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引用次数: 0

摘要

目前,俄罗斯联邦医疗保健系统的改革是最迫切的,因为国家在困难的经济条件下生存, 需要对公共卫生和医疗保健的各个方面制定新的科学方法,以提高该系统的各种效率(医疗、 社会和经济效率)为目标。为了使医疗保健系统正常运转,不仅需要医生,还需要物理学家、工程师、数学家、生物学家、化学家、律师、经济学家、心理学家、教师等专家参与新方法的开发过程。多学科方法和有效的跨学科互动可以根据病人的需求改进医疗保健系统。为了使病人获得最大利益,为诊断和治疗过程的所有参与者创造舒适的条件,提供适当的医疗质量,并使特定系统中的受试者获得最大程度的满意,有必要考虑医疗服务市场的细分,即消费者和提供者的特点。为了实现这一目标,必须采用系统的方法,让私营和公共部门的实际医疗保健组织以及科学和教育组织参与其中。需要制定早期诊断方法、疾病预防计划和医疗保健系统人员培训,同时考虑到综合医学和预防医学的方法。
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[On certain issues of modern health care system development].

Nowadays, the reforming of health care system in the Russian Federation is the most actual since country survives difficult economic conditions and is in need of development of new enhanced scientific and methodological approaches to various aspects of public health and health care, targeting increase of all types of efficiency in this system (medical, social, economic ones). For proper functioning of health care system, not only physicians, but also such specialists as physicists, engineers, mathematicians, biologists, chemists, lawyers, economists, psychologists, teachers and others are to be involved in process of developing new approaches. The multidisciplinary approach and effective interdisciplinary interaction can input into improvement of health care system based on needs of patients. To achieve the highest benefit for patient, development of comfortable conditions for all participants of diagnostic and treatment process, appropriate quality of medical care and maximal level of satisfaction of subjects in given system, it is necessary to consider segmentation of medical services market i.e. characteristics of consumers and providers. The systematic approach is to be applied to achieve this target, involving organizations of private and public sector of practical health care and scientific and educational organizations. it is needed to develop methods of early diagnostic, disease prevention programs and training of personnel in health care system, taking into account approaches of integrative and preventive medicine.

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234
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