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Journal articles on the topic 'Medical personnel Medical economics'
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Lloyd, John. "Teaching health economics to medical personnel from developing nations." Health Manpower Management 22, no. 5 (October 1996): 34–36. http://dx.doi.org/10.1108/09552069610129681.
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Pavlenko, Olena, Vitalii Sukalenko, Oleksii Shkulipa, and Meena Sunildutt Sharma. "Personnel management features of medical institutions." Health Economics and Management Review 2, no. 1 (2021): 44–53. http://dx.doi.org/10.21272/hem.2021.1-05.
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This article summarizes the arguments and counter-arguments within the scientific discussion on personnel management in health care organizations. The study’s main purpose is to identify opportunities to improve the efficiency of medical staff through innovative forms of labor organization and HR management. Systematization of scientific background and approaches on personnel management in health care showed that staff development is a priority in health care. The authors emphasized the high competition in the Ukrainian services market. Thus, improving the service quality is the key element for successful any business activity. The relevance of solving this scientific problem is a need to regulate the organization’s personnel policy. To achieve this goal, the study was conducted in the following logical sequence: 1) investigation of the theoretical advances devoted to personnel management of health care facilities and features of this process; 2) analysis of the activity and organizational structure of the University Clinic of Sumy State University; 3) assessment of the motivation and satisfaction of the medical staff of the University Clinic of Sumy State University; 4) identification of the main motives, incentives, and reasons to work; 5) analysis and generalization of the available personnel management tools of the University Clinic of Sumy State University regarding identifying the responsible for personnel management and determining main motivation methods of medical staff. The methodological tools of the study are statistical methods and questionnaires. The study involved data for 2019-2020. The object of the study is the personnel management system of the University Clinic of Sumy State University. The empirical analysis results showed a relationship between several problems, including personnel, organizational and economic. The study empirically confirms and theoretically proves that personnel management affects the effectiveness of health care services. With the study findings, the authors proposed a set of measures to improve the efficiency of the existing personnel management system of the University Clinic of Sumy State University.
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Myroshnychenko, Ganna, and Yuliya Polegenka. "ТЕОРЕТИЧНИЙ БАЗІС ФОРМУВАННЯ СИСТЕМИ УПРАВЛІННЯ ПЕРСОНАЛОМ МЕДИЧНОГО ЗАКЛАДУ." Economical 1, no. 1(22) (2020): 97–105. http://dx.doi.org/10.31474/1680-0044-2020-1(22)-97-105.
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In modern market economy, among the variety of problems associated with the normal and efficient development of enterprises and organizations, one of the main problem is the personnel management. In the near future, the best development will be achieved by those organizations that focus on human resources and their management. Data shows that strategic personnel management in the current context of health care reform will increase the competitiveness of medical institutions. The paper analyzes the state of staffing in the healthcare sector. It was determined that there is a tendency to reduce medical facilities, and the outflow of highly qualified personnel to other sectors of the economy. Thus, since 1990, the number of hospitals has decreased by 43.5%, from 3.6 thousand to 1.1 thousand. Due to this, the number of hospital beds per 10,000 population decreased at the end of 2017, the number of beds decreased by 53.9%. The analysis revealed that in Ukraine there is a problem of layoffs. It is established that in the period from 1990 to 2017 there was a decrease in the number of paramedics in the health care system by a total of 32.1 people per 10,000 population, which is 27.3% of the total number of paramedics in 1990. Research shows that the movement of health workers depends on the movement of labor migration from districts to large cities, and is common in all countries, but in Ukraine there is a tendency to reduce the average number of medical staff at a faster rate than the reduction of doctors. This is due to difficult economic conditions in the country. The analysis of the personnel potential of health care institutions of Ukraine was carried out, which determined a significant reduction of medical staff, especially in the part of paramedical staff. It decreased by 27.3% of the total number of paramedics in 1990. It is determined that the main factors reducing the human resources of health care institutions of Ukraine are the inadequacy of staff training to modern requirements in the field of health care, insufficient material and social security of staff. An effective system of personnel management of a medical institution has been developed, which is based on the formation of human resources and the effective use of the personnel of the medical institution, which includes an analysis of the labor potential of the medical worker; planning and selection of staff depending on the demand for medical services of the institution; development of rules for hiring staff in accordance with labor legislation; application of methods of adaptation of medical staff; application of a transparent method of personnel certification. The characteristics of the functioning of the health care sector, which influence the formation of the personnel management system of medical institutions, have been identified. Directions for improving the personnel management system of medical institutions have been identified, which will ensure high quality of medical services with sufficient material security of medical institution staff and promote the retention of highly qualified personnel in medical institutions, which in turn will increase the efficiency of the health care system as a whole.
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Menzul, E. V., N. M. Ryazantseva, and S. V. Ivanova. "EXPANSION OF MEDICAL PERSONNEL IN RURAL AREAS: PROBLEMS AND SOLUTIONS." Izvestiya of the Samara Science Centre of the Russian Academy of Sciences. Social, Humanitarian, Medicobiological Sciences 22, no. 74 (2020): 56–62. http://dx.doi.org/10.37313/2413-9645-2020-22-74-56-62.
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Subject of the article: the formation of economic and legal consciousness. Object of the article: the formation of the economic and legal consciousness of medical students. Purpose of the project: development of a theoretical model of the formation of economic and legal consciousness of students of a medical university. Methodology of work: the hermeneutic approach humanizes the process of formation of economic and legal consciousness, excludes the objectivity of scientific knowledge, activates mental activity, teaches to transform the strategy of professional activity in accordance with new economic trends. The anthropological approach contributes to the formation of initiative, erudition and tolerance. Results of the work: a theoretical model of the formation of the economic and legal consciousness of students of a medical university was developed. Scope of the results: the developed model is universal in nature and can be used in educational processes of universities of different directions. Conclusion: the formation of economic and legal consciousness will eliminate the problem of the shortage of medical personnel in rural areas.
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Shamshurina, N. G. "THE SOCIAL PERSPECTIVES OF DIGITIZATION OF HEALTH CARE: THE MEDICAL SOCIOLOGICAL ASPECT." Sociology of Medicine 18, no. 1 (June 15, 2019): 50–54. http://dx.doi.org/10.18821/1728-2810-2019-18-1-50-54.
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In the Russian Federation, the technology platform «Medicine of the future» is specifically identified in the sector of digital economics. In the «Medicine and health care» sector, diagnostic systems based on molecular and cellular targets, genomic, post-genomic and cellular technologies are singled out. In the «Pharmaceutical industry" sector, the breakthrough areas include such innovative pharmaceuticals as vaccines (DNA vaccines), hormonal agents, coagulation factors, drugs based on cytokines, monoclonal antibodies, drugs for demographically significant diseases, antiseptics. In the sector of «Production of new materials» the priority targets is development of nano-technology and nano-materials and technologies of elaboration of bio-compatible materials. The main target is training and retraining of personnel in digital medicine skills, organization of national technological platforms for on-line education, on-line medicine and adjustment of existing and development of new educational programs. The social alterations resulting due to health care digitalization are associated with transformation of the structure of labor market of medical personnel, giving rise to emergence of new medical professions at the scientific research junction. The social perspectives of health care digitalization reflect formation of «knowledge society», development of information society and digital economics as a whole, development of competitive technologies and services in medicine. The world expert community, implementing sociological and socio-economic research, confirms that digitalization of medicine and economics gave rise to the ideology of «Social Investment» («Impact Investing», or, otherwise, «investment in social effect»). The digitalization of health care and economics has led to the need of developing new civilizational paradigm, to the necessity of human dimension of technological and economic processes. The positive social changes caused by development of digital medicine, do not exclude the emergence of social risks, manifested in possible violation of privacy, patients' rights, reducing level of security and dangerous dehumanization of society, reducing the value of patient as individual in conditions of development of biomedicine and genetic engineering as areas of digital medicine.
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Doshchannikova, Ol’ga A., T. V. Pozdeeva, Yu N. Filippov, and A. L. Khlapov. "THE ROLE OF REGIONAL PROGRAMS OF SOCIAL ECONOMIC INCENTIVES IN INVOLVEMENT OF MEDICAL PERSONNEL TO RURAL HEALTH CARE." Health Care of the Russian Federation 62, no. 4 (May 24, 2019): 172–80. http://dx.doi.org/10.18821/0044-197x-2018-62-4-172-180.
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The study established impacting of regional activities of social economic incentives of medical personnel on the process of employment in medical institutions of rural area. The analysis of Federal and regional legislation regulating process of incentives of physicians to employment in rural health care system was implemented. The study material was based on the results of implementation of activities of social economic incentives of medical personnel to join rural medical institutions applied in the territory of the Nizhny Novgorod region in 2006-2017. The comparative analysis was implemented concerning normative base of activities of social economic support of physicians including assessment of quality and scope of material preferences and also analysis of effect of types of material incentives on amount of input of specialists in rural health care. The comparative characteristics are presented concerning regional activities of supporting rural medical personnel with ready-made accommodation and vehicles and also assessment of federal activities related to granting rural physicians with single compensation payment of one million rubles. The implemented study demonstrated that problem of recruitment of medical personnel in general and in rural health care in particular is an extremely complicated task. The Federal and regional health authorities were engaged in development of alternatives of solution of this problem until now. It is established that a significant importance in decision making related to employment in rural medical institutions is attached to implementing programs of social economic support. It is derived that measures of social economic support related to granting ready-made accommodation within the framework of regional activities favored more active involvement and long-term assignment of medical personnel in rural area than granting with single compensation payment of one million rubles.
