Pub Date : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;65-72
N. Grechushkina
Introduction. Modern diets characterized by high consumption of ultra-processed foods and reduced physical activity are leading to poor health outcomes and increased premature mortality, as well as higher health care costs. This requires that governments implement more effective models of public management in the field of nutrition which require evaluation of the impact of each management tool, as well as their cumulative effects. Objective. To summarize and characterize the key public policies that exist worldwide to reduce the risks of diet-related non-communicable diseases. Materials and methods. A content analysis of scientific and internet publications on nutrition and dietary management was used. Discussion. A common set of policy tools for many countries includes fiscal policy measures, quality standardization and food labeling, public education, financial incentives for responsible food behavior, development of national recommendations for healthy eating and its promotion, etc. Recently, these approaches have begun to rely on epidemiological monitoring data and studies evaluating the effectiveness of a particular type of intervention. Not all of the existing interventions are equally effective. Therefore, when choosing policy instruments, it is necessary to consider their potential, as well as their level of impact: individual, socio-cultural, industrial, governmental, etc. Conclusion. Rationalization of nutrition is the most important element of social policy of the state and one of the factors in the formation of a healthy lifestyle. This indicates the need for a comprehensive science-based systematic approach to solving problems in the field of healthy eating. The implementation of policy in this area should be based on scientific evidence, with the involvement of business and a wide range of the public, on the principle of interagency cooperation and taking into account multi-level factors that affect the formation of individual and population model of food behavior.
{"title":"Public policy measures to manage nutrition-related health risks","authors":"N. Grechushkina","doi":"10.47619/2713-2617.zm.2022.v3i1;65-72","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;65-72","url":null,"abstract":"Introduction. Modern diets characterized by high consumption of ultra-processed foods and reduced physical activity are leading to poor health outcomes and increased premature mortality, as well as higher health care costs. This requires that governments implement more effective models of public management in the field of nutrition which require evaluation of the impact of each management tool, as well as their cumulative effects. Objective. To summarize and characterize the key public policies that exist worldwide to reduce the risks of diet-related non-communicable diseases. Materials and methods. A content analysis of scientific and internet publications on nutrition and dietary management was used. Discussion. A common set of policy tools for many countries includes fiscal policy measures, quality standardization and food labeling, public education, financial incentives for responsible food behavior, development of national recommendations for healthy eating and its promotion, etc. Recently, these approaches have begun to rely on epidemiological monitoring data and studies evaluating the effectiveness of a particular type of intervention. Not all of the existing interventions are equally effective. Therefore, when choosing policy instruments, it is necessary to consider their potential, as well as their level of impact: individual, socio-cultural, industrial, governmental, etc. Conclusion. Rationalization of nutrition is the most important element of social policy of the state and one of the factors in the formation of a healthy lifestyle. This indicates the need for a comprehensive science-based systematic approach to solving problems in the field of healthy eating. The implementation of policy in this area should be based on scientific evidence, with the involvement of business and a wide range of the public, on the principle of interagency cooperation and taking into account multi-level factors that affect the formation of individual and population model of food behavior.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122139827","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;79-87
A. Zavyalov, D. Andreev
Introduction. Malignant neoplasms remain a serious challenge for society, occupying the leading places next to cardiovascular pathology in the structure of causes of death in the vast majority of developed countries of the world. The wide popularization of innovative digital technologies in a professional clinical environment that does not have training in the relevant branches of physical and mathematical specialties is the key to the development and implementation of automated quality assessments. This fully meets the goals and objectives of the federal project “Fight against oncological diseases”, aimed at a drastically reduction in cancer mortality by 2024 among the population of the Russia. Purpose. Generalization of innovative individualized technological solutions to provide patients with high quality cancer care. Methods and materials. The scientific study was performed based on the results of a search using the PubMed / Medline database and the Google system. The search period covered about 6 years. Results. The article reflects examples of new digital solutions for medical management and the registration of multi-parametric indicators of oncological care at patient-oriented level. Among the actual solutions of mobile /remote e-health for cancer patients it is necessary to highlight: 1) portable (individual) medical gadgets; 2) “smart” piezoelectric necklaces; 3) implantable and internal sensors; 4) devices for performing blood tests at home in patients receiving chemotherapy; 5) mobile antitumor devices; 6) devices that implement neurotechnologies for pain relief; 7) integrated remote monitoring system. Findings. In the context of the spread of digital innovations a new environment is emerging, in which patient autonomy, collaborative medical decision making based on patient preferences, and ensuring wide access to the latest information technologies and resources are gradually becoming routine standards for providing oncological care.
