Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;50-60
N. Kuchin, Y. Tyukov
Introduction. The creation and administration of internal control system for quality and safety of medical activities (internal control, IC) is an essential step of the management cycle in any medical organization. IC system is one of the most discussed types of control in the Russian healthcare today. At the same time, management of this local system in medical organization remains the subject of discussion. Objective. To analyze the impact of the completeness and intensity of activities carried out at medical organization (hereinafter referred to as MO) on the results of internal control. Materials and methods. Authors conducted a sociological study with a formalized questionnaire (checklist) to identify evaluation categories for the internal control effectiveness. The study participants were the internal control managers from 89 state MOs of the Chelyabinsk Region. Results. Increasing the stability of the internal control system as a mandatory and continuous activity for any MO requires the development of additional management measures, including creating a unified information framework, reducing the information gap between MOs within a region, expanding the use of incident and risk-based internal control technologies as well as analyzing the resources and staffing of IC subjects. For citation: Kuchin NЕ, Tyukov YuА. Quality management in a medical organization: evaluation categories for internal control effectiveness. City Healthсare. 2023;4(1): 50-60 doi: 10.47619/2713-2617.zm.2023.v.4i1;50-60.
{"title":"Quality management in medical organization: evaluation categories for internal control effectiveness","authors":"N. Kuchin, Y. Tyukov","doi":"10.47619/2713-2617.zm.2023.v.4i1;50-60","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;50-60","url":null,"abstract":"Introduction. The creation and administration of internal control system for quality and safety of medical activities (internal control, IC) is an essential step of the management cycle in any medical organization. IC system is one of the most discussed types of control in the Russian healthcare today. At the same time, management of this local system in medical organization remains the subject of discussion. \u0000Objective. To analyze the impact of the completeness and intensity of activities carried out at medical organization (hereinafter referred to as MO) on the results of internal control. \u0000Materials and methods. Authors conducted a sociological study with a formalized questionnaire (checklist) to identify evaluation categories for the internal control effectiveness. The study participants were the internal control managers from 89 state MOs of the Chelyabinsk Region. \u0000Results. Increasing the stability of the internal control system as a mandatory and continuous activity for any MO requires the development of additional management measures, including creating a unified information framework, reducing the information gap between MOs within a region, expanding the use of incident and risk-based internal control technologies as well as analyzing the resources and staffing of IC subjects. \u0000For citation: Kuchin NЕ, Tyukov YuА. Quality management in a medical organization: evaluation categories for internal control effectiveness. City Healthсare. 2023;4(1): 50-60 doi: 10.47619/2713-2617.zm.2023.v.4i1;50-60.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"47 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113970309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;12-21
A. A. Savina, S. I. Feiginova, E. Zemlyanova
Introduction. The COVID-19 pandemic influenced the health status and mortality of population all over the world. The mortality rate in Moscow also increased significantly since the density of Moscow population is high and the city is very attractive for migrant workers. Objective. To determine the contribution of migrants died from the COVID-19 to the mortality in Moscow for 2019–2021. Materials and methods. In study, authors used the data on Moscow population and the real-time data on deceased persons by death causes according to the ICD-10 provided by the Moscow Healthcare Department. Results. The average contribution of migrants to the total mortality in Moscow is 10% among women and 16% among men. As for the age composition, the most significant contribution is from the migrant children and working-age youth aged 20 to 30 in women (an average of 50%) and 35 in men (an average of 60%). These results are especially true for migrant workers. Diseases of the circulatory system, external causes and neoplasms were the leading death causes among migrants before the pandemic. Then, the COVID-19 became the third common cause in 2020 and the first one in 2021. As for the death cause, the migrants contributed most to the perinatal and maternal mortality as well as to the mortality from infectious diseases, mental disorders and external causes. Conclusion. Cardiomyopathy and endocarditis, leading causes from the diseases of the circulatory system, often become the complications of infectious diseases, including imported infections. It is crucial to reimplement a rigorous record-keeping by citizenship and place of birth or residence, particularly within the databases on deceased population, in order to monitor the epidemiological situation and to make timely organizational decisions.
