Problems and Trends of Russian Health Care Development

Vertakova, Julia; Vlasova, Olga V.

doi:10.1016/s2212-5671(14)00771-0

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…In a sense, the scene was already being set for initiatives such as the Tacis projects discussed here. A number of sources had built upon the thinking of Chasov and Denisov by identifying limitations in the delivery of primary health care, and identified values in moving towards family medicine mo dels [10][11][12][13][14].…”

Section: Introduction: Beginnings Challenges and New Directionsmentioning

confidence: 99%

Progress in the development of general practice / family medicine in the city of Saint Petersburg (Russian Federation)

Уел

McQuiston

Роб³

et al. 2020

Rossiĭskiĭ semeĭnyĭ vrach

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In previous years, indeed in some respects preceding the establishment of the Russian Federation, consideration had been given to the establishment of new approaches to general medical practice in Russia. Particular attention centred upon the establishment of Family Medicine and the preparation of doctors as Family Practitioners to advance this initiative. A number of pilot studies were initiated, including in the city of Saint Petersburg. These were intended to provide real-world opportunities to test and develop new and more effective approaches to primary health care that would more efficiently integrate with secondary care. The authors were involved in the initial pilot studies in the mid to late 1990s and subsequent follow-up projects to further advance the initiatives in the early years of the 21st century (20022010). This brief paper reports on a review of progress made in respect of the above initiatives. It is not at this time a comprehensive evaluation of the healthcare systems as they now operate. The authors nevertheless present some indications of satisfactory progress across a range of practices, some insights into challenges that have arisen, and some suggestions that might be helpful in the current rounds of strategic planning for health.

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Section: Introduction: Beginnings Challenges and New Directionsmentioning

confidence: 99%

Progress in the development of general practice / family medicine in the city of Saint Petersburg (Russian Federation)

Уел

McQuiston

Роб³

et al. 2020

Rossiĭskiĭ semeĭnyĭ vrach

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“…Rural populations have worse health and poorer access to health services than urban populations 120 . Russian regions differ significantly in socio-economic, demographic and other parameters 121 . Different approaches to increase the capacity of these regions have to be developed by various type of management to ensure the availability and quality of health care for the population 121 .…”

Section: Possible Explanation For the Observed Differencesmentioning

confidence: 99%

“…Russian regions differ significantly in socio-economic, demographic and other parameters 121 . Different approaches to increase the capacity of these regions have to be developed by various type of management to ensure the availability and quality of health care for the population 121 . In Germany, the health system is build up in a different way.…”

Section: Possible Explanation For the Observed Differencesmentioning

confidence: 99%

Comparison of surrogate parameters of prognosis (BMI, FEV1 and need of intravenous antibiotic therapy) between CF-patients with and without P. aeruginosa in Frankfurt and Moscow from 1990 to 2015

Varescon¹

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Background Previous studies have demonstrated that CF (Cystic Fibrosis) prognosis is dependent of three major parameters: FEV1 (Forced Expiratory Pressure in one second), BMI (Body Mass Index) and need of intravenous antibiotic therapy. The CF centres of Frankfurt, Germany, and Moscow, Russia, care for cystic fibrosis patients. We decided to investigate and compare both centers from 1990 to 2015. No comparable study has been published so far. Method German patient data was collected from the national cystic fibrosis database “Muko.web”. Missing values were extracted from the Hospital Information System. