of the population to a healthy lifestyle is conducted many of which are between sectoral and use the principles of “Health in all strategy”.

    Authors: Kitayeva E. A. [2]

    Tags: commitment2 healthy lifestyle5 interdepartmental approach1 noninfectious diseases3 overview of literature1 prevention15 public health care1

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  • Financial management
  • 2016 № 2 The economical effectiveness of actions preventing the expansion of incidents of substance and alcohol abuse

    The analysis of economical effectiveness of preventative measures against substance and alcohol abuse in the Kostromskaya region between 2008–2012 years showed a presence of significant losses for the region’s economy, prompted by the population’s morbidity for drug and alcohol abuse among the young and employable population. There was noted a low level of financial provision of regional target-oriented programmes and a deficit in current financing of narcology service, what in turn makes the medical aid considerably less accessible. The level of achieved indicators for evaluating the effectiveness of the narcology service’s activity demonstrated that there is a significant retardment among the regions, included in the process of realization of the concept for modernizing the narcology service of the Russian Federation.

    Authors: Bryun Е. А. [1] Pochitaeva I. P. [1]

    Tags: accessability1 economical effectiveness3 prevention15 target-oriented programmes1

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