{"title":"Contribution of migrants to mortality in Moscow during the COVID-19 pandemic","authors":"A. A. Savina, S. I. Feiginova, E. Zemlyanova","doi":"10.47619/2713-2617.zm.2023.v.4i1;12-21","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;12-21","url":null,"abstract":"Introduction. The COVID-19 pandemic influenced the health status and mortality of population all over the world. The mortality rate in Moscow also increased significantly since the density of Moscow population is high and the city is very attractive for migrant workers. Objective. To determine the contribution of migrants died from the COVID-19 to the mortality in Moscow for 2019–2021. Materials and methods. In study, authors used the data on Moscow population and the real-time data on deceased persons by death causes according to the ICD-10 provided by the Moscow Healthcare Department. \u0000Results. The average contribution of migrants to the total mortality in Moscow is 10% among women and 16% among men. As for the age composition, the most significant contribution is from the migrant children and working-age youth aged 20 to 30 in women (an average of 50%) and 35 in men (an average of 60%). These results are especially true for migrant workers. Diseases of the circulatory system, external causes and neoplasms were the leading death causes among migrants before the pandemic. Then, the COVID-19 became the third common cause in 2020 and the first one in 2021. As for the death cause, the migrants contributed most to the perinatal and maternal mortality as well as to the mortality from infectious diseases, mental disorders and external causes. \u0000Conclusion. Cardiomyopathy and endocarditis, leading causes from the diseases of the circulatory system, often become the complications of infectious diseases, including imported infections. It is crucial to reimplement a rigorous record-keeping by citizenship and place of birth or residence, particularly within the databases on deceased population, in order to monitor the epidemiological situation and to make timely organizational decisions.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117235590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;38-49
K. Tarkhov
Introduction. The achievement of global goals and related applied tasks in the healthcare system depend on the research activities of the Russian medical community. Moscow has a vast potential for centralization and concentration of breakthrough research developments and advanced technologies in the field of medical science. The literature analysis revealed the lack of or insignificant amount of studies on publication activity of Moscow scientific organizations. Therefore, it is relevant to conduct a scientometric analysis of the publication activity of the Moscow Healthcare Department organizations in order to identify existing trends. Materials and methods. The study analyzed the “Medicine” cluster of the Scopus dataset using the SciVal research analytics tool with scientometric indicators for the number of publications in various categories and their citation between 2017 and 2021. Results and discussion. The study analyzed the main scientometric indicators (quantitative and proportional ratio) characterizing the dynamics of 5 years for 55 organizations from the categories: research institutes, scientific and practical centers and city clinical hospitals, subordinated to the Moscow Healthcare Department. Reference values of growth rates and some scientometric indicators are also given at the global, national and regional levels, i.e. worldwide, the Russian Federation and Moscow. The most cited publications of the 1-2 quartiles and in various collaborations are also listed. Conclusion. Moscow Healthcare Department organizations make a significant contribution to the Moscow publications in medical sciences, and their publication activity is characterized by steady growth and positive dynamics of changes in scientometric indicators. The results indicate good scientific performance (productivity) and the effectiveness of scientific activities of Moscow Healthcare Department organizations. For citation: Tarkhov KYu. Publication activity of the Moscow Healthcare Department organizations. City Healthсare. 2023;4(1): 38-49 doi: 10.47619/2713-2617.zm.2023.v.4i1;38-49
