I.I. Khairullin, R.Sh. Khasanov, S.E. Gabitova Complex assessment methodology of oncologic care’s results at the level of municipal formation........................................................................ 5
EDUCATION AND PERSONNEL
Philippov Yu.N., Khlapov A.L., Galova E.A., Doshchannikova O.A. The role of socio-economic support’s programs of young rural health professionals in planning of professional career....................................................... 11
Kobyakova O.S., Deev I.A., Kulikov E.S., Khomyakov K.V., Pimenov I.D., Zagromova T.A., Balaganskaya M.A. Occupational burnout of nursing personnel: how and where?.................................................................................... 19
INFORMATION SUPPORT OF HEALTH CARE
Chechenin G.I., Zhilina N.M., Kripalsky L.N., Dureev V.N. The reliability of medical and statistical data on morbidity and causes of mortality as a necessary condition for enhancing public health and life quality of citizens............. 25
Choloyan S.B., Sheenkova M.V., Ekimov A.K., Danilova L.V., Baygazina E.N. Development of information system for healthcare institution realising process approach without CASE............................................................... 33
ORGANIZATION AND IMPROVEMENT OF PROTECTION SYSTEM MANAGEMENT OF PUBLIC HEALTH
Kashirina E.Zh., Chechenin G.I., Bryzgalina S.M. The results of the model integration of disability prevention and medical and social rehabilitation of people with disabilities due to diabetes mellitus........................................... 39
Choloyan S.B., Sheenkova M.V., Ekimov A.K., Danilova L.V., Baygazina E.N. Methods of strategic management in healthcare institution (IT-aspect)........................................................ 45
ECOLOGY AND HEALTH
Zotova O.E., Korsakova O.P. Environment dependence and morbidity patterns of adult population in Murmansk region.................................................................................................................. 49
COMPLEX ASSESSMENT METHODOLOGY OF ONCOLOGIC CARE’S RESULTS AT THE LEVEL OF MUNICIPAL FORMATION
Ildar I. Khairullin, Candidate of Medical Sciences, head physician of SAHI «Republican Clinical Oncologic Dispensary» [420029, Kazan, Siberian tract str., 29; 8(843)5192600]
Rustem Sh. Khasanov, Corresponding member of Academy of Science, MD, Professor, principal of Kazan State Medical Academy – affiliated branch of FSBEI HPE «Russian Medical Academy of Continuous Professional Education» of Health Ministry of the Russian Federation, oncology and radiation therapy department chairman [420012 Kazan, Mushtari str., 11]
Svetlana E. Gabitova, Candidate of Medical Sciences, organizational and methodical department manager of SAHI «Republican Clinical Oncologic Dispensary» [420029, Kazan, Siberian tract str., 29; 8(843)5192600]
Abstract. The search for effective and efficient management is one of the priority tasks of public authorities and the health care system. The mechanism of complex assessment and the analysis of effectiveness and efficiency of activity of primary medical care at oncological diseases in the territory of the municipality is presented on the example of the Republic of Tatarstan for the purpose of the subsequent management decision making.
THE ROLE OF SOCIO-ECONOMIC SUPPORT’S PROGRAMS OF YOUNG RURAL HEALTH PROFESSIONALS IN PLANNING OF PROFESSIONAL CAREER
Yuri N. Philippov, Doctor of Medical Sciences, Professor, chief of public health and healthcare sub-faculty of FSBEI HPE «Nizhny Novgorod State Medical Academy» of Health Ministry of the Russian Federation [603005 Nizhny Novgorod, Minin and Pozharsky square, 10/1;
]
Alexander L. Khlapov, Candidate of Medical Sciences, head of the Department for Legal and Personnel Work of Health Ministry of Nizhny Novgorod Region [603082 Nizhny Novgorod, Nesterov str., 7;
]
Elena A. Galova, Candidate of Medical Sciences, teaching assistant of public health and healthcare sub-faculty of FSBEI HPE «Nizhny Novgorod State Medical Academy» of Health Ministry of the Russian Federation [603005 Nizhny Novgorod, Minin and Pozharsky square, 10/1;
]
Olga A. Doshchannikova, Teaching assistant of public health and healthcare sub-faculty of FSBEI HPE «Nizhny Novgorod State Medical Academy» of Health Ministry of the Russian Federation [603005 Nizhny Novgorod, Minin and Pozharsky square, 10/1;
]
Abstract. The problem of attracting of young specialists in healthcare institutions in rural areas of Nizhny Novgorod region is solved by the implementation of various programmes for socio-economic encouragement. The aim of the study was to identify the most important factors, according to physicians participating in the programs, influencing to the planning of their professional activities. The study was based on observation of the young physicians participating in the programs. It was revealed that the decisive factor in career planning of young specialist in favor of rural healthcare was purely economic motivation.
Key words: young specialists, rural health care, social and economic encouragement.
OCCUPATIONAL BURNOUT OF NURSING PERSONNEL: HOW AND WHERE?