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Cutler, David M., and Dan P. Ly. "The (Paper)Work of Medicine: Understanding International Medical Costs." Journal of Economic Perspectives 25, no. 2 (May 1, 2011): 3–25. http://dx.doi.org/10.1257/jep.25.2.3.
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This paper draws on international evidence on medical spending to examine what the United States can learn about making its healthcare system more efficient. We focus primarily on understanding contemporaneous differences in the level of spending, generally from the 2000s. Medical spending differs across countries either because the price of services differs (for example, a coronary bypass surgery operation may cost more in the United States than in other countries) or because people receive more services in some countries than in others (for example, more bypass surgery operations). Within the price category, there are two further issues: whether factors earn different returns across countries and whether more clinical or administrative personnel are required to deliver the same care in different countries. We first present the results of a decomposition of healthcare spending along these lines in the United States and in Canada. We then delve into each component in more detail—administrative costs, factor prices, and the provision of care received—bringing in a broader range of international evidence when possible. Finally, we touch upon the organization of primary and chronic disease care and discuss possible gains in that area.
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Doshchannikova, Olga. "Socio-Economic Incentives As A Factor In Eliminating The Shortage Of Medical Personnel In Rural Health Care." Glavvrač (Chief Medical Officer), no. 10 (October 1, 2020): 41–52. http://dx.doi.org/10.33920/med-03-2010-05.
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The study determines the impact of regional measures of socio-economic stimulation of medical personnel on the process of employment in medical institutions in rural areas. The analysis of Federal and regional legislation regulating the process of encouraging doctors to find employment in the rural health system is carried out. It was found that measures of socio-economic support for the provision of ready-made housing in the framework of regional events, contributed to a more active involvement and long-term consolidation of medical personnel in rural areas.
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Narattharaksa, Kanida, Mark Speece, Charles Newton, and Damrongsak Bulyalert. "Key success factors behind electronic medical record adoption in Thailand." Journal of Health Organization and Management 30, no. 6 (September 19, 2016): 985–1008. http://dx.doi.org/10.1108/jhom-10-2014-0180.
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Purpose The purpose of this paper is to investigate the elements that health care personnel in Thailand believe are necessary for successful adoption of electronic medical record (EMR) systems. Design/methodology/approach Initial qualitative in-depth interviews with physicians to adapt key elements from the literature to the Thai context. The 12 elements identified included things related to managing the implementation and to IT expertise. The nationwide survey was supported by the Ministry of Public Health and returned 1,069 usable questionnaires (response rate 42 percent) from a range of medical personnel. Findings The key elements clearly separated into a managerial dimension and an IT dimension. All were considered fairly important, but managerial expertise was more critical. In particular, there should be clear EMR project goals and scope, adequate budget allocation, clinical staff must be involved in implementation, and the IT should facilitate good electronic communication. Research limitations/implications Thailand is representative of middle-income developing countries, but there is no guarantee findings can be generalized. National policies differ, as do economic structures of health care industries. The focus is on management at the organizational level, but future research must also examine macro-level issues, as well as gain more depth into thinking of individual health care personnel. Practical implications Technical issues of EMR implementation are certainly important. However, it is clear actual adoption and use of the system also depends very heavily on managerial issues. Originality/value Most research on EMR implementation has been in developed countries, and has often focussed more on technical issues rather than examining managerial issues closely. Health IT is also critical in developing economies, and management of health IT implementation must be well understood.
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Prisyazhnaya, N. V., and M. O. Koriagin. "THE PERCEPTION OF OUTCOMES OF HEALTH CARE MODERNIZATION BY MEDICAL SPECIALISTS." Sociology of Medicine 18, no. 2 (December 15, 2019): 122–27. http://dx.doi.org/10.18821/1728-2810-2019-18-2-122-127.
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The social institute of medicine, which has been developing steadily throughout the existence of mankind, covers not only clinical aspects of health, but also socio-economic, cultural, organizational and other components of population health protection. Nowadays, at the "digitalization" stage of society development, health care system is being rebuilt on the basis actual requirements. The condition of the "catching-up" development of industry is implementation of modernization measures targeted to updating material and technical components of health care system, as well as expansion of skills of medical personnel with modern medical equipment and programs. The article presents the results of medical and sociological study (pilot survey) of peculiarities of perception of results of modernization of health care system by medical specialists (as exemplified by the personnel of Krasnogorsk multi-field hospital). The most medical specialists working with equipment received under the state program of modernization of the health care perceived modernization positively (especially personnel working in medicine more than ten years) and believe that measures applied contributed into improving quality of medical care of patients. However, in order to increase efficiency of application of new medical equipment, it is necessary to include into health care modernization program position of mandatory training of medical staff.
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Gavurova, Beata, and Matus Kubak. "The importance of evaluating inpatients? satisfaction with emphasis on the aspect of confidence." Oeconomia Copernicana 12, no. 3 (September 27, 2021): 821–48. http://dx.doi.org/10.24136/oc.2021.027.
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Research background: The patients? confidence in physicians, as well as in healthcare personnel in general, is an important determinant of the patients? satisfaction and their loyalty. The patients? confidence as well as their overall satisfaction is influenced by many determinants, which are in a causal relation.
Purpose of the article: The main aim of the study is to find out which socio-demographic factors influence the confidence of inpatients in physicians, nurses, other medical personnel, as well as in the treatment as such. The inpatients´ confidence is considered as an important dimension of the inpatients? satisfaction.
Methods: The questionnaire consists of 112 structured and semi-structured sur-vey questions. It was inspired by the HCAHPS survey. The questionnaire was distributed both on-line and in paper form in the Czech Republic. The dataset consists of 1,479 observations (899 females and 580 males). The descriptive statistics and binary logistic regression were used to process all data.
Findings & value added: The research revealed significant differences in the confidence of inpatients in physicians in relation to the physicians? communication styles regarding the inpatient?s gender. Males are more tolerant to the communication styles of physicians than women. There exists a relatively strong linear relationship between confidence in physicians, nurses, other healthcare professionals, and confidence in a treatment. Also, it was determined that in cases when a physician talks about an inpatient as if she/he is not there, the patient?s confidence in the medical personnel is reduced by 65%. Overall confidence in medical personnel is also gender biased i.e., in 87% of cases, women are more likely to have a higher confidence in medical personnel than men. The age of inpatients is not statistically significant and its impact on a confidence in medical personnel is neglectable.
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Lewellen, Denver. "Practicing Medical Anthropology at a Veterans Administration Medical Center: An Investigation of the Health Care Experiences of WWII-ERA Veterans." Practicing Anthropology 35, no. 3 (July 1, 2013): 44–48. http://dx.doi.org/10.17730/praa.35.3.e5661013w78v143t.
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In 2011, President Obama announced that the United States war against Iraq had ended. The end of this particular conflict signaled imminent return of thousands of American soldiers during an extended economic recession. In addition to the challenge of finding employment, many military personnel had already returned home with conflictassociated physical injuries, as well as with psychological and/or behavioral health disorders, such as post-traumatic stress, depression, and alcoholism.
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Vechorko, Valery I., Igor S. Kitsul, Elizaveta G. Zakharova, and Evgeniya V. Borovova. "Morbidity with a temporary disability of employees of medical institutions under a new coronavirus infection." HEALTH CARE OF THE RUSSIAN FEDERATION 65, no. 1 (March 5, 2021): 5–11. http://dx.doi.org/10.47470/0044-197x-2021-65-1-5-11.
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Introduction. During the expanding epidemic of the new coronavirus infection COVID-19 in our country, medical workers were one of the groups at the increased risk of infection. Simultaneously, certain information about the number of cases and duration of this disease in medical workers is not available in official sources. However, this information is necessary to develop effective preventive measures, assess economic damage from a temporary disability, and the planning of medical personnel in emergency epidemic conditions. Purpose of study. To investigate the incidence of the temporary disability of employees of a medical institution with a new coronavirus infection connected with the performance of their occupational duties to assess the health risks for medical workers, develop appropriate measures to improve the safety system of their work. Material and methods. The study was conducted by a continuous process based on the country’s largest repurposed infectious diseases hospital to treat COVID-19 patients using the classical method of analyzing morbidity rates with the temporary disability. Results. The dynamics of the main indices of the morbidity with the temporary disability since the beginning of the COVID-19 epidemic was revealed. Features of the morbidity by groups of personnel working in the ”red“ and ”green“ zones of the infectious hospital are established. The incidence of medical personnel providing medical care to patients with COVID-19 was proved to be associated with the implementation of professional activities, but not in all cases. This type of personnel is also subject to risks of infection outside the medical institution. Conclusion. For effective prevention, it is necessary to consider that working in the “red” zone significantly increases the risk of COVID-19, regardless of the category of medical personnel.
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KOSTYRIN, E. V. "ECONOMIC AND MATHEMATICAL MODEL OF MEDICAL SERVICES BREAK-EVEN ANALYSIS." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 5, no. 12 (2020): 17–26. http://dx.doi.org/10.36871/ek.up.p.r.2020.12.05.002.
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The article developed an economic and mathematical model for analyzing the break-even of medical activity and tools based on the MS Excel software product, which allow you to manage tariffs for paid medical services and their volumes in order to harmonize the interests of a medical organization, its patients and administrative and managerial personnel by selecting personal service programs , the required range of services, the provision of discounts, as well as conduct a nomenclature analysis of medical activities and analysis of the break-even rate of medical services in physical and value terms. The model data shows the mechanism of practical implementation of the developed economic and mathematical model in the MS Excel software environment.