{"title":"Analysis of the publication activity of Moscow Healthcare Department organizations","authors":"K. Tarkhov","doi":"10.47619/2713-2617.zm.2023.v.4i1;38-49","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;38-49","url":null,"abstract":"Introduction. The achievement of global goals and related applied tasks in the healthcare system depend on the research activities of the Russian medical community. Moscow has a vast potential for centralization and concentration of breakthrough research developments and advanced technologies in the field of medical science. The literature analysis revealed the lack of or insignificant amount of studies on publication activity of Moscow scientific organizations. Therefore, it is relevant to conduct a scientometric analysis of the publication activity of the Moscow Healthcare Department organizations in order to identify existing trends. \u0000Materials and methods. The study analyzed the “Medicine” cluster of the Scopus dataset using the SciVal research analytics tool with scientometric indicators for the number of publications in various categories and their citation between 2017 and 2021. \u0000 \u0000Results and discussion. The study analyzed the main scientometric indicators (quantitative and proportional ratio) characterizing the dynamics of 5 years for 55 organizations from the categories: research institutes, scientific and practical centers and city clinical hospitals, subordinated to the Moscow Healthcare Department. Reference values of growth rates and some scientometric indicators are also given at the global, national and regional levels, i.e. worldwide, the Russian Federation and Moscow. The most cited publications of the 1-2 quartiles and in various collaborations are also listed. \u0000Conclusion. Moscow Healthcare Department organizations make a significant contribution to the Moscow publications in medical sciences, and their publication activity is characterized by steady growth and positive dynamics of changes in scientometric indicators. The results indicate good scientific performance (productivity) and the effectiveness of scientific activities of Moscow Healthcare Department organizations. \u0000For citation: Tarkhov KYu. Publication activity of the Moscow Healthcare Department organizations. City Healthсare. 2023;4(1): 38-49 doi: 10.47619/2713-2617.zm.2023.v.4i1;38-49","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127795323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;90-97
O.A. Belysheva
Introduction. Every second patient in intensive care has a low nutritional status. Since one of the duties of a nurse is to fulfill doctor's orders, providing and maintaining nutritional support also falls on the shoulders of nursing staff. Therefore, the level of nutritional support knowledge among health workers should be sufficiently high. In our opinion, each health worker must understand the need, indications and contraindications for the medical procedures and manipulations, their complications and the ways to prevent them in order to effectively provide health care. The aim of this study is to determine the level of knowledge in the field of nutritional support among nurses who completed a certified nurse-anesthetist program in one of the Moscow medical vocational institutions. Materials and methods. Authors conducted an analytical cross-sectional study with an anonymous questionnaire. Nurses who took an advanced training were firstly asked to fill out a questionnaire reflecting a subjective assessment of their own knowledge of nutritional support, and then they were asked to answer test questions for an objective assessment of knowledge. Score of 80% and above was considered as a sufficient level of knowledge. Results. A total of 53 questionnaires were completed. The average knowledge score was 40%. Two participants achieved the target of 80% correct test responses. There was no significant difference between the level of knowledge of nutritional support and work experience. At the same time, 45% of the respondents considered their level of knowledge to be insufficient and 80% of the participants identified the importance and necessity of knowledge. Conclusion. Nursing staff has an insufficient knowledge of nutritional support regardless of age and work experience. However, authors revealed the interest, importance and desire of nurses to improve their knowledge in nutritional support of patients. In this regard, it is necessary to organize the regular training of healthcare personnel in order to reduce the gap in knowledge.
