The annual increase in patients and increased requirements for the quality of medical care lead to the reorganization of the work of various departments of medical hospitals. In order to improve the quality and accessibility of specialized medical care in the profile "maxillofacial surgery" in the territory of the Penza Region, in 2020, the structure of the Center for Maxillofacial Surgery of the Penza Regional Clinical Hospital named after N. N. Burdenko will be reorganized, which allows solving a number of existing problems. An important direction in the modernization of the Center was the structural and organizational restructuring.
The purpose of the study: to analyze the quality and effectiveness of providing care to children with pathology of the maxillofacial region by doctors of the Center for Maxillofacial Surgery of the Penza Regional Clinical Hospital named after N. N. Burdenko.
Materials and methods. A comprehensive assessment of the quality of care for children with maxillofacial pathology from 2018-2020 in the Penza region and in the period from November 2020 to July 2021 was carried out. Center of Maxillofacial Surgery of the N. N. Burdenko State Medical University.
Results and discussion. Having analyzed the existing shortcomings and problems, established connections, the growth of patients in need of treatment by a maxillofacial surgeon contributed to the opening of the Maxillofacial Surgery Center in the N. N. Burdenko State Medical University, which included 10 specialized children's beds; 2 ultra-short stay beds; an outpatient office; a rehabilitation room; material and technical equipment, tools, medicines for children; maxillofacial surgeon, pediatrician, pediatric dentist, general dentist, clinical nurses, speech therapist.
Conclusion. The opening of the Maxillofacial Surgery Center in the Penza region has shown high efficiency. The economic effect in obtaining specialized treatment due to the work of an outpatient office and a rehabilitation office based on a patient-oriented model is noted. In order to achieve maximum efficiency and fully meet the need for providing medical care to the children's population of the Penza region in the profile "maxillofacial surgery", it is necessary to open a department of pediatric maxillofacial surgery due to the projected workload of open beds.
This article presents the most well-known research methods that have been applied in practice, which make it possible to assess the state and indicators of public health and health care. The above methods contribute to obtaining the necessary data on the current activities of the subjects of the health care system and assessing the health and quality of life of the population. Modern medical science is characterized by an increase in the number of ongoing scientific research. Research is a necessary component of dissertation work, only they introduce new information into the health care system, allow one to acquire new skills, and contribute to the development of new technologies. The research results are certainly of interest to both healthcare professionals and patients. The requirements for the methodology of scientific research and the quality of the data provided by the researcher are becoming unambiguously more stringent. The implementation and implementation of scientific research in the field of medicine is associated with the need and obligation to comply with various standards and regulations. The published data must be scientifically new and presented in accordance with international standards. Undoubtedly, a certain role is played by the competent presentation of research and analysis methods, which allow the researcher and specialists studying the research data to correctly interpret the data obtained and put them into practice. Thus, selective planning of prospective research in the field of public health and health care, correct formulation of goals and objectives, concretization of research design, definition of modern research methodology and data analysis are the basis of its effectiveness. The use of a set of interacting medical and sociological research methods, focused on the result, contributes to the achievement of the set goals at the proper level.
Recent years are characterized by the active development and advancement in clinical practice of the method of photodynamic therapy (PDT). PDT shows high effectiveness in the treatment of skin tumors, digestive, nervous, respiratory systems, in gynecology, ophthalmology. Antimicrobial PDT is successfully used in the treatment of purulent wounds and infectious diseases. One of the most actively developing applications of antitumor PDT is the treatment of maxillofacial tumors.The study assessed the organization of medical care for patients with malignancies of the maxillofacial region (MNMR) in the Penza region and the provision of oncologists, maxillofacial surgeons specializing in the treatment of tumor pathology. In the course of the study, the incidence of MNMR of the population of the Penza region and the gender and age structure were determined. The shortcomings of the organization of medical care for patients with MNMR are indicated.
The health-care system, at the present stage of development, is characterized by a fairly steady tendency to conduct various studies aimed at improving the quality of health care provided to the population. Also, relatively important is the introduction of studies to investigate and identify the health and social factors that influence the health of the population, including the factors that in the opinion of the population determine such indicators, as: Quality, accessibility and effectiveness of health care as a service.
The results of domestic and foreign research in this area have shown the positive impact of timely and quality medical care on the health of patients and the significant interaction of the accessible health system with the health of the population as a whole.
In order to visualize the state of organization and functioning of the health-care system and the level of health of the population, various studies and sociological surveys produce a sufficiently effective result.
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