{"title":"Promising digital solutions for medical management of patients with cancer","authors":"A. Zavyalov, D. Andreev","doi":"10.47619/2713-2617.zm.2022.v3i1;79-87","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;79-87","url":null,"abstract":"Introduction. Malignant neoplasms remain a serious challenge for society, occupying the leading places next to cardiovascular pathology in the structure of causes of death in the vast majority of developed countries of the world. The wide popularization of innovative digital technologies in a professional clinical environment that does not have training in the relevant branches of physical and mathematical specialties is the key to the development and implementation of automated quality assessments. This fully meets the goals and objectives of the federal project “Fight against oncological diseases”, aimed at a drastically reduction in cancer mortality by 2024 among the population of the Russia. Purpose. Generalization of innovative individualized technological solutions to provide patients with high quality cancer care. Methods and materials. The scientific study was performed based on the results of a search using the PubMed / Medline database and the Google system. The search period covered about 6 years. Results. The article reflects examples of new digital solutions for medical management and the registration of multi-parametric indicators of oncological care at patient-oriented level. Among the actual solutions of mobile /remote e-health for cancer patients it is necessary to highlight: 1) portable (individual) medical gadgets; 2) “smart” piezoelectric necklaces; 3) implantable and internal sensors; 4) devices for performing blood tests at home in patients receiving chemotherapy; 5) mobile antitumor devices; 6) devices that implement neurotechnologies for pain relief; 7) integrated remote monitoring system. Findings. In the context of the spread of digital innovations a new environment is emerging, in which patient autonomy, collaborative medical decision making based on patient preferences, and ensuring wide access to the latest information technologies and resources are gradually becoming routine standards for providing oncological care.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124864507","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;53-64
V. A. Belchenko, Ivan V. Chantyr
Introduction. For many years, the issues of diagnosis, planning and surgical treatment of adult patients with neoplasms of the parotid salivary glands (PSG) have remained relevant. Objective: to identify the features of the specialized medical care provided to adult patients with PSG neoplasms. Materials and methods. We analyzed the statistical data of specialized medical care provided to patients with PSG neoplasms in institutions of the Department of Health of the city of Moscow. To characterize the patients, a sample of medical documentation of 302 patients who were on inpatient treatment at the Maxillofacial Hospital for War Veterans was conducted for the period from January 2017 to April 2022. Results and discussion. The study group included 116 men (38.41%) and 186 women (61.59%), aged 19 to 81 years (mean age 52.27 ± 0.23 years). All patients underwent surgical intervention on the PSG with the dissection and preservation of peripheral branches of the facial nerve. As a result, the study group of patients was divided into 3 subgroups: the 1st – with benign neoplasms (n=258), the 2nd – with malignant neoplasms (n=24), the 3rd – with tumor-like lesions (n=20). Some features of diagnostics and planning are revealed, algorithm of surgical treatment are discussed. Conclusions. Despite the significant development of both diagnostic methods and surgical intervention techniques, there is a need to improve clinical recommendations and treatment protocols with a clearer indication of criteria in choosing surgical treatment. Medical care for adult patients with PSG neoplasms should be carried out on the basis of specialized centers, which will minimize the number of diagnostic errors and postoperative complications.
{"title":"Features of providing specialized medical care to adult patients with neoplasms of the parotid salivary glands","authors":"V. A. Belchenko, Ivan V. Chantyr","doi":"10.47619/2713-2617.zm.2022.v3i1;53-64","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;53-64","url":null,"abstract":"Introduction. For many years, the issues of diagnosis, planning and surgical treatment of adult patients with neoplasms of the parotid salivary glands (PSG) have remained relevant. Objective: to identify the features of the specialized medical care provided to adult patients with PSG neoplasms. Materials and methods. We analyzed the statistical data of specialized medical care provided to patients with PSG neoplasms in institutions of the Department of Health of the city of Moscow. To characterize the patients, a sample of medical documentation of 302 patients who were on inpatient treatment at the Maxillofacial Hospital for War Veterans was conducted for the period from January 2017 to April 2022. Results and discussion. The study group included 116 men (38.41%) and 186 women (61.59%), aged 19 to 81 years (mean