{"title":"Level of knowledge in the field of nutritional support among nurse anesthetists","authors":"O.A. Belysheva","doi":"10.47619/2713-2617.zm.2023.v.4i1;90-97","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;90-97","url":null,"abstract":"Introduction. Every second patient in intensive care has a low nutritional status. Since one of the duties of a nurse is to fulfill doctor's orders, providing and maintaining nutritional support also falls on the shoulders of nursing staff. Therefore, the level of nutritional support knowledge among health workers should be sufficiently high. In our opinion, each health worker must understand the need, indications and contraindications for the medical procedures and manipulations, their complications and the ways to prevent them in order to effectively provide health care. The aim of this study is to determine the level of knowledge in the field of nutritional support among nurses who completed a certified nurse-anesthetist program in one of the Moscow medical vocational institutions. \u0000 \u0000Materials and methods. Authors conducted an analytical cross-sectional study with an anonymous questionnaire. Nurses who took an advanced training were firstly asked to fill out a questionnaire reflecting a subjective assessment of their own knowledge of nutritional support, and then they were asked to answer test questions for an objective assessment of knowledge. Score of 80% and above was considered as a sufficient level of knowledge. \u0000 \u0000Results. A total of 53 questionnaires were completed. The average knowledge score was 40%. Two participants achieved the target of 80% correct test responses. There was no significant difference between the level of knowledge of nutritional support and work experience. At the same time, 45% of the respondents considered their level of knowledge to be insufficient and 80% of the participants identified the importance and necessity of knowledge. \u0000 \u0000Conclusion. Nursing staff has an insufficient knowledge of nutritional support regardless of age and work experience. However, authors revealed the interest, importance and desire of nurses to improve their knowledge in nutritional support of patients. In this regard, it is necessary to organize the regular training of healthcare personnel in order to reduce the gap in knowledge.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131499512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;105-113
A. S. Abubakirov, A. Zudin, Roman S. Tsyganok
Introduction. Noncommunicable diseases represent a huge and growing global burden, posing serious challenges to health systems in both high-, low- and middle-income countries. One of the reasons is the low level of health literacy of the population, which does not ensure adequate health-saving behavior. The purpose of the study is to review the publications of non-Russian authors on the health literacy concept analysis. Materials and methods. The analysis of foreign publications was carried out using content analysis, the unit of which was "health literacy". Results. The study showed that the concept of health literacy and its content have been deeply studied in foreign literature. Health literacy includes the ability to read and understand health-related written text, communicate health information effectively, navigate the health care system, and achieve and maintain good health. Some Russian studies also reflect the level of health literacy of the population. For citation: Abubakirov AS, Zudin AB, Tsyganok RS. Approaches to the definition and essence of the health literacy concept. City Healthсare. 2023;4(1): 105-113. doi: 10.47619/2713-2617.zm.2023.v.4i1;105-113
{"title":"Approaches to the definition and essence of the health literacy concept","authors":"A. S. Abubakirov, A. Zudin, Roman S. Tsyganok","doi":"10.47619/2713-2617.zm.2023.v.4i1;105-113","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;105-113","url":null,"abstract":"Introduction. Noncommunicable diseases represent a huge and growing global burden, posing serious challenges to health systems in both high-, low- and middle-income countries. One of the reasons is the low level of health literacy of the population, which does not ensure adequate health-saving behavior. The purpose of the study is to review the publications of non-Russian authors on the health literacy concept analysis. \u0000Materials and methods. The analysis of foreign publications was carried out using content analysis, the unit of which was \"health literacy\". \u0000Results. The study showed that the concept of health literacy and its content have been deeply studied in foreign literature. Health literacy includes the ability to read and understand health-related written text, communicate health information effectively, navigate the health care system, and achieve and maintain good health. Some Russian studies also reflect the level of health literacy of the population. \u0000For citation: Abubakirov AS, Zudin AB, Tsyganok RS. Approaches to the definition and essence of the health literacy concept. City Healthсare. 2023;4(1): 105-113. doi: 10.47619/2713-2617.zm.2023.v.4i1;105-113","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128910178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;114-120
