[The certification of medical organizations and the enhancement of medical services quality].

The article deals with the issues of licensing and certification in the public health sphere, medical care, pharmacy and social development. In the Kemerovskaya Oblast function about 2 0000 standards of medical services provision. The principal requirements and the criteria of evaluation of activities of public and non-public organizations, establishments and institutions with various forms of property. The system of management of medical and medicinal care in Kuzbass provides to take into account the opinions of patients, objectively assess the availability of medical care, professionalism of medical personnel, conditions of material technical base, sanitary epidemiological regime, pharmaceutical provision, the observance by the medical personal the ethical and deontological norms, adequateness of medical care to the functioning of medical institutions, to assess the amount of financing and effectiveness of using the resources by medical service provider.

[Preliminary results of an evaluation of the effectiveness of general practitioners' work]. / Predvaritel'nye itogi otsenki éffectivnosti obshchikh vrachebnykh praktik.

Results of comparative assessment of the activities of outpatient health centers and general practitioners' activities in the town of Kemerovo are presented.

[Borderline mental disorders in workers in chemical industry plants]. / Pogranichnye psiknicheskie rasstroistva u rabochikh predpriiatii khimicheskoi promyshlennosti.

A total of 550 workers at a chemical plant have been examined for symptoms of borderline neuromental disturbances. The ratio was as follows: 26.8%, normal subjects; 33.7%, predisease state; 10.3%, neurotic reactions; 1.8%, neuroses; 22.7%, neurosis-like states; 4.7%, chronic alcoholism. A normal person presents 2.7 symptoms, a neurotic one, 29.3. The rate of somatic diseases per subject is 1.6 and 3.6 respectively. Depressive and neurotic reactions in the form of neurocirculatory asthenia are quite frequent, being predominant in individuals with a shorter length of service, and are associated with financial and household difficulties and dissatisfaction with the present job.