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Kozlov, V. A., B. A. Polyakov, D. L. Mushnikov, M. I. Stoylovskiy, and D. V. Drozhzhin. "INNOVATIVE POTENTIAL OF A MEDICAL ORGANIZATION, AS PART OF ITS ECONOMIC POLICY." Research and Practical Medicine Journal 6, no. 3 (September 5, 2019): 138–45. http://dx.doi.org/10.17709/2409-2231-2019-6-3-13.
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The new economic policy of Russia is based on innovation and investment. Before choosing innovative changes, it is mandatory to assess the innovative potential of the organization. can distinguish Three main components can be distinguished in the innovative potential of a medical institution: innovative potential of medical personnel, innovation of facilities and resources, technology innovation (medico-institutional, therapeutic and diagnostic technologies). An audit of the innovative potential of a medical organization is a prerequisite for the formation of a competent economic policy, i. e. business strategies, priority investments. However, studies on a comprehensive assessment of the state of innovative potential of oncological medical organizations have not been conducted yet. Objective. To study the state of innovative potential of a medical organization, as part of its economic policy, using the example of cancer care. Materials and methods. The base of the research is the Higher Educational Institution “Ivanovo Regional Oncology Dispensary”, Department of Health, Ivanovo Region. The research program provided for the use of sociological, expert, mathematical-statistical and analytical methods. Units of observation: medical worker (doctor, paramedical worker) and material and technical resources of “Ivanovo Regional Oncology Dispensary”, The study was conducted in 2018. The integral estimation methodology of a medical organization’s innovation potential includes a quantitative assessment of each component of the potential according to the appropriate methodology. Results. Decline of the innovative capacity medical organization oncological profile on all of its components including: a personnel component at 9,0%, logistical component to 11,0%, technological component at 6,8%. Reduced innovative capacity of health workers is associated with low estimation of its parameters such as: the use of information sources for self-development, the ability to adapt to innovation and research activity. A decrease in the innovative potential of an oncological medical organization was noted in all its components, including: the personnel component by 9.0%, the material and technical component by 11.0%, the technological component by 6.8%. The decline in the innovative potential of health workers is associated with a low assessment of its parameters such as the use of information sources for self-development, the ability to adapt to innovation and research activities. The decrease in the innovation of the organization’s facilities and resources is associated with such indicators as: the scientific and technical level of equipment, the coefficient of accumulation of fixed assets, the coefficient of depreciation of equipment, the coefficient of inclusion of equipment in the standard of assistance. The decrease in innovation in the technological component is associated with the incomplete implementation of such quality attributes of medical services as: efficiency, adequacy, interpersonal interaction, uniqueness, convenience. Conclusion. The results of the study showed that a change in the innovative policy of medical organizations is required, its transfer from an extensive to an intensive strategic vector of development, the use of free financial resources for the purchase of new generation equipment, and the training of medical personnel in modern work technologies.
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Khramova, Marina N., and Valeria M. Vargina. "MOBILITY OF MEDICAL PERSONNEL IN THE EAEU DURING THE COVID-19 PANDEMIC." Scientific Review. Series 2: Human Science, no. 3 (2021): 63–71. http://dx.doi.org/10.26653/2076-4685-2021-3-06.
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The article examines the main directions of international cooperation in the field of healthcare of the EAEU member-states in the pandemic era. Joint efforts aimed at stabilization of the sanitary and epidemiological situation and minimization of the economic damage provoked by the restrictions imposed were prompt and proved their efficiency and efficacy. The study focuses on the mobility of medical personnel during the pandemic. The authors indicate possible prospects for further expansion of Eurasian cooperation in the field of healthcare. In the context of a changing environment, the interactions of medical professionals, experience and knowledge exchange become vital. In particular, a number of documents were adopted that define a set of measures aimed at reducing the risks of the spread of coronavirus infection in the EAEU countries. From our point of view, it is very important that these measures also included economic mechanisms to reduce the barriers to entry of the participating countries into the joint EAEU market. These barriers currently include, for example, different approaches to drug pricing. The work also shows that one of the promising areas of interstate cooperation within the framework of the integration group can be the expansion of field training programs for specialists from the participating countries in the most demanded areas of training.
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Tokareva, Yuliya, D. Akulova, and A. Lobacheva. "THE PROBLEM OF IMPLEMENTING DIGITAL TECHNOLOGIES IN THE TRAINING OF MEDICAL ORGANIZATION PERSONNEL." Management of the Personnel and Intellectual Resources in Russia 9, no. 3 (July 23, 2020): 35–39. http://dx.doi.org/10.12737/2305-7807-2020-35-39.
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In the conditions of active digital technologies implementation in everywhere, the advantages of their use in various areas of organizations personnel management become obvious. Thus, this article analyzes the possibilities, necessity and effectiveness of using digital technologies for training medical personnel. The article describes the experience of studying employees ' motivation for professional training, their readiness to use remote tools, as well as the choice of a specific software tool that takes into account all the goals and objectives of the training program. The study confirmed the effectiveness of using digital technologies in training medical organizations administrative staff from both a social and economic point of view.
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Karpov, Andrey B., Andjey V. Skobelsky, Erzhena R. Badmaeva, Ivan P. Shibalkov, Roman G. Mazurov, and Sergey A. Antipov. "Medical evacuation of remote industrial sites personnel. Fundamental problems and methods of its solving." HEALTH CARE OF THE RUSSIAN FEDERATION 65, no. 3 (July 12, 2021): 214–21. http://dx.doi.org/10.47470/0044-197x-2021-65-3-214-221.
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Introduction. The organization of medical assistance for employees of remote industrial facilities is a highly pressing task, and the role of medical evacuation in the health care system can hardly be overestimated. There is currently no unified medical evacuation system. There is no data on the structure of the reasons for evacuations and economic justification for the required amount of funding for this area in Russia. Purpose. The assessment of the structure of the reasons for medical evacuations of the personnel from remote industrial facilities and their possible relationship to seasonality, the profile of the enterprises, and the age of workers. Material and methods. Considering that men constitute most industrial facilities’ personnel, the analysis of 1,823 evacuations among male personnel (1,159 planned and 664 emergencies) was carried out. The structure of the reasons for evacuations was studied depending on the age, season, and industrial enterprise profile. The χ2 Pearson criterion (significance level p <0.05) was used to assess the significance of differences between analyzed indices. Results. In the structure of all evacuations of the personnel of remote industrial facilities, diseases of the circulatory system are the leading reason for evacuations, followed by injuries and poisoning, diseases of the digestive system and respiratory diseases. The main reason for emergency evacuations is injuries and poisoning. In the group of workers under 39 years old, injuries and poisoning, diseases of the digestive system and diseases of the circulatory system take the first three positions. In the more senior age groups, diseases of the circulatory system prevail, injuries and poisoning take second place, and digestive diseases take third place. Conclusion. The main directions in improving the health care system and maintaining the health of the personnel of remote industrial facilities include the development of the legal framework for activities in the field of remote health care, the organization of the unified state system of medical evacuations, the development and the implementation of telemedicine technologies, the organization of educational courses and training programs for medical professionals in the field of remote health care.
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Ngwa, Canute A., and Christian Asongwe. "The British Southern Cameroons Health Services as an Appendage to Nigerian Health Sector, 1922-1961." International Journal of Scientific Research and Management 8, no. 03 (March 4, 2020): 638–44. http://dx.doi.org/10.18535/ijsrm/v8i03.sh01.
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The incidence of disease on the colonial agenda triggered the development of healthcare services by colonial administrations in Africa. In Southern Cameroons, the British administration fashioned a medical policy whose implementation spanned from 1922 to 1930. Informed by the colonial imperative, administrative and medical officers developed medical infrastructure, trained and engaged personnel, conducted research, and made efforts to roll back the incidence of various diseases. This took curative and preventive forms in a context of conflicting agendas, colonial arrogance, cultural ignorance, and defective infrastructure and personnel. The outcomes were beneficial to the colonial enterprise and detrimental to the economic wellbeing of the local population, the incidental benefits notwithstanding.
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Parjaszewski, Piotr. "Aspekty prawne ispołeczno-gospodarcze w zabezpieczeniu personelu medycznego w publicznych podmiotach leczniczych." Przegląd Ustawodawstwa Gospodarczego 2019, no. 4 (April 20, 2019): 27–33. http://dx.doi.org/10.33226/0137-5490.2019.4.5.
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Aleksandrova, Olga, Aziza Yarasheva, and Yulia Nenakhova. "Professional training of doctors: opinions of experts on problems of the educational process. (Part 1)." Population 23, no. 4 (December 19, 2020): 93–103. http://dx.doi.org/10.19181/population.2020.23.4.9.
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Among the key goals of the National Project "Healthcare" is provision of State (municipal) medical organizations with qualified medical personnel. Achievement of this goal largely depends on the quality of medical personnel training. At the same time, noticeable changes have been taking place in the medical education system in recent years: they concern regulatory and legal framework of medical and educational activities, technical equipment and conditions of economic activity of universities, etc. The changing socio-economic context has an impact on both university applicants, their motivation, and those who train future doctors. The article presents an analysis of the results of the study "Development of the human resources potential of the Moscow healthcare" carried out in 2019 under the auspices of the Moscow Healthcare Department, which addressed both the quantitative aspects of the staffing of medical organizations subordinated to the city, and the quality of medical personnel issues concerning professional training. Information on the quality of graduates from medical universities and the factors determining it was obtained through a series of in-depth structured interviews with experts, who were representatives of the capital's medical universities and chief doctors of medical institutions. In the course of the survey, experts expressed their opinion about all factors affecting the quality of medical education: the level of training and motivation of applicants; characteristics of the teaching staff; organization of the educational process, etc. Analysis of the expert opinions testifies to ambiguity of the situation in medical education. The positive aspects include the growing interest in obtaining the profession of a doctor and the demand for knowledge, as well as some improvement in the remuneration of university workers, which has a positive effect on the filling of pedagogical vacancies and the social well-being of teachers. At the same time, practically in each of the components of the quality of medical specialists training — in methodological support, technical equipment, the possibility of obtaining practical skills by future doctors — there have been found problems that require solution.