Pavel O. Ramensky
Introduction. Healthcare workers are one of the most important resources in the healthcare. It seems that the healthcare sector is more labor-intensive than other industries. The quality of medical services is maintained and improved through the good management of healthcare personnel and the creation of safe workplaces protecting from occupational hazards. However, the systemic management approaches to the use of health-saving technologies by medical workers play a more important role for maintaining own health. The purpose of this study is to consider the issue of maintaining health by health workers through the implementation of health management into their own life. Materials and methods. The author studied Russian and foreign sources and presented analytical data based on content analysis. Results. The study showed that the systematic introduction of preventive health promotion measures and the application of health management concept in the life of each health worker increased the performance, efficien y and stress resilience of the personnel as well as the engagement in the healthy lifestyle programs. For citation: Ramensky PO. Health management as a health-saving technology among healthcare workers. City Healthсare. 2023;4(1): 114-120. doi: 10.47619/2713-2617.zm.2023.v.4i1;114-120
{"title":"Health management as a health-saving technology among healthcare workers","authors":"Pavel O. Ramensky","doi":"10.47619/2713-2617.zm.2023.v.4i1;114-120","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;114-120","url":null,"abstract":"Introduction. Healthcare workers are one of the most important resources in the healthcare. It seems that the healthcare sector is more labor-intensive than other industries. The quality of medical services is maintained and improved through the good management of healthcare personnel and the creation of safe workplaces protecting from occupational hazards. However, the systemic management approaches to the use of health-saving technologies by medical workers play a more important role for maintaining own health. The purpose of this study is to consider the issue of maintaining health by health workers through the implementation of health management into their own life. Materials and methods. The author studied Russian and foreign sources and presented analytical data based on content analysis. Results. The study showed that the systematic introduction of preventive health promotion measures and the application of health management concept in the life of each health worker increased the performance, efficien y and stress resilience of the personnel as well as the engagement in the healthy lifestyle programs. \u0000For citation: Ramensky PO. Health management as a health-saving technology among healthcare workers. City Healthсare. 2023;4(1): 114-120. doi: 10.47619/2713-2617.zm.2023.v.4i1;114-120","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116071799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;22-37
M. A. Yakushin, A. V. Vorobeva, Sergey Y Yarotsky, M. D. Vasilev, O. Y. Arseenkova, Tatiana I Yakushina
The article presents the results of a study with 288 doctors of various age groups and specialties aimed at determining the level of professional competencies and its changes. To conduct this study, sociological, analytical, and statistical methods, as well as organizational modeling were used. Based on the results, grounds for the need to find effective solutions in order to support the professional literacy of doctors of older age groups were given. Organizational solutions to this problem were given, including unique healthsaving and advanced training (treatment in training) technologies, transformation of the methodological support of medical activity based on the implementation of expert systems, as well as reduction of cognitive load on doctors of nearing-retirement and retirement age through professional retraining in one narrow specialty. For citation: Yakushin MA, Vorobieva AV, Yarotsky SYu, Vasiliev MD, Arseenkova OYu, Yakushina TI. Age dynamics of doctor's professional competencies. City Healthсare. 2023;4(1): 22-37 doi: 10.47619/2713-2617.zm.2023.v.4i1;22-37
{"title":"Age dynamics of doctor's professional competencies","authors":"M. A. Yakushin, A. V. Vorobeva, Sergey Y Yarotsky, M. D. Vasilev, O. Y. Arseenkova, Tatiana I Yakushina","doi":"10.47619/2713-2617.zm.2023.v.4i1;22-37","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;22-37","url":null,"abstract":"The article presents the results of a study with 288 doctors of various age groups and specialties aimed at determining the level of professional competencies and its changes. To conduct this study, sociological, \u0000analytical, and statistical methods, as well as organizational modeling were used. Based on the results, grounds for the need to find effective solutions in order to support the professional literacy of doctors of \u0000older age groups were given. Organizational solutions to this problem were given, including unique healthsaving and advanced training (treatment in training) technologies, transformation of the methodological \u0000support of medical activity based on the implementation of expert systems, as well as reduction of cognitive load on doctors of nearing-retirement and retirement age through professional retraining in one narrow specialty. \u0000For citation: Yakushin MA, Vorobieva AV, Yarotsky SYu, Vasiliev MD, Arseenkova OYu, Yakushina TI. Age dynamics of doctor's professional competencies. City Healthсare. 