age 52.27 ± 0.23 years). All patients underwent surgical intervention on the PSG with the dissection and preservation of peripheral branches of the facial nerve. As a result, the study group of patients was divided into 3 subgroups: the 1st – with benign neoplasms (n=258), the 2nd – with malignant neoplasms (n=24), the 3rd – with tumor-like lesions (n=20). Some features of diagnostics and planning are revealed, algorithm of surgical treatment are discussed. Conclusions. Despite the significant development of both diagnostic methods and surgical intervention techniques, there is a need to improve clinical recommendations and treatment protocols with a clearer indication of criteria in choosing surgical treatment. Medical care for adult patients with PSG neoplasms should be carried out on the basis of specialized centers, which will minimize the number of diagnostic errors and postoperative complications.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115486626","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;6-15
V. M. Kuraeva, S. I. Feiginova, A. M. Podchernina
Introduction. As a result of the COVID-19 pandemic that swept the whole world in 2020, the level and structure of morbidity changed, the “center of gravity” of adult mortality shifted towards infectious diseases. The anti-epidemic reorientation of healthcare systems in the world has had a negative impact on the health of patients with non-communicable diseases (NCDs). As a result, the morbidity of the adult population, in particular respiratory diseases related to the most important NCDs, becomes particularly relevant in the conditions of epidemiological restrictions in Moscow with the spread of the COVID-19 and the increased burden on the Healthcare system of Moscow. Purpose. The purpose of this study is to analysis of indicators of incidence and prevalence of the respiratory system diseases of the adult population of Moscow and the Russian Federation for the periods 2015–2019 and 2019–2020. Methods and materials. The study used data of the official statistics of the Ministry of Health of the Russian Federation of the “Morbidity of the Russian population” (incidence and prevalence by the care seeking data) for 2015–2020, by the ICD-10 chapter X “Diseases of the respiratory system” (J00-J99), blocks “Chronic lower respiratory diseases” (J40-J47): Asthma, Status asthmaticus (J45, J46); Other chronic obstructive pulmonary disease (J44); chronic bronchitis, Emphysema (J40-J43). Results. The respiratory system diseases continue to occupy leading positions in the structure of morbidity of the adult population of Moscow and the Russian Federation. In the structure of the prevalence of the adult population of Moscow in 2020, respiratory system diseases accounted for 16.8 % (in 2015 – 15.1 %), which is lower than in the whole of the Russian Federation – 17.7 % (2015 – 13.8 %). In the structure of the incidence of the adult population of Moscow was 33.8% (in 2015 – 33.5 %), which is lower than in the whole of the Russian Federation, amounting to 36.9 % (2015 – 28.2 %). The prevalence the respiratory system diseases of the adult population of respiratory system diseases in 2020 in Moscow was 20 830.8 per 100 000 population, which is 19.6 % lower than in the whole of the Russian Federation (25 910.0). Over the period 2015–2019, the indicator of prevalence tended to increase in Moscow by 10.2 %, in the Russian Federation – by 6.2 %. For the period 2019–2020 in Moscow, the increase was only 5.4 %, in the Russian Federation there were higher growth rates (+21.9 %). The incidence the respiratory system diseases in 2020 in Moscow was 15,832.1 per 100 000 population, which is 1.3 times lower than the national average (21,376.0). Over the period 2015–2019, the incidence rate decreased in Moscow by 7.9 %, in the Russian Federation – by 6.6 %. In 2019–2020, the growth rate in Moscow was 4.8 %, in general, a higher increase of 29.7 % was recorded in the Russian Federation. For the period from 2015 to 2019 and during the period of “COVID-19 lockdowns
{"title":"Analysis of incidence and prevalence of the respiratory system diseases of the adult population of Moscow and the Russian Federation","authors":"V. M. Kuraeva, S. I. Feiginova, A. M. Podchernina","doi":"10.47619/2713-2617.zm.2022.v3i1;6-15","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;6-15","url":null,"abstract":"Introduction. As a result of the COVID-19 pandemic that swept the whole world in 2020, the level and structure of morbidity changed, the “center of gravity” of adult mortality shifted towards infectious diseases. The anti-epidemic reorientation of healthcare systems in the world has had a negative impact on the health of patients with non-communicable diseases (NCDs). As a result, the morbidity of the adult population, in particular respiratory diseases related to the most important NCDs, becomes particularly relevant in the conditions of epidemiological restrictions in Moscow with the spread of the COVID-19 and the increased burden on the Healthcare system of Moscow. \u0000 \u0000Purpose. The purpose of this study is to analysis of indicators of incidence and prevalence of the respiratory system diseases of the adult population