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Aleksandrova, Olga, Aziza Yarasheva, and Yulia Nenakhova. "Professional training of doctors: opinions of experts on problems of the educational process (part 2)." Population 24, no. 1 (March 30, 2021): 54–65. http://dx.doi.org/10.19181/population.2021.24.1.6.
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Among the key goals of the National Project «Healthcare» is provision of state (municipal) medical organizations with qualified medical personnel. This issue has become especially acute in the context of the unfolding fight against the new coronavirus infection. The achievement of the targets set in the National Project largely depends on the quality of training of medical personnel. Meanwhile, noticeable changes have been taking place in the system of medical education in recent years: in the regulatory and legal framework of medical and educational activities, technical equipment and conditions of economic activity of universities, etc. The changing socio-economic context leaves an imprint both on those entering universities, their motivation, and those who train future doctors. The second part of the article continues the presentation of the results of the study «Development of human resources in the capital's health care» carried out in 2019, which concerns both the quantitative aspects of the staffing of medical organizations subordinate to the city, and the quality of medical personnel related to their professional training. Information about the quality of graduates of medical universities and the factors determining it was obtained through a series of in-depth structured interviews with experts, who were representatives of the capital's medical universities and chief doctors of medical institutions. During the survey, the experts expressed their opinion on the organization and content of the educational process, as well as on the problems related to introduction of professional standards, changes in educational programs, emergence of new academic disciplines, technical equipment (including simulators) of educational institutions. Analysis of the expert opinions testifies to the ambiguity of the situation in Russian medical education. It reveals the need for additional study of the issues of expediency of availability, volume (in hours) and distribution of academic disciplines by stages of the educational cycle in medical universities. A serious negative aspect, highlighted by the experts, is still the low level of practical experience, the lack of which sharply reduces the quality of medical education in general.
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Lee, Sang-Bin. "Medical interpreting for business purposes and language access in ordinary hospitals in Korea." Babel. Revue internationale de la traduction / International Journal of Translation 61, no. 4 (December 31, 2015): 443–63. http://dx.doi.org/10.1075/babel.61.4.01lee.
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In Korea, a first-of-its-kind national medical interpreter training program was launched in July 2009. This program was designed to assist with communication between Korean medical professionals and medical tourists who visit Korea for economical and advanced medical services. Medical tourism (MT) is Korea’s strategic industry for economic growth and the government has implemented various policies to support the MT industry, including the medical interpreter training program. Against this backdrop, recent discussion in Korean society about medical interpreting has been framed around non-resident medical tourists and tertiary referral hospitals engaging in MT. Medical interpreting has been generally considered special language services for foreign patients who seek sophisticated medical care in big-name hospitals. The need for better interpreter services has been discussed mainly in the context of MT; however, little attention has been paid to the situation of language access in ‘non-MT’ (i.e., ordinary) hospitals. The purpose of this study is two-fold. First, the study aims to explore unique conditions in Korea under which issues concerning medical interpreting have been addressed. Second, the study diagnoses problems with the medical communication in ordinary hospitals between Korean medical personnel and patients with limited proficiency in Korean.
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Artamonova, G. V., Yana V. Danil’Chenko, D. V. Karas’, T. S. Kostomarova, D. V. Kryuchkov, S. A. Makarov, and D. G. Shapovalov. "The experience of involvement of personnel of the medical research organization into management of its functioning." Health Care of the Russian Federation 61, no. 1 (May 24, 2019): 22–28. http://dx.doi.org/10.18821/0044-197x-2017-61-1-22-28.
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The active involvement of personnel to management of functioning of organization at all levels has an economic usefulness and social value. The article presents experience of involvement of personnel into management as exemplified by medical research organization using international tool standard ISO 9001. Purpose ofstudy. To represent experience of involvement ofpersonnel to management of functioning research medical organization by force of implementation of quality management system corresponding to requirements of ISO 9001. The system ofmanagement ofmain types of functioning ofthe research institute of complex problems of cardio-vascular diseases was used as a study object. The worker of organization as a subject of management system was used as a unit of observation. Out of personnel of organization was organized a team of leaders trained to quality management. The model of quality management in the research institute of complex problems of cardio-vascular diseases was presented by such processes as research and curative diagnostic activities. The workers in a different way assess usefulness of implementation of quality management system for their professional work - positive responses gave 26% of junior medical personnel and up to 77% of administrators. This occurrence indicates to different purposes of involvement of personnel to management. The experience of implementation of quality management system in the research institute of complex problems of cardio-vascular diseases testifies that work ofpersonnel of any professional category in one way or another impact the achievement of targets of organization. At the expense of active involvement of personnel to process of management of activities the organization ameliorates its functioning on systemic level. To comprehend usefulness of quality management system by members of particular professional groups it is expedient to develop and implement innovative methods of personal interest in the results of work considering characteristics of particular team, its targets and aims in the area of quality.
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Турсумбай, И. Г., and Л. К. Кошербаева. "ANALYSIS OF THE ROLE OF THE ECONOMIST IN PUBLIC HEALTH." Vestnik, no. 1 (June 17, 2021): 313–16. http://dx.doi.org/10.53065/kaznmu.2021.94.69.065.
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Одним из последствий осуществления медицинской деятельности в разнообразных хозяйственных формах является изменение экономического положения работников здравоохранения. От количества и качества их труда зависит экономический результат деятельности лечебно-профилактических учреждений (ЛПУ) в целом. В статье приводится сравнительный анализ занимающихся подготовкой экономистов в области здравоохранения по различным критериям. Подчеркивается необходимость непрерывного совершенствования подготовки управленческих кадров в области экономики здравоохранения в современных условиях развития общества. One of the consequences of the implementation of medical activities in various economic forms is a change in the economic situation of health care workers. The number and quality of their work depends on the economic result of the activities of medical and preventive institutions (LPU) as a whole. The article presents a comparative analysis of the health economists who are engaged in training according to various criteria. The necessity of continuous improvement of training of managerial personnel in the field of health economics in the modern conditions of society development is emphasized.
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Golova, Elena, Irina Baranova, and Marina Gapon. "Analytical grouping of accounting for wages in health care institutions." SHS Web of Conferences 116 (2021): 00063. http://dx.doi.org/10.1051/shsconf/202111600063.
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An important factor in the uninterrupted work of healthcare is a modern and decent salary for medical personnel. This issue has become especially acute in coronavirus infection when all the problems that have accumulated in the field of healthcare have become especially urgent. There was a situation of a shortage of medical personnel and the need for round-the-clock work, which led to the issue of incentive and compensation payments. In this regard, accounting is one of the innovative links that ensure uninterrupted payments to employees of medical institutions. All facts of the economic activity of the institution must be documented. However, the existing set of documentation is not always able to ensure the prompt provision of information on payroll and incentive payments, even in the context of accounting automation. The article contains research of the workflow organization in terms of remuneration on the example of one of the medical institutions in the Omsk region. The study revealed the need to improve the accounting area as one of the ways of innovative development. The article proposes a new analytical accounting register, which allows presenting information on charges to medical personnel in the context of personnel categories and comparing analytical and synthetic accounting data in terms of the amounts of accrued wages. It is proposed to integrate the proposed document into the Sail Budget 7 program, the Payroll module, which will make the calculation process more convenient, less labor-intensive, and will allow the data transfer process to be carried out automatically.
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Yarasheva, Aziza. "Reproduction of labour resources in the Moscow health organizations." Living Standards of the Population in the Regions of Russia 17, no. 2 (June 9, 2021): 243–51. http://dx.doi.org/10.19181/lsprr.2021.17.2.8.
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The article is aimed at studying topical issues related to the conditions for the reproduction of labour resources. Its key concepts and basic provisions are associated with a group of factors influencing this process: organizational and economic (improving the organization of production and management) and socio-psychological (improving working conditions, moral and psychological climate in the team). The results of a study (2019-2020) are presented on the development of the institution of mentoring in organizations of the capital's health care and methods for assessing the motivation of medical personnel to work. The main results of the study: the need and readiness of medical workers (doctors and nurses of metropolitan healthcare organizations) for mentoring, their incentives and degree of involvement in the mentoring / tutoring system (reasons for unwillingness to become mentors), indicators of effectiveness in mentoring were identified. The main group (material and non-material) incentives for the provision of services to the population at a high-quality level, as well as criteria for assessing the motivation of medical personnel to conscientiously perform their professional duties, have been identified. Shown: the relationship between the goals of reproduction of labour resources with the development of a motivational system for healthcare organizations; an algorithm for constructing a motivational map (a sample of the interpretation of the data obtained) is presented, which serves for: selection of personnel when hiring; evaluating the effectiveness of the adaptation period for newly hired medical personnel from other organizations; passing certification procedures; formation of a personnel reserve in health care organizations; when drawing up individual effective contracts for personnel; to prevent professional burnout and create a positive psychological climate in the team. The results obtained form the basis of the methodological recommendations used in the state metropolitan healthcare organizations
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Achkasov, E. E., A. I. Melnikov, B. G. Belozerov, M. A. Yaroslavskaya, M. A. Osadchuk, A. Yu Asanov, and N. A. Kuznetsov. "Psychological rehabilitation of medical workers with emotional burnout syndrome." Occupational Health and Industrial Ecology, no. 1 (March 14, 2019): 15–19. http://dx.doi.org/10.31089/1026-9428-2019-1-15-19.
