Articles with tag: «tuberculosis»

  • 2023 № 2 Epidemiology of tuberculosis in Russia and Rno-Alania during the COVID-19 pandemic

    The study of the combination of diseases at the present stage of development of medicine is extremely relevant. Among the combined effect of various pathologies on humans and populations, two main concepts are distinguished: comorbidity (the combined effect of diseases on a patient or group), including the underlying and concomitant diseases, and syndemia (the combined effect of diseases at the population level).
    P u r p o s e : to analyze the epidemiology of tuberculosis during the COVID‑19 pandemic to identify trends in Russia as a whole and in North Ossetia-Alania.
    M e t h o d s : a theoretical analysis of the current research situation in Russia in relation to the tuberculosis and COVID‑19 syndemics was carried out. The data sources were annual forms of federal statistical observation.
    R e s u l t s : Significant factors that slow down the dynamics of improving the epidemic situation for tuberculosis in Russia and North Ossetia-Alania are the reduction in the coverage of the population with preventive examinations for tuberculosis. In general, a clear syndemic between the epidemiology of TB and the COVID19 pandemic has not been identified both for Russia and according to the results of the analysis of statistics in RNO Alania. There are social trends to reduce the coverage of the population and belated primary treatment of patients with a general practitioner and phthisiatrician, as well as persons removed from the dispensary, so there is an increase in the proportion of severe forms of TB (with lung tissue destruction, fibrous-cavernous type).
    C o n c l u s i o n s : The identified trends indicate a later appeal of patients during the pandemic and a decrease in population coverage in Russia and in the analysis of data for North Ossetia-Alania. The increase in the proportion of severe forms of tuberculosis is more likely to be associated with the above trends, and not with syndemic. Trends in the dynamics of TB indicators in Russia and North Ossetia-Alania are similar in terms of comparing negative or positive increases in indicators.

    Authors: Kobesov N. V. [1] Zagdyn Z. M. [1] Sinitsyn M. V. [1] Pagieva M. K. [1]

    Tags: covid-1927 north ossetia alania1 pandemic8 russia8 syndemic1 tuberculosis4

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  • Management in health care
  • 2016 № 4 The analysis of the experience of the organization of treatment of TB patients under the program «hospital at home»

    Annotation. The new organizational model of treatment of TB patients – hospital at home was developed and introduced with the purpose to increase efficiency of TB patients’ treatment. We defined indicators for patients’ referral to the «hospital at home». It was proved that the directly observed treatment in a «hospital at home» has high efficiency and low frequency of treatment defaults: completed effectively the course of chemotherapy 90.7% of patients, ineffectively – 2.0%, interrupted treatment – 3.5%, departed – 0.3%, transferred to in-patient departments – 3.5%.

    Pharmacoeconomic analysis showed that treatment cost at a «hospital at home» is 2.5 times lower than that for treating patients in an in-patient department and 1.6 times lower than that in an in-patient department for MDR-TB patients.

    Authors: T. Ch. Kasaeva [1] Belostotsky A. V. [1] Kazenny B. Y. [1]

    Tags: directly observed treatment1 hospital at home1 organization of treatment1 the effectiveness of treatment1 tuberculosis4

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  • 2013 № 11 Methodology of calculating industrial registration indicators, diagnostics and efficiency of medical treatment for patients suffering from tuberculosis (Federal Public Health Institute for Health Care Organization and Information of the Ministry of Public Health of Russian Federation, Moscow, Russia)

    There are announced the principal mechanisms affecting the size of registration indicators, diagnostics and treatment efficiency for patients suffering from tuberculosis. There are presented the consequences of a number of management solutions.

    Authors: Son I. M. [39] Sterlikov S. A. [7] Nechaeva O. B. [2]

    Tags: diagnostics2 industrial indicators1 methodology of calculation1 registration2 treatment efficiency1 tuberculosis4

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  • Economics of health care
  • 2017 № 8 The Results of a study of financing of TB control activities

    Tuberculosis control in the Russian Federation has a high national priority, confirmed a high level of funding for TB activities. The value of the costs per patient of tuberculosis is the highest in the world. The main economic burden of TB falls on the budgets of the constituent entities of the Russian Federation. The article presents the results of the analysis of volumes of financing on the main financial sources and areas of spending of budget funds for TB care in 2015. Presents cross-country comparative analysis of the financing of TB control in countries with high burdens of tuberculosis and tuberculosis, caused by the pathogen with multidrug resistance. The dynamics of the state of basic funds of TB of the medical organizations and the calculations of the financial requirements for their updating

    Authors: Obukhova O. V. [28] Sterlikov S. A. [7] Nechaeva O. B. [2] Belilovsky E. M. [1]

    Tags: anti-tuberculosis measures1 the basic foundations of healthcare organizations1 tuberculosis4

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