of Moscow and the Russian Federation for the periods 2015–2019 and 2019–2020. \u0000 \u0000Methods and materials. The study used data of the official statistics of the Ministry of Health of the Russian Federation of the “Morbidity of the Russian population” (incidence and prevalence by the care seeking data) for 2015–2020, by the ICD-10 chapter X “Diseases of the respiratory system” (J00-J99), blocks “Chronic lower respiratory diseases” (J40-J47): Asthma, Status asthmaticus (J45, J46); Other chronic obstructive pulmonary disease (J44); chronic bronchitis, Emphysema (J40-J43). \u0000 \u0000Results. The respiratory system diseases continue to occupy leading positions in the structure of morbidity of the adult population of Moscow and the Russian Federation. In the structure of the prevalence of the adult population of Moscow in 2020, respiratory system diseases accounted for 16.8 % (in 2015 – 15.1 %), which is lower than in the whole of the Russian Federation – 17.7 % (2015 – 13.8 %). In the structure of the incidence of the adult population of Moscow was 33.8% (in 2015 – 33.5 %), which is lower than in the whole of the Russian Federation, amounting to 36.9 % (2015 – 28.2 %). \u0000 \u0000The prevalence the respiratory system diseases of the adult population of respiratory system diseases in 2020 in Moscow was 20 830.8 per 100 000 population, which is 19.6 % lower than in the whole of the Russian Federation (25 910.0). Over the period 2015–2019, the indicator of prevalence tended to increase in Moscow by 10.2 %, in the Russian Federation – by 6.2 %. For the period 2019–2020 in Moscow, the increase was only 5.4 %, in the Russian Federation there were higher growth rates (+21.9 %). \u0000 \u0000The incidence the respiratory system diseases in 2020 in Moscow was 15,832.1 per 100 000 population, which is 1.3 times lower than the national average (21,376.0). Over the period 2015–2019, the incidence rate decreased in Moscow by 7.9 %, in the Russian Federation – by 6.6 %. In 2019–2020, the growth rate in Moscow was 4.8 %, in general, a higher increase of 29.7 % was recorded in the Russian Federation. \u0000 \u0000For the period from 2015 to 2019 and during the period of “COVID-19 lockdowns","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124652156","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;30-40
N. Shakhova
Relevance. The importance of efficient use of internal resources in health care is recognized at all levels of health management. An analysis of the indicators of the bed fund in dynamics makes it possible to assess the resources of a medical organization, identify problematic aspects in time and develop a set of measures aimed at eliminating errors and optimizing the work of the institution. Purpose of the study. Evaluation of the performance indicators of the round-the-clock hospital of the City Clinical Hospital No. 1 named after N. I. Pirogov in the period 2012–2021 in order to improve the efficiency of the medical organization. Materials and methods. To achieve the goal of the study, the obtained material was processed using analytical and statistical methods. Indicators of the use of the bed fund of the City Clinical Hospital No. 1 named after N. I. Pirogov for 2012–2021, necessary for calculations, were taken from table 3100 of the Federal statistical Obstrvation form No. 30 “Information on a medical organization”. The calculation of indicators was carried out on the basis of methodological recommendations on the application of standards and norms of resource provision of the population in the healthcare sector [1]. Results and discussions. To assess the effectiveness of a medical organization providing care in a hospital, 4 main indicators of the use of the bed fund were used. The results of the average annual bed occupancy showed that the highest level of the indicator falls on 2014 (404 days), and the lowest on 2021 (278 days). The indicator tended to decrease by 24 % and amounted to 278 days by 2021, which indicates a pronounced intensification of the treatment process. The bed turnover indicators indicate a pronounced intensification of the treatment process. The greatest intensification was recorded in 2021 (43.9 patients per 1 bed) and amounted to 129 %. In general, the bed turnover indicators for the hospital in the period from 2012–2021. had an upward trend. An analysis of the bed turnover clearly showed that a two-fold excess of the standard significantly affected the average duration of the patient's stay in bed. In 2012, the indicator was 10.5 days. In subsequent years, the indicator tended to decrease and by 2021 reached the level of 4.9 days. The results of the analysis of bed downtime show that the most downtime of beds occurs in 2020 (1.6 days) and 2021 (1.5 days). Such a jump in the indicator is most likely associated with the forced of beds re-profiling. Conclusions. Analysis of indicators of the use of beds in the City Clinical Hospital No. 1 named after N. I. Pirogov in the period 2012–2021. showed that in general there is an increase in the efficiency of the hospital. Therefore, it is necessary to constantly analyze the main statistical indicators in order to identify errors early and develop ways to solve them.