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Introduction. Health preservation for public health care workers, by means of psycho-rehabilitation programs managing stress in medical establishments, is a topical medical, psychologic and economic task.Objective. To study levels of emotional exhaustion, depersonalization and personal achievements reduction as psychologic burnout factors in workers of primary health care, depending on position and educational level, with specification of psychologic rehabilitation program and evaluation of its efficiency.Materials and methods. The study covered 137 female medical workers of outpatient departments in Moscow, with emotional burnout syndrome and length of service at least 5 years. Emotional burnout syndrome was assessed via a questionnaire «Occupational burnout» including 3 scales: «Emotional exhaustion» (1), «Depersonalization» (2) and «Personal achievements reduction» (3). 3 groups of the examinees were identified: group 1 — senior officers (15), group 2 — doctors (40), group 3 — nurses and paramedical personnel (82). All the examinees underwent 8 weeks of psychologic rehabilitation based on training of stress-resistance, personality development and relaxation methods.Results. Groups 1 and 2 demonstrated medium (scales 1 and 3) and high (scale 2) levels of emotional burnout syndrome, and the group 3 presented medium (scale 3) and low (scales 1 and 2) levels. All the groups responded positively on psychologic rehabilitation that decreased emotional exhaustion, increased responsibility for daily duties, improved and stabilized self-esteem.Conclusions. Manifestations of emotional burnout syndrome depend on peculiarities of medical workers’ occupational activities, position and educational level. Emotional exhaustion and depersonalization are more marked in senior officers and in doctors, than in nurses and paramedical personnel. Self-evaluation of occupational competence and activities is the same among all categoriesof the medical workers. psychologic rehabilitation enables to decrease symptoms of emotional burnout syndrome and is an important component of programs preserving working potential of medical establishments.
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Perevezentsev, E. A., and V. M. Levanov. "Motivation as key factor of deploying lean technologies in medical institutions (an analytic review)." Kuban Scientific Medical Bulletin 27, no. 4 (August 14, 2020): 134–48. http://dx.doi.org/10.25207/1608-6228-2020-27-4-134-148.
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Aim. To assess the importance, role, methods and conditions for creating and sustaining positive motivation of medical personnel in deploying a modern management system based on lean production to optimise the production flow in medical institutions, improve quality, availability and efficiency of public medical care.Materials and methods. The authors employed historical, bibliometric and statistical methods to analyse domestic and foreign scientific archives on lean production, motivation and motivational risks as key factors in implementing lean technologies in medical institutions.Results. Implementation of lean production (LP) as a manufacturing management system is among key conditions for creating a new model of the medical institution. Principles of LP are applied at three interfaces: with patients, personnel and resources. Positive motivation of employees is prerequisite for accomplishing a project, which requires supervisors to know and leverage the basics of motivational management. Creation of a motivating environment for various categories of employees in developing a LP system requires taking into account the type and management culture level of a medical institution.Conclusion. In order to create and sustain motivation for realising creative potential of the team, it is necessary to account for the motivation risks, develop and implement a motivation system differentially by employee categories and project stages. Effective motivational measures are necessarily based on a system of material and non-material incentives with clear and achievable criteria, amounts and forms valued by employees and rooted in medical and economic feedback of implementing the LP principles.
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Titova, Lilia A., E. A. Dobrynina, N. N. Chaykina, and G. V. Kuzmicheva. "SPECIFIC FEATURES OF THE LABOR HYGIENE OF THE MEDICAL PERSONNEL OF THE ONCOLOGICAL POLYCLINIC." Hygiene and sanitation 97, no. 8 (August 15, 2018): 727–30. http://dx.doi.org/10.18821/0016-9900-2018-97-8-727-730.
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Introduction. In the healthcare system of the Russian Federation, in the changed social and economic conditions, against the background of increasing requirements to the quality of medical care, the problem of studying factors affecting the professional activity of medical personnel is being updated. The purpose of the study is the theoretical justification of ways to improve the work process of medical personnel by organizing the stream passage of patients in the polyclinic of the Belgorod Cancer Clinic. Material and methods. Questioning of 189 patients of the polyclinic of the “Belgorod Cancer Clinic”, selected according to the principle of random sampling. They evaluated the work of the dispensary in the field of stream control on a specially created questionnaire, which included 14 questions. Results. The conducted sociological research revealed the dissatisfaction of patients with a number of positions: the presence of a queue to the doctor (61.2%), the work of individual offices (ultrasound, x-ray room) and medical specialists of the consulting and diagnostic department (44.6%); lack of information in patients about the possibilities of diagnosis and treatment in clinics (47%). The primary visit in the morning, the narrow corridors of the polyclinic - all this creates the inconvenience of waiting for a doctor. Only 13% of respondents rated the service as 5 points, 30% - 4 points, 33% - 3 points, 19% - 2 points and 5% - 1 point. The admission rate of the doctor is 20 patients per shift, but the average value of the stream rate of patients on admission corresponds to an average of 35 patients per day. This increase in the workload negatively affects the dissatisfaction with the organization of the treatment and diagnostic process both for doctors and nurses. Conclusions. The professional activity of primary health care providers directly depends on the adequacy of the workload. The use of social monitoring makes it possible to organize a detailed and adequate regulation of the activities of medical personnel.
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Shestopalova, Tatiana N., and T. V. Gololobova. "THE RATIONALE FOR THE NEED TO IMPROVE INSTITUTIONAL ARRANGEMENTS FOR HAND HYGIENE IN THE SYSTEM OF PROVIDING QUALITY OF HEALTH CARE." Hygiene and sanitation 97, no. 6 (June 15, 2018): 537–41. http://dx.doi.org/10.18821/0016-9900-2018-97-6-537-541.
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Introduction. The article substantiates the necessity of the improvement of organizational measures on hand hygiene in the system of providing high-quality medical care. The safety of medical activities is noted to take one of the leading positions among the main criteria for assessing the quality of medical care. In this regard, the most important task of health care is to develop and improve the safety of medical care. Material and methods. The article presents up-to-date statistical data on the amount of social and economic damage associated with the insufficient safety of medical care in foreign countries and in the Russian Federation. The active development and introduction of new high-tech methods of diagnosis and treatment in medical organizations were noted to give rise the emergence of new risks, determines the need for continuous improvement of technologies, methods, and means of ensuring the safety of medical care. There was made a draw that the prevention of risks of the emergence of adverse consequences for the health and life of patients is determined by the effectiveness of technologies providing the safety of medical care. Results. There are presented results of sociological research conducted by the authors on issues of the compliance with mandatory requirements for the safety of medical care, in particular, on compliance with the requirements for hygienic treatment hands and the use of gloves by medical personnel in medical organizations of Moscow. Conclusion. There is made a conclusion on the basis of the obtained data on the need to develop and implement additional measures aimed at ensuring the safety of medical care. These measures include: - the development and implementation of standards of performance of procedures significant from the point of view of the safety in divisions of the medical facilities; - systematic training of personnel; - control for the compliance with mandatory requirements at each critically important stage; - providing materials of the required quality and in the required quantity for the provision of safe assistance; - development and implementation of measures of the administrative response in cases of violations of mandatory requirements by personnel.
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Mähs, Mareike. "OP60 Challenges In Evaluating Smart Medical Devices." International Journal of Technology Assessment in Health Care 35, S1 (2019): 15. http://dx.doi.org/10.1017/s0266462319001223.
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IntroductionSmart medical devices can empower elderly to live independently in their familiar surroundings. To enhance their dissemination, they have to be shown to be cost-effective. Economic studies evaluating such technologies are missing or are criticized for their low quality. There are several challenges in the evaluation of smart medical devices, including their complex nature and innovative character. The question arises: how can evaluations elicit the benefits and cost-effectiveness of smart medical devices. This research has the aim of outlining challenges and demands on the evaluation of smart medical devices.MethodsThe embedding of the technology in existing structures can influence the effectiveness of the technology. By comparing such a technology with a regular intervention, learning effects have to be considered. Regular modifications and further developments of these technologies can complicate the traceability of the effects. Complex cause-effect relationships with possible interactions arise that are difficult to quantify and express in standardized endpoints, utilities or monetary values. Demands on the evaluation of smart medical devices have been explored with literature reviews and scenario techniques using the example of intelligent rollators.ResultsIt is important to apply mixed-method approaches not only in the clinical but also practical setting and conduct observational as well as qualitative studies. Potential users, their relatives and care personnel should be involved in the evaluation of intelligent rollators and attention should be payed to subjects with disabilities. Prospective studies should be conducted at different stages along the lifecycle of the technology. A conceptual model should be developed and evaluated as well as adapted on a regular basis.ConclusionsThe research shows the need to adapt common methods used in economic evaluation to the characteristics of smart medical devices. As a next step, a framework for the economic evaluation of such technologies within the scope of Health Technology Assessment is developed based on these demands.
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Lesén, Eva, Ingela Björholt, Anders Ingelgård, and Fredrik J. Olson. "EXPLORATION AND PREFERENTIAL RANKING OF PATIENT BENEFITS OF MEDICAL DEVICES: A NEW AND GENERIC INSTRUMENT FOR HEALTH ECONOMIC ASSESSMENTS." International Journal of Technology Assessment in Health Care 33, no. 4 (2017): 463–71. http://dx.doi.org/10.1017/s0266462317000848.
