Modern transformations of medicine space from medical care to a medical service

Krom, I. L; Yerugina, M V; Eremina, M. G.; Ковалев, Е. П.; Власова, М. В.

doi:10.19163/2070-1586-2019-1(23)-27-29

Bioethics

2019

DOI: 10.19163/2070-1586-2019-1(23)-27-29

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Modern transformations of medicine space from medical care to a medical service

I. L Krom¹,

M V Yerugina²,

M. G. Eremina³

et al.

Abstract: According to the authors, transformations in medicine in modern Russia are characterized by the transition to the market of medical services, which is considered as one of the causes of a relative status inflation, a decline in the prestige of the profession of a doctor. The discrepancy in the activity and status of this professional group is a determinant moment. Modern process of institutionalization of medicine is realizing in the change of the status and the marginalization of social-professional groups of… Show more

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Cited by 10 publications

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Readiness of medical graduates to self-guided work in primary health care organizations

Varakina,

Shkerskaya,

Losev

et al. 2024

Cardiovasc Ther Prev

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Aim. To study the opinion of senior medical students about their readiness for self-guided practice in primary health care organizations.Material and methods. In 2023, a continuous cross- sectional social study was conducted among 5th and 6th year students of the Northern State Medical University (Arkhangelsk), of which 137 were from pediatric faculty (5th year — 70, 6th year — 65), 266 — general medicine faculty (5th year — 140, 6th year — 126).Results. An insufficient level of readiness of medical graduates for self-guided practice in primary health care facilities was revealed. Only 19,0%, after passing the primary accreditation, aim to immediately work as a local pediatrician and a local general practitioner, while 44,2% are not ready to begin independent practical activity. The main work direction of a local physician is considered to be prevention by 67,2% and 28,6% of senior pediatric and general medicine students, respectively. More than 75% of graduates are ready to work independently in a medical information system, but 15,1% of respondents are not sure that they will be able to independently make an electronic sick note, while 41% — a referral for disability examination, and about a third of graduates — fill out a statistical electronic form.Conclusion. The study results confirm the need to strengthen the practice in the training of medical students and introduce a mentoring system in primary health care facilities.

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Readiness of medical graduates to self-guided work in primary health care organizations

Varakina,

Shkerskaya,

Losev

et al. 2024

Cardiovasc Ther Prev

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Social portrait and features of the medical behavior of consumers of medical services in the Moscow region health system: A medico-sociological study

Решетников

Sobolev

Марочкина

2023

Sociology of Medicine

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BACKGROUND: The healthcare system is the most important social institution affecting the life of each member of Russian society. To improve the organization of the provision of medical care to citizens in the context of long-term program-oriented strategic planning for health development in the region, it is necessary to take into account the interests, expectations, and requests of patients (as consumers of medical services) regarding the quality of medical care, staffing, and the material, technical, and technological equipment of medical organizations. AIM: Construction of a social portrait of consumers of medical services of the healthcare system of the Moscow region, taking into account the socio-demographic and socioeconomic characteristics of patients and the salient characteristics of their medical behavior. MATERIALS AND METHODS: The study (a questionnaire survey of 531 patients) was conducted in FebruaryMay 2022 based on the Moscow Regional Research Clinical Institute named after M.F. Vladimirsky. The subject of the study was consumers of medical services at the institute at the age of 18 years, permanently residing in the Moscow region. The survey participants were recruited based on the calculated selective population, with quotas by sex and age. The thematic sections of the questionnaire focused on the study of the level of satisfaction of respondents with the medical services received, the characteristics of their medical behavior and attitudes to their health, and the analysis of the main socio-demographic characteristics of patients (gender, age, social and family status, education, and financial situation). RESULTS: The study, conducted among residents of the Moscow region, made it possible to determine their attitude to their health, the level of satisfaction with the medical service received, features of medical behavior, and experience of interaction with medical workers (primarily doctors), including conflict situations. It has been established that among patients, a positive assessment of the quality of the medical services they receive prevails, most of them prefer to receive information about diseases, methods of treatment, and drugs from medical professionals, and they tend to trust doctors and comply with their prescriptions. When patients experience conflict situations, this most often happens with registry workers and is mainly due to the difficulty of getting an appointment with a doctor. CONCLUSION: The study identified the most characteristic features of medical behavior and described a social portrait of a typical consumer of medical services in the Moscow region.

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Problems and current directions of further medium-term strategic planning for the development of the health care system of the Moscow Region: expert survey results

Reshetnikov,

Sobolev,

Golikova

2024

Sociology of Medicine

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BACKGROUND: Modern strategic planning for the development of the health care system in the region involves regular monitoring of problem areas for the timely identification of emerging problems, as well as monitoring the effectiveness of measures designed to eliminate the identified problems. Based on this, within the framework of the 5th level of medical and sociological monitoring of the results of strategic planning for the development of regional health care, which involves studying the opinions of regional experts, a study was conducted focused on studying the main problems and prospects for the development of the health care system in the Moscow Region on the most important ones from the standpoint of its strategic planning directions. AIM: To determine the degree of relevance of problems for the health care system of the Moscow Region and for the next medium-term strategic planning of measures for its development, as well as to evaluate the indicators from the standpoint of their significance, which will serve as the basis for compiling the archetype of the health care system in the territory of the municipal formation of the Moscow Region in order to adopt further management decisions, including taking into account municipal features. MATERIALS AND METHODS: A survey was conducted of experts from among the heads of regional medical organizations of the Moscow Region, their deputies for the medical profile of activity, as well as the main freelance specialists of the Ministry of Health of the Moscow Region. A total of 126 people were interviewed using formalized structured interviews and questionnaires. RESULTS: In the course of the study, a range of the most pressing problems of the health care system of the Moscow Region was determined today. In addition, activities were identified, the strategic planning of which is most relevant for the formation of the next medium-term program “Health of the Moscow Region”. The study also made it possible to streamline the list of indicators characterizing the archetype of the health care system in the territory of the municipality of the Moscow Region, according to the degree of their importance in making and implementing management decisions in the framework of medium-term strategic planning for health care development. CONCLUSION: The study demonstrated the sustainability of some problems in the health care system of the Moscow Region that currently need to be addressed.

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Modern transformations of medicine space from medical care to a medical service

Cited by 10 publications

References 2 publications

Readiness of medical graduates to self-guided work in primary health care organizations

Readiness of medical graduates to self-guided work in primary health care organizations

Social portrait and features of the medical behavior of consumers of medical services in the Moscow region health system: A medico-sociological study

Problems and current directions of further medium-term strategic planning for the development of the health care system of the Moscow Region: expert survey results

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