{"title":"Evaluation of the use of the bedding function of City Clinical Hospital No. I. Pirogov during the period 2012–2021 based on statistical indicators","authors":"N. Shakhova","doi":"10.47619/2713-2617.zm.2022.v3i1;30-40","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;30-40","url":null,"abstract":"Relevance. The importance of efficient use of internal resources in health care is recognized at all levels of health management. An analysis of the indicators of the bed fund in dynamics makes it possible to assess the resources of a medical organization, identify problematic aspects in time and develop a set of measures aimed at eliminating errors and optimizing the work of the institution. Purpose of the study. Evaluation of the performance indicators of the round-the-clock hospital of the City Clinical Hospital No. 1 named after N. I. Pirogov in the period 2012–2021 in order to improve the efficiency of the medical organization. Materials and methods. To achieve the goal of the study, the obtained material was processed using analytical and statistical methods. Indicators of the use of the bed fund of the City Clinical Hospital No. 1 named after N. I. Pirogov for 2012–2021, necessary for calculations, were taken from table 3100 of the Federal statistical Obstrvation form No. 30 “Information on a medical organization”. The calculation of indicators was carried out on the basis of methodological recommendations on the application of standards and norms of resource provision of the population in the healthcare sector [1]. Results and discussions. To assess the effectiveness of a medical organization providing care in a hospital, 4 main indicators of the use of the bed fund were used. The results of the average annual bed occupancy showed that the highest level of the indicator falls on 2014 (404 days), and the lowest on 2021 (278 days). The indicator tended to decrease by 24 % and amounted to 278 days by 2021, which indicates a pronounced intensification of the treatment process. The bed turnover indicators indicate a pronounced intensification of the treatment process. The greatest intensification was recorded in 2021 (43.9 patients per 1 bed) and amounted to 129 %. In general, the bed turnover indicators for the hospital in the period from 2012–2021. had an upward trend. An analysis of the bed turnover clearly showed that a two-fold excess of the standard significantly affected the average duration of the patient's stay in bed. In 2012, the indicator was 10.5 days. In subsequent years, the indicator tended to decrease and by 2021 reached the level of 4.9 days. The results of the analysis of bed downtime show that the most downtime of beds occurs in 2020 (1.6 days) and 2021 (1.5 days). Such a jump in the indicator is most likely associated with the forced of beds re-profiling. Conclusions. Analysis of indicators of the use of beds in the City Clinical Hospital No. 1 named after N. I. Pirogov in the period 2012–2021. showed that in general there is an increase in the efficiency of the hospital. Therefore, it is necessary to constantly analyze the main statistical indicators in order to identify errors early and develop ways to solve them.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121562472","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;24-29
Sergei Y. Morozov, M. Morozova, L. Morozova
Introduction. Heads of medical organizations operating under the Moscow Healthcare Department are the ones who take care of internal control of quality and safety of medical care [1-7]. However, once the healthcare system in Moscow switched to the Unified Medical Information Analysis System (UMIAS), abandoning all the other automated information systems the city had previously used (such as Medialog, Megaklinika, Asklepios etc.), Moscow’s medical workers found it impossible to automatically unload certain statistical (analytical) reports. They have to use paper medical records and logs to register the results of the medical care quality control [1, 2, 6]. Many engineers and programmers working in Moscow’s medical system organizations attempted uploading the medical record data and create automated logs within the UMIAS system; however, they failed [4, 8, 9, 10]. That is why they started creating intranet web portals, integrating them with various internal Moscow healthcare systems (such as UMIAS etc.) as well as well as external Federal Compulsory Medical Insurance Fund systems (like the PUMP system for personalized medical care records). This allowed logging in the results of internal quality control and automatically creating statistical and analytical reports, as well as monitoring the document exchange between various offices of Moscow healthcare organizations [11-14]. To ensure the efficiency of these intranet web portals, medical workers responsible for quality control develop checklists that feature pre-approved criteria for evaluating the results of treatment for certain diseases (conditions) in accordance with medical care provision standards and clinical recommendations. Moreover, the comprehensive introduction of intranet web portals helped ensure that clinical recommendations are followed in Moscow healthcare organizations. In fact, it allowed conducting an automated medical and economic examination, similar to the ones carried out by health insurance organizations within the framework of the compulsory medical insurance system as part of state oversight. Goal. To identify the main issues in organizing internal control of quality and safety of medical care associated with the introduction of intranet web portals in Moscow healthcare system’s organizations. Materials and methods. We identified the main issues in organizing internal control of quality and safety of medical care associated with the introduction of intranet web portals in Moscow healthcare system’s organizations. Moreover, we also examined the requirements for checklist development, as well as the difficulties that arise when compiling analytical reports on following the expert criteria and standards of medical care provision and clinical recommendations. Findings. The list of the main issues associated with the introduction of an automated system for organizing internal control of quality and safety of medical care via multi-user intranet web portals includes: training h