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Objectives: For medical devices, benefits other than direct clinical effects may have a large impact on the patients’ well-being, but a standardized method for measuring these benefits is unavailable. The objective was to explore potential patient benefits provided by medical devices, and to assess the relative preferences of these benefits in the general Swedish population.Methods: To identify attributes of patient benefit, healthcare personnel within a wide range of disease areas were interviewed. The generalized attributes were then validated among healthcare personnel, patient organizations, and manufacturers; in two pilot studies in the general population; and in two rounds of cognitive interviews. The general population's preferences of the attributes were measured with a usability-tested questionnaire in a final responding sample of 3,802 individuals, representative of the Swedish population.Results: Twenty attributes were identified, encompassing aspects of integrity, sense of security, social participation, and convenience. When measuring the relative preferences, the response rate was 37.0 percent, and the results showed that the attributes with the highest preferences concerned reliability, reduced need for assistance, and sense of control of the illness/disability.Conclusions: A set of twenty attributes of patient benefit relevant to users of medical devices was identified and validated. A questionnaire for patient-reported assessment of the benefits provided by a medical device was developed, based on the attributes. The questionnaire, designated MedTech20, provides a generic measurement method for the evaluation of medical devices used in a wide range of diseases/disabilities.
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Kezhutin, Andrei Nikolaevich. "Staffing issues in medical services of the river transportation of the Volga Basin during the years of Russian Civil War." Genesis: исторические исследования, no. 6 (June 2020): 112–17. http://dx.doi.org/10.25136/2409-868x.2020.6.32078.
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This article describes the conditions and peculiarities of supplying the management apparatus, medical facilities and steamships of Volga Basin with medical staff due to the difficulties of wartime, economic crisis, growth of social and epidemic diseases, drastic transformation of government and social institutions. The relevance of research is substantiated by insufficient study of this topic in historiography, as well as human resourcing of modern national medicine and attempts to reform healthcare system. The author examines the activity of government branches and public organizations in solution of the problem of supplying transport system of the Volga Basis with medical personnel in the period from 1918 to 1922, in the context of development of the unified project of supplying river transport with medical staff. Examination of this question is related to the process of socioeconomic development of the society. The source base is comprised of the materials from Central Archive of Nizhny Novgorod Region. The author reveals the main peculiarities of establishment of the new system of human resourcing in the extreme conditions of wartime; as well as introduced into the scientific discourse the problems of recruitment, employment and relocation of medical personnel of the central apparatus, medical institutions and passenger steamships of river transport of the Volga Basin and practices of their solution.
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Vlasenko, P. O., and D. N. Seryakov. "USE OF ADSORPTION OXYGEN CONCENTRATOR IN MEDICAL PRACTICE." Marine Medicine 4, no. 4 (January 15, 2019): 55–63. http://dx.doi.org/10.22328/2413-5747-2018-4-4-55-63.
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The article deals with the use of pure oxygen in medicine. In a comparative vein, the main ways of providing medical and prophylactic institutions with oxygen are considered, information on the requirements for modern equipment of specialized medical facilities and departments is provided. Those problematic aspects of a fatigue, which are regularly encountered by the heads of medical institutions, are highlighted, taking into account many factors that were not taken into account when the well-established work of the centralized supply of medical oxygen (climate, the transport component, the economic issue, the situation with competent technical personnel, document flow work in supervising institutions, etc.). The regulatory frameworks on the arrangement of various oxygen supply systems are presented. Information on safety requirements when working with liquid and gaseous oxygen in vessels under pressure is provided. With reference to the regulatory documentation, the point of view is stated that, taking into account modern economic and economic aspects, in a number of medical institutions, in addition to the traditional-cryogenic method of obtaining medical oxygen, a short-cycle adsorption without heat is very often an expedient method of obtaining oxygen. This absorption allows to produce pure gas with relatively low pressure and ambient temperature directly at the place of the gas consumption. The method of non-heating absorption is described, and information on design of the installation for the production of oxygen is given in detail. The technical characteristics of various types of oxygen concentrators of various production capacities are given.
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Voskanyan, Yury, Irina Shikina, Olga Andreeva, Fedor Kidalov, and David Davidov. "Multifactorial model of adverse events and medical safety management." Journal of Digital Science, no. 1 (May 28, 2020): 29–39. http://dx.doi.org/10.33847/2686-8296.2.1_3.
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The article describes a multifactorial model of adverse events related to the provision of medical care. It is shown that their origin is caused by the transformation of systemic causes (latent failures) acting at the level of medical organization, external microenvironment and macro-factors. Four types of global latent failures are described at the level of a medical organization related to: medical technology, work of medical personnel, work environment, and patient behavior. At the external microenvironment level, major latent threats are concentrated at the level of partners, suppliers and outsourcers. Among macro-factors influencing medical care safety especially important are the legal factors defining the status of medical errors and their consequences; economic model of state health care; financial provision of state guarantees and rationing of these volumes in regions and municipalities; availability of state medical care safety management programs; state regulation of medical activity; system of pre- and post-graduate medical education; system of labor regulation and remuneration of medical workers; society's attitude towards medical errors and its participation in the process of medical care safety management. The authors present an algorithm for implementation of a safety management system in a medical organization, including the construction of a new safety culture, an accounting system for recording of threats and incidents, a model for managing medical care safety built into the operational system of the organization.
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Copca, Narcis, and Constanta Mihaescu-Pintia. "Motivating hospital personnel for excellence in a rough environment." Proceedings of the International Conference on Business Excellence 11, no. 1 (July 1, 2017): 368–80. http://dx.doi.org/10.1515/picbe-2017-0040.
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Abstract Work motivation and satisfaction are core performance factors, of a broad complexity in healthcare. In spite of all economic, political, administrative, regulatory or bureaucratic adversities, there are public Romanian hospitals striving to perform at European level. Medical personnel dissatisfaction, and shortage due to migration are significant challenges for managers. Methodology: the main research question is whether motivation is a key factor in a public Romanian hospital oriented to clinical excellence, reflected by retention of medical staff and their professional satisfaction, and also perceived by their patients. Purpose: to analyze importance and level of job satisfaction of hospital personnel in relation with other motivation components given the rough environment of Romanian public healthcare system, and its reflection on patient satisfaction. The paper is based on two studies: professional satisfaction survey conducted among all 350 employees of the Clinical Hospital “St. Maria” Bucharest accredited for liver transplantation and achieving great clinical performance, based on a 21-questions semi-structured questionnaire. Second, a patient satisfaction survey conducted on a sample of 75 patients randomly selected from all 5 hospital departments, out of an average of approximately 230 patients per week, by applying on discharge day a questionnaire of 30 questions. Results: Great majority of our personnel appreciated as appropriate: their working conditions, communication and relationship with hierarchic boss and with hospital management team. 84.6% of medical and 90.5% of nonmedical personnel declared to be professionally very satisfied and satisfied in this hospital. Patient satisfaction analysis indicated that almost all respondents were informed by medical personnel about their conditions and rights, receiving explanations about treatment; 90% considered care received at a very good quality, except for food; 90.2% of respondents rated as very good the personnel kindness, availability, communication, information and care; 67,2% of patients stated as very satisfied and 23% satisfied with the medical care received, and all respondents would choose this hospital again if needed and even would recommend it to others. Conclusion: Anticipating their needs and motivating hospital personnel to achieve high performance is of great importance for managers and employees, by focusing on people and using appropriate tools even when no direct financial incentives are possible. Professional satisfaction has to be periodically measured, correlated with patient surveys and followed by specific actions for improvement and kept high, thus allowing climbing up to the best hospitals in Bucharest, despite significant challenges within Romanian public healthcare system. Our analysis showed the importance of job motivation and satisfaction in public hospitals, despite the rough environment, and reflection of work satisfaction on employees-patients relationship in terms of availability, communication, providing information and feedback, care, and choice/preference for future services. Thus, our research objectives were fulfilled.
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Zheleznyakova, I. A., L. A. Kovaleva, and T. A. Khelisupali. "Individual cost accounting in the management of medical organizations." FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology 12, no. 1 (May 23, 2019): 55–59. http://dx.doi.org/10.17749/2070-4909.2019.12.1.55-59.
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In the modern economic conditions, the rational planning of costs and the complex process optimization are essential requirements to all organizations. Knowledge of costs is needed to correctly assess the economic performance of an organization. Competent and timely correction of tariffs for the obligatory medical insurance and rationalization of the requested financing of the medical organization depends on this assessment. In the present study, we analyze various methods of personalized cost accounting: the ratio of costs to charges (RCC); relative value unit (RVU); time-driven activity-based costing (TDABC), and the possibility of their adaptation to the specific needs of medical organizations. The personalized cost accounting incorporated into a medical information system allows for controlling, planning and carrying out a close internal management of financial activity. This function helps decision-makers: control the use of funds for medical care provision; increase the efficiency of management decisions; justify the prices of paid medical services; define the deficit and surplus work units; analyze the treatment cost for each patient, considering the diagnosis, method of treatment, age and other classification signs, including the reference to specialized departments; reduce the unnecessary “paper” work load on the medical personnel; model the future needs of the organization in accordance with the planned changes in the hospitalization policy; optimize, control and plan the budget with regard to the established standards of financial expenses. Implementation of this approach is expected to increase the work efficiency in most medical organizations and the entire healthcare system.
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Shulyak, Ekaterina V. "The development of health care in Siberia in the 18th — first half of the 19th century." Tyumen State University Herald. Humanities Research. Humanitates 5, no. 2 (June 28, 2019): 121–32. http://dx.doi.org/10.21684/2411-197x-2019-5-2-121-132.
