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1.
Artigo em Russo | MEDLINE | ID: mdl-34882337

RESUMO

The article presents the original system of indices for comprehensive assessment of level of intersectorial collaboration in palliative medical care support of population. The system was developed on the basis of and considering requirements of normative legal acts of the Russian Federation. The proposed indices can be applied in analysis of functioning and subsequent optimization of medical institutions network and social service institutions in the subjects of the Russian Federation, including involvement of non-profit organizations and public associations.


Assuntos
Cuidados Paliativos , Assistência ao Paciente , Humanos , Federação Russa , Rede Social , Serviço Social
2.
Artigo em Russo | MEDLINE | ID: mdl-34665533

RESUMO

The article considers, on the basis of application of modern information analytical systems, the sequential stages of analysis and evaluation of indices of resource support of medical organizations and technological process of medical care provision. The results of the study permit to discover particular patterns of the course of disease in different gender and age groups,in terms of clinical manifestations and results of instrumental and diagnostic tests. The dependence of results and outcomes of treatment on set and quality of resources of medical organizations is established. The prognostic indices of functioning of medical organization under various alternatives of patients' flows organization as associated with hospitalization level.


Assuntos
COVID-19 , Hospitalização , Hospitais , Humanos , Organizações , SARS-CoV-2
3.
Artigo em Russo | MEDLINE | ID: mdl-34486866

RESUMO

The enhancement of organization of palliative medical care to increase life quality of terminally ill patients is one of directions of development of health care system. To elaborate measures of improving accessibility and quality of palliative medical care, it is necessary to apply single unified methodology of calculating indices and criteria. One of them is provision of bed capacity. The purpose of the study is to elaborate methodology of calculating control indices of provision population with beds to render palliative medical care. The indices are calculated on the basis of statistical processing of monitoring corresponding data in the subjects of the Russian Federation.


Assuntos
Atenção à Saúde , Cuidados Paliativos , Humanos , Qualidade de Vida , Federação Russa
4.
Artigo em Russo | MEDLINE | ID: mdl-33338339

RESUMO

The study objective is to develop classification and to characterize main business processes (production relationships) arising during development of export of medical services in the Russian Federation. METHODS: The study was based on information derived from publications off- and on-line, analysis and evaluation of regulatory legal acts, structuring processes of interaction between elements of organizational system. RESULTS: The classification and characteristics of 59 major external business processes arising in process of developing the export of medical services as part of interaction of subject pairs represented by government organizations, business structures and foreign citizens are proposed. The individual regulating documents also were considered. INTERPRETATION: The proposed structured forms of interaction between subjects participating in export of medical services will help developing new or improving existing regulatory legal acts needed for effective implementation of this process.


Assuntos
Internacionalidade , Organizações , Comércio , Humanos , Federação Russa
5.
Artigo em Russo | MEDLINE | ID: mdl-33161669

RESUMO

The article presents basic methods of assessing and calculating production potential of medical organization. providing specialized medical care in round-the-clock hospital. The described techniques are used to develop standards of provision of medical care as part of territorial program of state guarantees of free medical care for citizens and to improve organizational processes of provision of medical car that allows to more efficiently apply available resources of medical organization.


Assuntos
Hospitais , Organizações
6.
Artigo em Russo | MEDLINE | ID: mdl-31884759

RESUMO

The global health care market demonstrates a steady annual development. According to VISA study, in 2016 the market size was 100 billion US dollars, by 2025 it will reach 3 trillion US dollars and up to 4% of the world's population will receive medical care outside their countries of permanent residence. Exports of medical services are becoming part of government programs. The obvious advantages of developing export of medical services are, first of all, in improving medical infrastructure and quality of patient medical care and organizing additional jobs in many related sectors of national economics as well. The purpose of the study is to identify opportunities and to assess the socio-economic effects of the development of medical services exports in the Russian Federation. As a result of the study, the possibilities of the health care system for more efficient use of available resources, increasing the volume of medical care, as well as the formation of additional financial revenues for solving organizational and managerial tasks of providing material incentives for medical workers, updating the material and technical base, and introducing new medical technologies were revealed.


Assuntos
Atenção à Saúde , Humanos , Federação Russa
7.
Artigo em Russo | MEDLINE | ID: mdl-31765528

RESUMO

The article presents technique of calculation of the planned volume of outpatient care consumed by population of the subject of the Russian Federation considering demographic structure and level of morbidity. The formulas are presented developed for calculating financial costs of outpatient care and treatment in day hospital to be included into of mandatory health insurance program.


Assuntos
Assistência Ambulatorial , Pacientes Ambulatoriais , Assistência Ambulatorial/estatística & dados numéricos , Demografia , Humanos , Seguro Saúde , Morbidade , Federação Russa
8.
Artigo em Russo | MEDLINE | ID: mdl-30748135

RESUMO

The efficient and rational support of quality om medical care rendering is an important aspect of the system of organization of health care functioning. The study considers the development of concept of patient-oriented model of medical care rendering and also system analysis of main parameters of the model. The study was based on the analysis of publications and normative legislative documents of Minzdrav of Russia and the Federal Foundation of mandatory medical insurance, control boards of health care and territorial Foundations of mandatory medical insurance, subjects of the Russian Federation. The comprehensive analysis resulted in formulation of main parameters and propositions of the patient-oriented model. The concept of related model of organization of medical care rendering to population was presented too. The implementation of the proposed concept in case of its appropriate implementation will favor amelioration of clinical outcomes, increasing of satisfaction and compliance of patients, that will permit to optimize organization of medical care rendering.


Assuntos
Atenção à Saúde , Qualidade da Assistência à Saúde , Humanos , Federação Russa
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