{"title":"Modern approach to automation of internal control of quality and safety of medical care","authors":"Sergei Y. Morozov, M. Morozova, L. Morozova","doi":"10.47619/2713-2617.zm.2022.v3i1;24-29","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;24-29","url":null,"abstract":"Introduction. Heads of medical organizations operating under the Moscow Healthcare Department are the ones who take care of internal control of quality and safety of medical care [1-7]. However, once the healthcare system in Moscow switched to the Unified Medical Information Analysis System (UMIAS), abandoning all the other automated information systems the city had previously used (such as Medialog, Megaklinika, Asklepios etc.), Moscow’s medical workers found it impossible to automatically unload certain statistical (analytical) reports. They have to use paper medical records and logs to register the results of the medical care quality control [1, 2, 6]. Many engineers and programmers working in Moscow’s medical system organizations attempted uploading the medical record data and create automated logs within the UMIAS system; however, they failed [4, 8, 9, 10]. That is why they started creating intranet web portals, integrating them with various internal Moscow healthcare systems (such as UMIAS etc.) as well as well as external Federal Compulsory Medical Insurance Fund systems (like the PUMP system for personalized medical care records). This allowed logging in the results of internal quality control and automatically creating statistical and analytical reports, as well as monitoring the document exchange between various offices of Moscow healthcare organizations [11-14]. To ensure the efficiency of these intranet web portals, medical workers responsible for quality control develop checklists that feature pre-approved criteria for evaluating the results of treatment for certain diseases (conditions) in accordance with medical care provision standards and clinical recommendations. Moreover, the comprehensive introduction of intranet web portals helped ensure that clinical recommendations are followed in Moscow healthcare organizations. In fact, it allowed conducting an automated medical and economic examination, similar to the ones carried out by health insurance organizations within the framework of the compulsory medical insurance system as part of state oversight. Goal. To identify the main issues in organizing internal control of quality and safety of medical care associated with the introduction of intranet web portals in Moscow healthcare system’s organizations. Materials and methods. We identified the main issues in organizing internal control of quality and safety of medical care associated with the introduction of intranet web portals in Moscow healthcare system’s organizations. Moreover, we also examined the requirements for checklist development, as well as the difficulties that arise when compiling analytical reports on following the expert criteria and standards of medical care provision and clinical recommendations. Findings. The list of the main issues associated with the introduction of an automated system for organizing internal control of quality and safety of medical care via multi-user intranet web portals includes: training h","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132689400","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;16-23
Evgeny A. Ignatev, T. M. Vasilyeva
Introduction. The availability of medical care is one of the indicators of the quality of medical care. Every day, during the work of doctors, there is a non-appearance of patients for appointments without canceling the appointment. This plays a significant role in limiting the availability of medical care. Purpose. To analyze the indicators of failed appointments with a pediatric surgeon during 2021 in polyclinics of the North-Eastern Administrative District of Moscow. Methods and materials. The evaluation of records to a pediatric surgeon during 2021 was carried out in four children's polyclinics of the north-eastern district of Moscow. Failed receptions were divided into groups depending on the time of recording, the age of the patient, the sex of the child and the method of recording, a retrospective analysis of these groups was carried out. Results. The total share of failed appointments in the field of “pediatric surgery” in the North-Eastern Administrative District of Moscow was determined. Males were more often registered with the surgeon – out of 84 459 in 48 718 cases (57.4 %), females – in 35 741 cases (42.6 %). The proportion of no-shows was 18 % and 17 %, respectively, but the differences are not significant (p=0.25). When analyzing absenteeism in relation to the age of patients, it was noted that children from 0 to 3 years of age have the minimum part of absenteeism – 13.4 %, and children aged 6–13 years old – in 21 % of cases (significant differences p=0.001). It was also found that the maximum share of non-attendance at appointments relative to the recording time falls on 16–20 hours – 20 %, and the minimum – from 8 to 12 hours, which is 15 % of cases (p=0.001). Conclusion. Informing about the possibility of canceling an appointment with a doctor should be carried out more intensively in a group of parents of schoolchildren. The introduction of a rule to clarify with legal representatives about attendance at an appointment by phone, when making an appointment in the evening, may result in a decrease in the proportion of absences. The important contribution of patients and their legal representatives to the formation of such an important indicator in the work of medical organizations as accessibility was noted.
{"title":"Analysis of failed receptions in the profile of “pediatric surgery” in polyclinics of the NEAO of Moscow in 2021","authors":"Evgeny A. Ignatev, T. M. Vasilyeva","doi":"10.47619/2713-2617.zm.2022.v3i1;16-23","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;16-23","url":null,"abstract":"Introduction. The availability of medical care is one of the indicators of the quality of medical care. Every day, during the work of doctors, there is a non-appearance of patients for appointments without canceling the appointment. This plays a significant role in limiting the availability of medical care. Purpose. To analyze the indicators of failed appointments with a pediatric surgeon during 2021 in polyclinics of the North-Eastern Administrative District of Moscow. Methods and materials. The evaluation of records to a pediatric surgeon during 2021 was carried out in four children's polyclinics of the north-eastern district of Moscow. Failed receptions were divided into groups depending on the time of recording, the age of the patient, the sex of the child and the method of recording, a retrospective analysis of these groups was carried out. Results. The total share of failed appointments in the field of “pediatric surgery” in the North-Eastern Administrative District of Moscow was determined. Males were more often registered with the surgeon – out of 84 459 in 48 718 cases (57.4 %), females – in 35 741 cases (42.6 %). The proportion of no-shows was 18 % and 17 %, respectively, but the differences are not significant (p=0.25). When analyzing absenteeism in relation to the age of patients, it was noted that children from 0 to 3 years of age have the minimum part of absenteeism – 13.4 %, and children aged 6–13 years old – in 21 % of cases (significant differences p=0.001). It was also found that the maximum share of non-attendance at appointments relative to the recording time falls on 16–20 hours – 20 %, and the minimum – from 8 to 12 hours, which is 15 % of cases (p=0.001). Conclusion. Informing about the possibility of canceling an appointment with a doctor should be carried out more intensively in a group of parents of schoolchildren. The introduction of a rule to clarify with legal representatives about attendance at an appointment by phone, when making an appointment in the evening, may result in a decrease in the proportion of absences. The important contribution of patients and their legal representatives to the formation of such an important indicator in the work of medical organizations as accessibility was noted.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132772152","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;41-52