Olga S. Kobyakova, Doctor of Medical Sciences, Professor, chief of general medical practice and out-patient therapy sub-faculty of FSBEI HPE «Siberian State Medical University» of Health Ministry of the Russian Federation [634050 Tomsk, Moskovsky trakt, 2;
]
Ivan A. Deev, Doctor of Medical Sciences, Professor of pediatrics sub-faculty with course of children’s diseases of medicine faculty of FSBEI HPE «Siberian State Medical University» of Health Ministry of the Russian Federation [634050 Tomsk, Moskovsky trakt, 2;
]
Evgeny S. Kulikov, Doctor of Medical Sciences, Ass. Professor of general medical practice and out-patient therapy sub-facult of FSBEI HPE «Siberian State Medical University» of Health Ministry of the Russian Federation [634050 Tomsk, Moskovsky trakt, 2;
]
Kirill V. Khomyakov, Post-graduate student of general medical practice and out-patient therapy sub-faculty of FSBEI HPE «Siberian State Medical University» of Health Ministry of the Russian Federation [634050 Tomsk, Moskovsky trakt, 2;
]
Igor D. Pimenov, Resident of general medical practice and out-patient therapy sub-faculty of FSBEI HPE «Siberian State Medical University» of Health Ministry of the Russian Federation [634050 Tomsk, Moskovsky trakt, 2;
]
Tatyana A. Zagromova, Candidate of Medical Sciences, Ass. Professor of general medical practice and out-patient therapy sub-faculty of FSBEI HPE «Siberian State Medical University» of Health Ministry of the Russian Federation [634050 Tomsk, Moskovsky trakt, 2;
]
Marina A. Balaganskaya, Candidate of Medical Sciences, Ass. Professor of general medical practice and out-patient therapy sub-faculty of FSBEI HPE «Siberian State Medical University» of Health Ministry of the Russian Federation [634050 Tomsk, Moskovsky trakt, 2;
]
Abstract. The large scale study of prevalence and degree of occupational burnout of nursing personnel has been made at the example of Tomsk region. MBI Burnout Inventory (Maslach Burnout Inventory) was used for burnout detection. 2 486 people from nursing personnel were involved in the study (1 807 people in the city or 72,7%, 679 persons in the rural area or 27,3%). The degree of occupational burnout among the nursing personnel in the Tomsk region was defined as high. Less than 1% of the respondents had no burnout, and 14% had a low burnout rate. Every fifth respondent scored average, and one in three had high or extremely high burnout. Occupational burnout of nursing personnel in the Tomsk region is manifested by cynicism and negativism towards patients at the average professional accomplishment scores.
THE RELIABILITY OF MEDICAL AND STATISTICAL DATA ON MORBIDITY AND CAUSES OF MORTALITY AS A NECESSARY CONDITION FOR ENHANCING PUBLIC HEALTH AND LIFE QUALITY OF CITIZENS
Gennady I. Chechenin, Doctor of Medical Sciences, Professor, head of medical cybernetics and computer science sub-faculty of Novokuznetsk State Medical Continuous Education Institute – affiliated branch of FSBEI APE RMACPE of Health Ministry of Russia [654005 Kemerovo region, Novokuznetsk, Stroiteley Аvе., 5;
]
Natalya M. Zhilina, Doctor of Engineering Science, Professor of medical cybernetics and computer science sub-faculty of Novokuznetsk State Medical Continuous Education Institute – affiliated branch of FSBEI APE RMACPE of Health Ministry of Russia [654005 Kemerovo region, Novokuznetsk, Stroiteley Аvе., 5]
Leonid N. Kripalsky, Forensic pathologist, visiting specialist of Healthcare Department of administration of Novokuznetsk district [654041 Kemerovo region, Novokuznetsk, Bardin Аvе., 34;
]
Victor N. Dureev, Head of SBHI «Novokuznetsk Patho-anatomical Bureau» [654041 Kemerovo region, Novokuznetsk, Bardin Аvе., 34]
DEVELOPMENT OF INFORMATION SYSTEM FOR HEALTHCARE INSTITUTION REALISING PROCESS APPROACH WITHOUT CASE
Salim B. Choloyan, Doctor of Medical Sciences, head physician of SAHI «Children’s Municipal Clinical Hospital», Orenburg [460001 Orenburg, Turkestanskaya str., 43;
]
Marina V. Sheenkova, Candidate of Medical Sciences, director general, head physician of LLC «Medguard-Orenburg», Ltd. [460014 Orenburg, Bereg Urala str., 4;
]
Alexander K. Ekimov, Economist of SAHI «Children’s Municipal Clinical Hospital» [460001 Orenburg, Turkestanskaya str., 43;
]
Lyubov V. Danilova, Physician of SAHI «Children’s Municipal Clinical Hospital» [460001 Orenburg, Turkestanskaya str., 43]
Elena N. Baygazina, software developer of SAHI «Children’s Municipal Clinical Hospital» [460001 Orenburg, Turkestanskaya str., 43;
]
Abstract. The analysis of healthcare institutions’activity shows that the processes are substantially simpler (in structure as well as in the set of works comprising a process) than those in other industries. It is possible to use simpler mathematics and software frameworks instead of the costly ones based CASE in order to develop the information system in implementing the process model of management. The article describes one of the ways of development of information system in healthcare institution.