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Development of health care of Siberia in the 18<sup>th</sup> — first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical institutions of Siberia were military hospital and infirmaries. In the days of reign of the Empress Anna Ioannovna, the city medical care started developing, and thanks to an initiative of the industrial enterprises owners — medical care for miners. After the establishment of the Public Charity Orders in Siberia, hospitals under their jurisdiction began to function in Tobolsk, Irkutsk, and Tomsk. A worthy contribution to the development of local medical institutions was made by donators Tolstopyatov, Bednyagin, Chupalov, and others. However, deficiency of financing, hospitals, and the medical personnel couldn’t adequately satisfy the needs of Siberian inhabitants in medical care.<br> The purpose of the article is to analyse the condition of public health, causes of morbidity and mortality of the population, as well as the process of medical care development in Siberia the turn of the 18<sup>th</sup> century by means of a historical and genetic method.
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Burdastova, Yulia V. "Mentoring in healthcare: trend or necessity?" POPULATION 23, no. 1 (2020): 148–54. http://dx.doi.org/10.19181/population.2020.23.1.12.
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The article attempts to assess the necessity for a mentoring system in medical institutions in Moscow. It presents the results of a sociological study, conducted in 2019, which include the analysis of expert interviews (among the experts were heads of the medical institutions subordinate to Moscow Department of Health, institutions of secondary vocational education, additional vocational training, and relating higher educational institutions). Starting with consideration of the issues concerning the attitude of experts to the topic of mentoring, the author identified the need to introduce mentoring in medical institutions, as well as the conditions for organization of effective functioning of the mentoring system, such as choosing a mentor, encouraging him, the timing of mentoring, etc. The author emphasizes that the institution of mentoring is necessary both to help new employees adapt and to help young professionals gain practical skills. According to experts, there is a gap between basic theoretical training and practical experience of young employees, which can be filled with the help of a mentoring system in medical organizations. Analyzing the expert interviews, the author comes to the conclusion that due to the lack of a legal basis for the mentoring system inRussia, it should be said that mentoring is proactive. This article also provides a review of international experience, recommendations of international organizations concerning the personnel crisis in medicine, and the main problems of the world health systems hampering achievement of the millennium goals and economic growth. Among the main barriers highlighted by WHO are the following: lack of medical personnel, uneven geographical distribution of medical workers, lack of access to medical services among the population, poor quality of medical care, etc.
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Nurakynova, Sabina. "Medical education governance based on strategic planning." International Journal of Health Governance 23, no. 3 (September 3, 2018): 216–25. http://dx.doi.org/10.1108/ijhg-06-2018-0022.
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PurposeThe purpose of this paper is to analyze the medical education strategic planning to align with international best practices in university governance.Design/methodology/approachResearch methods used: content analysis, analysis of modern concepts of strategic planning in universities. The study used two main methodological approaches: analysis of medical education governance and analysis of strategic planning in universities.FindingsApplied models of educational governance at most universities are not always effective in achieving their goals. A strategy is a complex and potentially powerful tool, with the help of which a modern university can withstand the constantly changing environment. By using such a tool, the university can gain prestige, leading positions and recognition in international scientific and educational spheres. Therefore, strategy and strategic planning deserve close attention as a higher education governance tool, suitable not only for a medical college but also for a wide range of other types of social organizations.Originality/valueEducation is a policy priority of any state determining the state’s level of modern socio-economic development and building a productive workforce. The quality of human resources primarily depends on the system of higher education, which is carried out by universities. Foreign countries’ experience shows that prosperity of the state and society is impossible without a healthy nation. Improving the quality of people’s lives depends, in particular, on health education, so “medical education governance” is how we prepare personnel, which must be properly trained and qualified to provide high-quality health care services. Kazakhstan medical universities are increasingly becoming players in the medical education market, but the governance systems of universities are lagging behind. The success of universities largely depends on the results of their strategic planning, which is why special attention should be given to strategic planning analysis. Despite the importance of analyzing medical education governance, there has been insufficient research in this area in Kazakhstan.
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Zhang, Yongrui, and Jialin Gao. "Application of Wireless Network in Hospital Information Construction." MATEC Web of Conferences 227 (2018): 02001. http://dx.doi.org/10.1051/matecconf/201822702001.
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The rapid development and wide application of wireless network technology have brought unprecedented opportunities to the reform of medical and health services in China. Many hospitals in China have widely applied wireless network technology to informatization construction of hospitals, mainly including wireless room inspection, wireless infusion, wireless nursing, telemedicine, and warehouse management. This has the advantages of being flexible, convenient, effective, and reliable, which is conducive to the comprehensive integration of hospital data and information, reducing the work pressure of medical personnel, improving medical diagnosis and quality of care, and promoting the development of China’s medical and health services. Wireless networks have made outstanding contributions in controlling medical defects and improving economic efficiency while improving work efficiency and reducing costs. However, there are still certain security risks in wireless networks. Only the safe and rational use of wireless network technology can ensure the hospital’s information security.
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Shipova, Valentina, Evgeniya Berseneva, Tamara Makarenko, and Boris Spasennikov. "Age-Sex Structure of Population as One of the Factors of Its Morbidity at the Regional Level." Bulletin of Baikal State University 30, no. 2 (June 11, 2020): 300–308. http://dx.doi.org/10.17150/2500-2759.2020.30(2).300-308.
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Morbidity in a population according to its main classes, groups and specific diseases depends on many factors: economic development and living conditions of the population, the development of a network of healthcare organizations and the availability of basic and specialized types of medical care, the availability of medical personnel and their qualifications, the attitude of residents to their health and timely preventive measures, etc. The article presents a method of assessing the influence of age-sex population structure on the capacity of health care, describes the stages of calculations and gives specific examples. The characteristic feature of the method is the fact that when changing from intensive indicators to coefficients per unit, data in a given age-sex group are considered. For the two territories, which have significant differences in the age-sex population structure, the results of calculations of the number of first-time malignancies and active tuberculosis cases, which can occur only due to the influence of the age-sex population structure, all other factors being equal, are shown. The significant difference in the total estimated figures for the Belgorod region and the Republic of Ingushetia indicates that this factor should be taken into account in the analysis of the activities of medical organizations, planning capacity of health care and availability of medical personnel.
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Wang, Xiaomei, Jin Zhuo Lee, and Yi Chern Koh. "Malaysia’s linguistic landscape and language practices in Chinese private clinics." Journal of Asian Pacific Communication 30, no. 1-2 (June 30, 2020): 60–89. http://dx.doi.org/10.1075/japc.00045.xia.
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Abstract This paper reports on the organization of Malaysia’s linguistic landscape and the implications of this situation for contacts between providers of medical service and patients. The main purpose of this study is to clarify the position of Chinese private clinics in Malaysian society and to better understand language use between Chinese medical personnel and Chinese patients. The fieldwork focused on clinics in the Klang Valley, Malaysia and was carried out between December 2016 and March 2017. The results reveal the complex linguistic situation in the medical domain reflecting the general hierarchical social structure in Malaysia. Chinese patients have different wishes as regards their preferred language environment in these clinics, but generally prefer to use Mandarin Chinese for interaction with doctors. Medical staff also tend to prefer the use of Mandarin Chinese but also understand the need for dialect based interactions to create a feeling of harmony and belonging. The data are used to clarify existing problems in doctor-patient interaction and contribute to the debate of communication discordance in the healthcare domain.
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Negai, Nikolay, Natalya Raspopova, Kuanysh Altynbekov, Maria Dzhamantayeva, and Natalya Logacheva. "Mixed anxiety-depressive adaptation disorders in the presence of the COVID-19 epidemic." Journal "Medicine" 3-4, no. 213-214 (August 31, 2020): 46–52. http://dx.doi.org/10.31082/1728-452x-2020-213-214-3-4-46-52.
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In the presence of the COVID-19 epidemic, due to quarantine measures, millions of people around the world are under the stress of infection and have to adapt to new conditions of social functioning. The high risk of developing of mixed anxiety-depressive adaptation disorders in the presence of COVID-19 quarantine measures determines the relevance of this study. Study purpose. To study the prevalence and clinical level of mixed anxiety-depressive disorders in medical personnel under the COVID-19 quarantine regime. Material and methods. 51 employees of the Republican national enterprise on the right of economic jurisdiction “Republican scientific and practical center of mental health” (RSPCMH) were examined: doctors, junior and medium-level medical personnel. The main study method is psychometric (Hospital Anxiety and Depression Score – HADS). Results and discussion. The work presents an analytical review of literature data on the problem of adaptation disorders and current international studies on mental disorders in medical workers under the COVID-19 quarantine regime. According to the results of this study, affective disorders in the form of depressive and anxiety-depressive reactions within the framework of adaptation disorders were detected in 37.3% of the medical staff of the RSPCMH. Conclusions. It was found that the higher the risk of COVID-19 infection, the more often depression is detected and in departments with a lower risk of infection, more often mixed anxiety-depressive disorders are detected. Preventive measures aimed at increasing the stress tolerance of medical workers are recommended. Key words: COVID-19, stress, adaptation disorders, anxiety, depression, stress protectors, tranquilizers.
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Haenle, Maximilian, Christina Skripitz, Wolfram Mittelmeier, and Ralf Skripitz. "Economic Impact of Infected Total Knee Arthroplasty." Scientific World Journal 2012 (2012): 1–6. http://dx.doi.org/10.1100/2012/196515.