A. Ivanova, T. Sabgayda, V. Semyonova, G. N. Evdokushkina
Introduction. There is an urgent need to develop independent objective criteria for evaluating the Moscow healthcare system in accordance with the priorities of increasing life expectancy. Objectives. The study is aimed at assessing the methodology of preventable mortality by Moscow healthcare specialists, identifying the scale and dynamics of preventable mortality in Moscow on the basis of this methodology and assessing the impact of healthcare on life expectancy of Moscow population according to the set of criteria. Methods and materials. In 2019, an electronic survey was conducted among the experts from 14 medical specialties (937 respondents) working in inpatient and/or outpatient organizations. Upon the received results, trends and causes of preventable mortality in Moscow are presented. Results. There are three criteria that indicate the effectiveness of Moscow healthcare system over the past two decades (2000-2018): rapid-decreasing mortality from preventable causes against the background of the dynamics of total mortality in patients up to 75 years; higher rates of mortality reduction from causes dependent on behavioral risk factors; reduction in preventable mortality share in the life expectancy loss. At the same time, the rates of preventable mortality in Moscow remain quite significant, indicating that there is more potential for reducing premature mortality in Moscow. Of the 6.8 years for males and 3.7 years for females reduced by the maximum possible life expectancy before the age of 75 due to premature mortality, preventable deaths account for 5.0 and 2.3 years, respectively. By reducing mortality from preventable causes classified in group 1 and depending on the quality of medical care, life expectancy at the age of 75 years can be increased according to 2018 data by 2.3 years for men and 1.4 years for women. Due to causes classified in group 2 and dependent on effective primary prevention and public health efforts, the increase could be 2.8 and 0.8 years, respectively. The results of our study reveal potential for reducing mortality from nosological and age perspectives, and can be used to update health policy measures.
{"title":"Healthcare Performance Evaluation using preventable mortality criteria","authors":"A. Ivanova, T. Sabgayda, V. Semyonova, G. N. Evdokushkina","doi":"10.47619/2713-2617.zm.2022.v3i1;41-52","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;41-52","url":null,"abstract":"Introduction. There is an urgent need to develop independent objective criteria for evaluating the Moscow healthcare system in accordance with the priorities of increasing life expectancy. Objectives. The study is aimed at assessing the methodology of preventable mortality by Moscow healthcare specialists, identifying the scale and dynamics of preventable mortality in Moscow on the basis of this methodology and assessing the impact of healthcare on life expectancy of Moscow population according to the set of criteria. Methods and materials. In 2019, an electronic survey was conducted among the experts from 14 medical specialties (937 respondents) working in inpatient and/or outpatient organizations. Upon the received results, trends and causes of preventable mortality in Moscow are presented. Results. There are three criteria that indicate the effectiveness of Moscow healthcare system over the past two decades (2000-2018): rapid-decreasing mortality from preventable causes against the background of the dynamics of total mortality in patients up to 75 years; higher rates of mortality reduction from causes dependent on behavioral risk factors; reduction in preventable mortality share in the life expectancy loss. At the same time, the rates of preventable mortality in Moscow remain quite significant, indicating that there is more potential for reducing premature mortality in Moscow. Of the 6.8 years for males and 3.7 years for females reduced by the maximum possible life expectancy before the age of 75 due to premature mortality, preventable deaths account for 5.0 and 2.3 years, respectively. By reducing mortality from preventable causes classified in group 1 and depending on the quality of medical care, life expectancy at the age of 75 years can be increased according to 2018 data by 2.3 years for men and 1.4 years for women. Due to causes classified in group 2 and dependent on effective primary prevention and public health efforts, the increase could be 2.8 and 0.8 years, respectively. The results of our study reveal potential for reducing mortality from nosological and age perspectives, and can be used to update health policy measures.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128042905","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;94-105
E. O. Korotkova, N. Kamynina
Introduction. Monitoring is an important tool for managing the epidemic of noncommunicable diseases. The insufficiency of the measures taken to create and strengthen national systems of epidemiological surveillance for noncommunicable diseases is recognized. In this regard, the search and development of rapid and cost-effective approaches to monitoring risk factors for noncommunicable diseases continues. Objective. To explore an approach to developing a national monitoring system for risk factors for noncommunicable diseases based on population health surveys in some countries of the world. Materials and methods. A content analysis of the documents of the World Health Organization, open data, scientific publications, regulations and reports of countries (India, USA, European countries, including Belgium and Finland) on the study of public health and risk factors for non-communicable diseases was carried out. Results. The possibility of incorporating elements of a monitoring study into population health surveillance systems that already exist at the national level is an important advantage for developing approaches to monitoring risk factors for noncommunicable diseases. In this regard, the World Health Organization's STEPS stepwise approach to risk factor surveillance has evolved. National population health surveys that include risk factor monitoring can be divided into health surveys and health surveys. There are also separate national studies (surveys and surveys) that focus on several behavioral risks or individual risk factors. Some monitoring systems that measure progress towards global noncommunicable disease targets also additionally cover late issues and emerging risk factors. Discussion. The studied international experience of national systems of research on public health and epidemiological surveillance of noncommunicable diseases indicates trends towards standardization and unification of tools for monitoring risk factors for noncommunicable diseases.
