RESUMEN
The article deals with the characteristics of medical demographic indicators, morbidity indicators, public health resources indices and medical care volumes in Federal okrugs. The analysis provided a basis to develop the designed and adjusted standards of main volumetric indicators for territorial programs of public guarantees of free-of-charge medical care to population of the Russian Federation according the Federal okrugs.
Asunto(s)
Atención a la Salud/organización & administración , Programas de Gobierno/organización & administración , Salud Pública , Costos de la Atención en Salud , Humanos , Morbilidad/tendencias , Federación de Rusia/epidemiologíaRESUMEN
Mobile medical care for people in rural areas well developed in the 1980s has lost its initial meaning and become only formal in a number of areas. The paper gives different organizational forms of medical care for rural population in some areas (the Nizhni Novgorod and Rostov Regions, the Republic of Komi, the Jewish Autonomous Region) of the Russian Federation.
Asunto(s)
Unidades Móviles de Salud , Servicios de Salud Rural/organización & administración , Adulto , Niño , Humanos , Unidades Móviles de Salud/organización & administración , Federación de Rusia , Recursos HumanosRESUMEN
The necessity of planning the hospital network (bed capacity and its structure) in combination with social security institutions is validated. Thus, planning of the hospital network should be carried out in combination with social security institutions, the degree of development of other forms of medical services (hospitals at home, day hospitals, curative and diagnostic complexes, etc.) being taken into account. By preliminary estimates the demand for hospital beds is 127 per 10,000, 13 for chronic patients and the elderly in medicosocial facilities, 38.9 in social security institutions. Realization of the principles of differentiated hospital treatment of patients according to the degree of its intensity enables one to use hospital resources more effectively and to raise the quality of inpatient care. It is recommended to differentiate specific investments in hospital construction (25,000-70,000 rubles per a bed) according to the demand in hospital beds at different stages of treatment intensity and hierarchial level of medical care organization. Equal possibilities in the provision of inpatient care for the whole population can be achieved within the framework of unified regional models of the network of health care facilities, based on the standard target approach to the utilization of hospital resources.
Asunto(s)
Ocupación de Camas , Planificación en Salud/economía , Servicios de Salud para Ancianos/economía , Hospitalización/economía , Anciano , Planificación en Salud/organización & administración , Servicios de Salud para Ancianos/organización & administración , Humanos , Persona de Mediana Edad , U.R.S.S.Asunto(s)
Técnicos Medios en Salud/provisión & distribución , Fuerza Laboral en Salud , Adulto , Técnicos Dentales/provisión & distribución , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermeras Obstetrices/provisión & distribución , Enfermeras y Enfermeros/provisión & distribución , Población Rural , U.R.S.S. , Población UrbanaRESUMEN
Wast of working time and distraction from basic duties over a period of one year in different age and professional groups of the paramedical personnel were studied in 2 regions and 1 territory of the RSFSR. The investigation showed that on all occasions and on account of all causes the waste of productive time and distraction from primary duties occurred among the personnel of young age. In senior age groups this figures were noted to be on decline. Essential age-specific features common to the frequency and duration of lost working time and distraction from basic duties were found to be associated with temporary incapacitation, leaves of absence due to pregnancy and confinement, care of children, etc. The existence of a definite connection of the factors under study and posts occupied by paramedical workers was established.