2023;4(1): 22-37 doi: 10.47619/2713-2617.zm.2023.v.4i1;22-37","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"216 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132614067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;68-74
A. Shabunin, V. Bedin, I. Korzheva, Stanislav Yu. Orlov, Ekaterina K. Osmak, Ilya V. Vasiliev, Dmitriy V. Nesterov, Alexey A. Alepko
The endoscopic centers (EC) are faced with intensive overload due to the high patient flows, and the solution might be to implement into routine practice the speech-to-text software for inputting endoscopic examination descriptions. The authors assessed the changes in the time of paper work when endoscopists used speech recognition software, modern wireless headset, available Health Information System, algorithms and standardized protocols. Endoscopists were able to fill in the examination protocols using the developed method of speech recognition based on artificial intelligence (AI) and Voice2Med software. AI-based assessment shows that the absolute majority of professional terminology from the endoscopists' speech was reproduced (the recognition error was less than 3%). Moreover, 100% of endoscopists were satisfied with the voice input technology for making protocols. The study demonstrated that the protocols of endoscopic examinations developed as the result of the project allow endoscopists to reduce the time for writing medical reports as well as the overall time of procedure. For citation: Shabunin AV, Bedin VV, Korzheva IYu, Orlov SYu, Osmak EK, Vasiliev IV, Nesterov DV, Alepko AA. Pilot implementation of speech recognition technology in the endoscopic centers of Moscow Healthcare Department. City Healthсare. 2023;4(1): 68-74 doi: 10.47619/2713-2617.zm.2023.v.4i1;68-74.
{"title":"Pilot implementation of speech recognition technology in the endoscopic centers of Moscow Healthcare Department","authors":"A. Shabunin, V. Bedin, I. Korzheva, Stanislav Yu. Orlov, Ekaterina K. Osmak, Ilya V. Vasiliev, Dmitriy V. Nesterov, Alexey A. Alepko","doi":"10.47619/2713-2617.zm.2023.v.4i1;68-74","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;68-74","url":null,"abstract":"The endoscopic centers (EC) are faced with intensive overload due to the high patient flows, and the solution might be to implement into routine practice the speech-to-text software for inputting endoscopic examination descriptions. The authors assessed the changes in the time of paper work when endoscopists used speech recognition software, modern wireless headset, available Health Information System, algorithms and standardized protocols. Endoscopists were able to fill in the examination protocols using the developed method of speech recognition based on artificial intelligence (AI) and Voice2Med software. AI-based assessment shows that the absolute majority of professional terminology from the endoscopists' speech was reproduced (the recognition error was less than 3%). Moreover, 100% of endoscopists were satisfied with the voice input technology for making protocols. The study demonstrated that the protocols of endoscopic examinations developed as the result of the project allow endoscopists to reduce the time for writing medical reports as well as the overall time of procedure. \u0000For citation: Shabunin AV, Bedin VV, Korzheva IYu, Orlov SYu, Osmak EK, Vasiliev IV, Nesterov DV, Alepko AA. Pilot implementation of speech recognition technology in the endoscopic centers of Moscow Healthcare Department. City Healthсare. 2023;4(1): 68-74 doi: 10.47619/2713-2617.zm.2023.v.4i1;68-74.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134422082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;83-89
P. V. Gerasimenko
The author carried out the modeling of the dynamics of key integrated indicators for the COVID-19 outbreak in St. Petersburg, Russia. The dynamics of infection, recovery and mortality in the region was analyzed based on the monitoring data of the Coordination Council to control the incidence of the novel coronavirus infection in St. Petersburg. The analysis showed that it was possible to quickly make a shortterm forecast for the pandemic spread based on the polynomial regression of integral indicators. Through forecasting, administrative and sanitary institutions have the possibility to make suitable management decisions on the creation of normal conditions for maintaining the public health. For citation: Gerasimenko PV. Modeling the dynamics of key integrated indicators of the COVID-19 spread in St. Petersburg. City Healthсare. 2023;4(1): 83-89 doi: 10.47619/2713-2617.zm.2023.v.4i1;83-89.