{"title":"Monitoring non-communicable diseases risk factors in national adult health surveys – a review of international experience","authors":"E. O. Korotkova, N. Kamynina","doi":"10.47619/2713-2617.zm.2022.v3i1;94-105","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;94-105","url":null,"abstract":"Introduction. Monitoring is an important tool for managing the epidemic of noncommunicable diseases. The insufficiency of the measures taken to create and strengthen national systems of epidemiological surveillance for noncommunicable diseases is recognized. In this regard, the search and development of rapid and cost-effective approaches to monitoring risk factors for noncommunicable diseases continues. Objective. To explore an approach to developing a national monitoring system for risk factors for noncommunicable diseases based on population health surveys in some countries of the world. Materials and methods. A content analysis of the documents of the World Health Organization, open data, scientific publications, regulations and reports of countries (India, USA, European countries, including Belgium and Finland) on the study of public health and risk factors for non-communicable diseases was carried out. Results. The possibility of incorporating elements of a monitoring study into population health surveillance systems that already exist at the national level is an important advantage for developing approaches to monitoring risk factors for noncommunicable diseases. In this regard, the World Health Organization's STEPS stepwise approach to risk factor surveillance has evolved. National population health surveys that include risk factor monitoring can be divided into health surveys and health surveys. There are also separate national studies (surveys and surveys) that focus on several behavioral risks or individual risk factors. Some monitoring systems that measure progress towards global noncommunicable disease targets also additionally cover late issues and emerging risk factors. Discussion. The studied international experience of national systems of research on public health and epidemiological surveillance of noncommunicable diseases indicates trends towards standardization and unification of tools for monitoring risk factors for noncommunicable diseases.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133464622","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 : 2022-04-10DOI: 10.47619/2713-2617.zm.2022.v3i1;88-93
Yu.N. Skulkina
Introduction. Corporate health and well-being programsare becoming more relevant as they allow organizations not only to manage risk factors in the field of personnel health, but also to reduce the costs associated with the loss of ability of employees, and also contribute to the growth of labor productivity and team engagement In fact, more and more evidence indicates that workplace interventions based on a coordinated, planned and integrated approach to improving the health of workers are more effective than traditional individual measures for a healthy lifestyle. Target. The purpose of this article is to describe the main approaches to the development of “healthy jobs”, the features of the implementation of corporate health promotion programs. Materials and methods. The research is based on the analysis of scientific literature, regulatory legal acts. Open data was used as a source of information. Results. The article discusses the concept and main components of health promotion programs in the workplace, foreign approaches, government programs and initiatives of world campaigns for the development of “healthy workplaces”, and features of the implementation of corporate health management programs.
{"title":"Basic approaches to personnel health management in the workplace","authors":"Yu.N. Skulkina","doi":"10.47619/2713-2617.zm.2022.v3i1;88-93","DOIUrl":"https://doi.org/10.47619/2713-2617.zm.2022.v3i1;88-93","url":null,"abstract":"Introduction. Corporate health and well-being programsare becoming more relevant as they allow organizations not only to manage risk factors in the field of personnel health, but also to reduce the costs associated with the loss of ability of employees, and also contribute to the growth of labor productivity and team engagement In fact, more and more evidence indicates that workplace interventions based on a coordinated, planned and integrated approach to improving the health of workers are more effective than traditional individual measures for a healthy lifestyle. Target. The purpose of this article is to describe the main approaches to the development of “healthy jobs”, the features of the implementation of corporate health promotion programs. Materials and methods. The research is based on the analysis of scientific literature, regulatory legal acts. Open data was used as a source of information. Results. The article discusses the concept and main components of health promotion programs in the workplace, foreign approaches, government programs and initiatives of world campaigns for the development of “healthy workplaces”, and features of the implementation of corporate health management programs.","PeriodicalId":158882,"journal":{"name":"City Healthcare","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121976815","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}
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