Ceskoslovenske zdravotnictvi最新文献

During the elaboration and definition of new concepts of medicine and the health services at a time of decisive social changes attention is also paid to social medicine. Its contents reflected during the past 40 years the influence of political and ideological structures and this had an adverse effect on its development, activities and prestige. Because of its importance and greater impact at present it must find its firm place also in the sphere of training at medical faculties. The author uses as a basis the present position and seeks solution in a greater integration of its components which must include also social oecology. Its coordinating activity must be mentioned more systematically also in clinical subjects. All this is to serve its more marked identity in the teaching process at medical faculties.

In May 1990 work on the programme "Computer system of the health community doctor Mic DOKI was" completed which resolves more than 70 basic tasks pertaining to the keeping of health documentation by health community doctors; it resolves automatically the entire administrative work in the health community, makes it possible to evaluate the activity of doctors and nurses it will facilitate the work of control organs of future health insurance companies and contribute to investigations of the health status of the population. Despite some problems ensuing from the contemporary economic situation of the country, the validity of contemporary health regulations and minimal training of our health personnel in the use of personal computers computerization of the health community system can be considered an asset to the reform of the health services which is under way.

The unfavourable health status of our population is generally known, its improvement being one of the basic prerequisites for the further development of our society. To a certain extent improvement may be promoted by high standard health services. The standard of these services depends, in addition to effective use of available financial means, on the increase of the total volume of financial resources for the health services. For a qualified decision on the actual volume of financial resources it will be necessary to have a well elaborated prognosis of expenditure on health services which among others will justify the financial demands of the branch. The prognosis of expenditure on health services will be a socio-economic prognosis which may be started in the near future, if suitable conditions will be created.

Indicators of demographic and medical statistics display different relationships at the level of drug consumption and from these relationships different potential influences may be derived. The relationship is expressed exactly and because it develops with time its developmental trends are analyzed on a nation-wide scale in the course of 17 years. The period of analysis permits to formulate some conclusions on the stability of this relationship with regard to individual essential factors.

The material submitted is a draft model system for the use of a microcomputer in the daily working activity of the community paediatrician. His work comprises preventive and therapeutic care of children and he has specific tasks and specific orientation on different age groups and the ensuing administrative work. The introduction of the information system in the surgery gives an idea of its asset for the user.

The authors submit information concerning after-treatment units in the Czech Republic; these units are attached to specialized in-patient wards. These units have a small capacity and do not influence the expenditure of the department and only partly protract the period of hospitalization. The volume of curative and nursing care is balanced. Patients are hospitalized in these units for after-care or for other reasons, e.g. social reasons, lack of space in sanatoria for chronic patients, in old age pensioners' homes, etc. It would be better to replace the units for after-treatment by "day hospitals or departments" attached to in-patient departments or clinics.

In the history of the Medical Faculty of the Comenius University in Bratislava there are two personalities with great merits as regards the foundation and development of the Physiology department, both pupils of professor Mares--prof. MUDr. A. Hanák and prof. MUDr. V. Hons. Professor Hons to whom this article is devoted worked in Bratislava from 1930 to 1939. He influenced in an important way the development of the Institute of Physiology in the second decade of its existence and made significant advances in the field of teaching and research. As dean of the medical faculty in 1936-37 and assistant dean in 1937-38 he helped the Faculty to resolve some complicated problems; he opposed the pressure of the undemocratic forces and established and reinforced his relations with students in particular their most important organization--The Society of Czechoslovak Medical Students.

The author investigated the primary therapeutic and preventive care of the population provided by the health community doctor, focused on subjects above 60 years of age. A time study of the basic activities during the patient's visit in the surgery of the health community doctor was made. It was found that most care is provided by the health community doctor to subjects under 44 years and those aged 60-74 years. Most time is needed for care of women of advanced age.