{"title":"Modeling the dynamics of key integrated indicators for the COVID-19 spread in St. Petersburg","authors":"P. V. Gerasimenko","doi":"10.47619/2713-2617.zm.2023.v.4i1;83-89","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;83-89","url":null,"abstract":"The author carried out the modeling of the dynamics of key integrated indicators for the COVID-19 outbreak in St. Petersburg, Russia. The dynamics of infection, recovery and mortality in the region was analyzed based on the monitoring data of the Coordination Council to control the incidence of the novel coronavirus infection in St. Petersburg. The analysis showed that it was possible to quickly make a shortterm forecast for the pandemic spread based on the polynomial regression of integral indicators. Through forecasting, administrative and sanitary institutions have the possibility to make suitable management decisions on the creation of normal conditions for maintaining the public health. \u0000For citation: Gerasimenko PV. Modeling the dynamics of key integrated indicators of the COVID-19 spread in St. Petersburg. City Healthсare. 2023;4(1): 83-89 doi: 10.47619/2713-2617.zm.2023.v.4i1;83-89.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115764372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-16DOI: 10.47619/2713-2617.zm.2023.v.4i1;75-82
I. Ostrovskaya, Yuliya S. Korzhavina
The relevance of the study is related to the fact that people use the same manner of communicating online outside of work and at work. However, it is necessary to develop and implement rules of communication in team chats, so that they assist nurses in work and do not lead to information overload. To identify the rules of online communication in nursing teams, authors conducted a questionnaire survey of 393 nurses from Moscow medical organizations. Survey data were processed with descriptive statistics methods and statistical inference methods (Student's t-test, Pearson's correlation coefficient). According to the respondents, the WhatsApp messenger is the most convenient tool for work communication. It was revealed that the heads of nursing teams are in dire need of establishing rules for online communication. Their need to establish rules is significantly higher than the need of employees (t-observed = 2.8 > t-critical = 1.96 at p-value ≤ 0.05). Respondents stated that the most relevant rules of communication in chats today are to write personal questions in a private message and not to a group chat; to observe the rules of grammar and spelling of the Russian language; to mark relevant messages when replying; to write about the need for feedback in the message. The rules should ensure that online information is simple, clear, trustworthy, relevant, and also has a neutral tone and takes into account the characteristics of other chat members. For citation: Ostrovskaya IV, Korzhavina YuS. Communication rules for nursing staff using messengers. City Healthсare. 2023;4(1): 75-82. doi: 10.47619/2713-2617.zm.2023.v.4i1;75-82
{"title":"Communication rules for nursing staff using messengers","authors":"I. Ostrovskaya, Yuliya S. Korzhavina","doi":"10.47619/2713-2617.zm.2023.v.4i1;75-82","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2023.v.4i1;75-82","url":null,"abstract":"The relevance of the study is related to the fact that people use the same manner of communicating online outside of work and at work. However, it is necessary to develop and implement rules of communication in team chats, so that they assist nurses in work and do not lead to information overload. To identify the rules of online communication in nursing teams, authors conducted a questionnaire survey of 393 nurses from Moscow medical organizations. Survey data were processed with descriptive statistics methods and statistical inference methods (Student's t-test, Pearson's correlation coefficient). According to the respondents, the WhatsApp messenger is the most convenient tool for work communication. It was revealed that the heads of nursing teams are in dire need of establishing rules for online communication. Their need to establish rules is significantly higher than the need of employees (t-observed = 2.8 > t-critical = 1.96 at p-value ≤ 0.05). Respondents stated that the most relevant rules of communication in chats today are to write personal \u0000questions in a private message and not to a group chat; to observe the rules of grammar and spelling of the Russian language; to mark relevant messages when replying; to write about the need for feedback in the message. The rules should ensure that online information is simple, clear, trustworthy, relevant, and also has a neutral tone and takes into account the characteristics of other chat members. \u0000For citation: Ostrovskaya IV, Korzhavina YuS. Communication rules for nursing staff using messengers. City Healthсare. 2023;4(1): 75-82. doi: 10.47619/2713-2617.zm.2023.v.4i1;75-82","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128010109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：