Key words: рrocess model of management, two ways of developing of information system for healthcare institution’s management, way of developing of information system for healthcare institution’s management without CASE.
THE RESULTS OF THE MODEL INTEGRATION OF DISABILITY PREVENTION AND MEDICAL AND SOCIAL REHABILITATION OF PEOPLE WITH DISABILITIES DUE TO DIABETES MELLITUS
Elena Zh. Kashirina, Teaching assistant of endocrinology and diabetology sub-faculty of Novokuznetsk State Physicians Continuous Education Institute — affiliated branch of FSBEI FPE RMACPE of Health Ministry of Russia [654005 Kemerovo region, Novokuznetsk, Stroiteley Аvе., 5;
]
Gennady I. Chechenin, Doctor of Medical Sciences, Professor, head of medical cybernetics and computer science sub-faculty of Novokuznetsk State Medical Continuous Education Institute – affiliated branch of FSBEI FPE RMACPE of Health Ministry of Russia [654005 Kemerovo region, Novokuznetsk, Stroiteley Аvе., 5,
]
Svetlana M. Bryzgalina, Doctor of Medical Sciences, Professor, chief of endocrinology and diabetology sub-faculty of Novokuznetsk State Physicians Continuous Education Institute – affiliated branch of FSBEI FPE RMACPE of Health Ministry of Russia [654005 Kemerovo region, Novokuznetsk, Stroiteley Аvе., 5]
Abstract. The work presents the effectiveness of the integrated model of disability prevention and medical and social rehabilitation of disabled people due to diabetes mellitus (DM) among the adult population of Novokuznetsk. Methods of system analysis, socio-hygienic, and statistical were used. It was found that the level of general morbidity of diabetes increased from 18,5 to 23,6 per 1000 adult people from 2004 to 2008. The level of general disability is 12,2±1,1 per 10 thousand of the population. The need of disabled people for rehabilitation has been identified. A model for the prevention of disability and rehabilitation of disabled people has been introduced. The decrease in the level of general disability from 13,7 in 2008 to 7,3 in 2015 was the result. The obtained data were used in the development of individual rehabilitation programs for disabled people and training of specialists. The model has shown its effectiveness and relevance for other regions.
METHODS OF STRATEGIC MANAGEMENT IN HEALTHCARE INSTITUTION (IT-aspect)
Salim B. Choloyan, Doctor of Medical Sciences, head physician of SAHI «Children’s Municipal Clinical Hospital» [460001 Orenburg, Turkestanskaya str., 43;
]
Marina V. Sheenkova, Candidate of Medical Sciences, director general, head physician of LLC «Medguard-Orenburg», Ltd. [460014 Orenburg, Bereg Urala str., 4;
]
Alexander K. Ekimov, Economist of SAHI «Children’s Municipal Clinical Hospital» [460001 Orenburg, Turkestanskaya str., 43;
]
Lyubov V. Danilova, Physician of SAHI «Children’s Municipal Clinical Hospital» [460001 Orenburg, Turkestanskaya str., 43]
Elena N. Baygazina, software developer of SAHI «Children’s Municipal Clinical Hospital» [460001 Orenburg, Turkestanskaya str., 43;
]
Abstract. Efficient achievement of goals is impossible by healthcare institution during the conditions of the rapidly changing internal and external environment without the information system with the management module. It is known that all management tasks can be divided. The tactical management tasks have the purpose of achievement of foreseeable and clearly formulated goal. The others have the purpose to describe the future state of healthcare institution (in certain time), supposing that the external environment will have certain parameters in specified time. The main method of solving tactical tasks is the information system implementing the process model of management. The main method of solving strategic tasks is the method of mathematical (computer) modelling.
Key words: tactical and strategic management of healthcare institution, tools of tactical and strategic management.
ENVIRONMENT DEPENDENCE AND MORBIDITY PATTERNS OF ADULT POPULATION IN MURMANSK REGION
Olesya E. Zotova, Junior Researcher, FSBRI «N.A.Avrorin Polar Alpine Botanical Garden and Institute of Kolsky Science Centre of the Russian Academy of Sciences» [184209 Apatity, Fersman str., 18а;
]
Olga P. Korsakova, Candidate of Geographical Sciences, Associate Professor, Senior Researcher FSBSI Geological Institute of Kolsky Science Centre of the Russian Academy of Sciences [184209 Apatity, Fersman str., 18а;
]
Abstract. The article is dedicated to the influence of environment factors to the structure and morbidity patterns of adult population in Murmansk region. Pathogenic factors of natural, technogeneous and social environment depending to the most common diseases of adult population of the region are accentuated.
Key words: pathogenic factors of environment, morbidity of adult population, geo-ecological risk.
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