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Background.An enormous economic impact can be observed for infected total knee arthroplasties (TKA). The aim of the present study was to evaluate whether a cost covering treatment of infected TKA is feasible in the German DRG System.Patients and Methods.Average total treatment costs were evaluated for infected TKA and compared with a matched pair of primary TKA. Data was generated using the health record and the hospitals’ health information system. Results were evaluated and compared regarding the total personnel and material costs with respect to the financial receipts.Results.A total of 28 patients diagnosed with an infected TKA were included. A significant increase in the average length of stay, use of medical supplies and third party medical examinations were found for the infected TKA. An average deficiency of 6,356€ per patient was observed for the infected TKA. An average profit of 927€ per patient was made performing primary TKA.Conclusions.A cost-effective treatment of infected TKA was not feasible with the receipts from the German DRG System. An adaption of the receipts has to be evaluated. Moreover, other measures have to be considered in order to achieve a comprehensive medical yet financial reasonable standard in the treatment of infected TKA and THA.
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Myasnikov, A. A., E. V. Eficenko, D. P. Zverev, and I. R. Klenkov. "Chronic decompression sickness and its diagnosis." Bulletin of the Russian Military Medical Academy 20, no. 4 (December 15, 2018): 26–31. http://dx.doi.org/10.17816/brmma12243.
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Clinical pattern of the chronic decompression sickness is non-specific and there is objective difficulty to reveal the cause-and-effect relationship between the diver’s health condition and his professional activity in each case. This problem is not only obstructing necessary medical and social aid to the patient but also provides the light-minded relation to the preventive measures organization before diving long-term adverse health effects. A clinical case of professional pathology diagnosed in the diver. The patient served in 1993-2000 in Armed Forces of the Russian Federation as diver-welder, during this period no active complains were demonstrated, as he told, for saving diver’s qualification. In 2000 the patient retired for social and economic reasons and was accepted as a healthy person by a military medical expert commission. Until 2007 he was working by speciality not related to increased pressure terms. In 2007 after medical expert commission examination, the patient continued his work as a civilian personnel diver of the Russian Federation Ministry of Defense, during this time the clear relation between pain syndrome and diving episodes was detected. The patient was self-treated with analgesics and heat physical therapy with unstable effect. In 2014 because of increased lower back pain syndrome, he turned to medical aid. In2015 the diagnosis of chronic decompression sickness was established. Pathogenesis of chronic decompression sickness in not enough investigated, including methodical reasons. Prophylactic measures existing in routine medical diving practice are aimed only for acute non-specific and specific diver’s pathologies and this fact doesn’t favour special attention of the medicals for long-term post-diving effects. It provides to the low efficiency of measures for saving divers, aquanauts and caisson workers professional suitability despite known cases of their health disorders during work experience.
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Lee, Tae-Hun, Jae-Hyun Han, Ashish Ranjan Sharma, Young-A. Choi, Dong Won Kim, Sang-Soo Lee, and Moo-Eob Ahn. "A Sustainable Ambulance Operation Model in a Low-Resource Country (the Democratic Republic of Congo)." Emergency Medicine International 2018 (August 28, 2018): 1–7. http://dx.doi.org/10.1155/2018/8701957.
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Due to an increase in traffic collisions, the demand for prehospital medical services is on the rise, even in low-resource countries where emergency ambulance services have not been previously provided. To build a sustainable and continuous prehospital ambulance operation model, it is necessary to consider the medical system and economic conditions of the corresponding country. In an attempt to construct a prehospital ambulance operation model that ensures continuous operation, a pilot “emergency patient transporting service from field to hospital” operation was established for approximately three months in Kinshasa, the capital of the DR Congo. To construct a continuously operating model even after the pilot operation, willingness to pay (WTP) by type of emergency medical and transport service was investigated by implementing the contingent valuation method (CVM). Using CVM, the WTP for prehospital emergency services targeting ambulance services personnel, patients, policemen, and hospital staff participating in the pilot operation was calculated. The results of the pilot operation revealed that there were a total of 212 patients with a mean patient number of 2.4 per day. A total of 155 patients used the services for hospital transport, while 121 patients used the services for traffic collisions. Traffic collisions were the category in which ambulance services were most frequently needed (66.2%). Pay services were most frequently utilized in the home-visit services category (40.9%). Based on these results, eight independently operated ambulance operation models and sixteen models that utilize hospital medical personnel and policemen already belonging to existing institutions were proposed. In an effort to implement emergency medical ambulance services in the DR Congo, medical staff receiving pay for performance (incentive pay) should be deployed in the field and on call. Accordingly, with respect to sustainable development goals, various pay-for-service models should be used.
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Zinchenko, Yu P., O. O. Salagay, L. A. Shaigerova, O. V. Almazova, A. G. Dolgikh, and O. V. Vakhantseva. "Perception of stress by different categories of medical personnel during the first wave of the COVID‑19 pandemic in Russia." Public Health 1, no. 1 (June 8, 2021): 65–89. http://dx.doi.org/10.21045/2782-1676-2021-1-1-65-89.
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Relevance. In the context of the pandemic, the current psychological state and the likely delayed deterioration of the mental health of medical personnel, regardless of their professional duties, are of concern. Taking into account the stressful circumstances in which the pandemic has placed all medical workers, assessing the level of perceived stress, as well as identifying risk factors and factors that mitigate stress, is an urgent task, the solution of which will contribute to the effective organization of psychological support for medical personnel.Methods. The study used a shortened version of the Perceived Stress Scale (PSS10) as the main methodology – a tool designed to study a person's attitude to stressful situations and determine the degree to which life is assessed as stressful and uncontrolled (Cohen et al., 1988). The methodology is widely used by the scientific community, including during the pandemic, and the original English version of the PSS has been translated into many languages and adapted in different countries. The study was conducted through an online survey.Respondents. The study, conducted in the period from May 9 to June 26, 2020, when there was a steady increase in SARS-CoV 2 virus infections in Russia, involved 1,287 employees of medical institutions in various subjects of the federation (1,079 women and 208 men) aged 19 to 80 years. The sample of the study is represented by doctors, middle and junior medical staff, heads of medical departments and institutions, as well as volunteers.Results. A high average overall index of perceived stress among employees of medical institutions was revealed. The highest level of stress is observed in the youngest age group (from 19 to 30 years), and with age, the level of stress decreases. There were no differences in the level of stress between male and female health workers in any of the considered stress indicators. Protective factors against increased stress are the presence of children and living with family members or relatives, while the presence of a spouse / partner does not affect the overall indicator of perceived stress. From different categories of medical workers, the index of perceived stress is higher in managers and doctors compared to middle and junior medical personnel. There were no significant differences in the level of stress between the staff working and not working in the "red zone". Differences in the level of stress of medical workers depending on the current situation (the number of infected and dead) in the region of residence were revealed: the level of stress is higher for those specialists who are forced to work in stressful conditions due to the complex epidemiological situation. The relationship between different beliefs about COVID19 and the level of stress is shown: the level of stress is higher in those who take its danger more seriously. In terms of the sources of stress, the most likely predictors are anxiety about exposure to COVID19 at work and the likelihood of infecting loved ones, fear of catching it yourself and getting sick, inability to meet the usual personal needs and economic instability.Conclusions. Practical interventions, the provision of psychological support and the development of actions to reduce stress for staff during a pandemic, should take into account the role of factors in increasing stress among staff working in specific conditions and focus on the prevailing beliefs and stressors in specific categories of medical factors.
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Makhmudova, Mukhabbat Madirimovna. "STUDYING THE HISTORY OF THE DEVELOPMENT OF THE HEALTHCARE SYSTEM IN UZBEKISTAN DURING THE YEARS OF INDEPENDENCE." CURRENT RESEARCH JOURNAL OF HISTORY 02, no. 05 (May 30, 2021): 31–36. http://dx.doi.org/10.37547/history-crjh-02-05-10.
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The article briefly highlights the history of the study of the health problem by Uzbek scientists in a certain period of time. The works of the authors are divided into groups based on their quality, nature and focus. Monographic and dissertation research is especially highlighted. Used methods of chronological and comparative analysis, particular attention is paid to the study of orientalists of Uzbekistan and publications of foreign authors. It is recognized that as a result of the implementation of the results of dissertation research by individual authors, there is an optimization of the structure of health care authorities and a decrease in the level of disease in the population. Over the years of independence, a health care reform program has been implemented. Much has been done to improve its quality and culture of timeliness and efficiency. A network of urgent emergency care, rural medical outpatient clinics and city polyclinics, multidisciplinary specialized clinics, scientific centers has been created. Medical care for women and children of the country is provided at the level of world standards, personnel training is carried out in 14 medical universities and one pharmaceutical institute, in 85 medical colleges. Advanced training and retraining of medical personnel is carried out in universities and an advanced training institute. At present, it is one of the most important branches of the country’s national economy. As a result of socio-economic and medical measures in Uzbekistan, medical care has become universal and publicly available, such dangerous diseases as cholera, plague, smallpox, parasitic typhus, trachoma have been eliminated, and the incidence of many others has been reduced. Over the past 10 years, the incidence of the population with such socially dangerous ailments as congenital defects by 32.4%, infectious diseases by 40%, the incidence of the upper respiratory tract has decreased by 4.2 times. The incidence of diphtheria, paratyphoid fever, poliomyelitis, malaria has been completely eradicated [1]. The health care system employs about 650 thousand people (this is almost 10 percent of the able-bodied population of the republic), including more than 84 thousand doctors and 500 thousand paramedical workers. An extensive network of medical institutions in Uzbekistan is capable of providing the necessary medical and preventive care to the entire population.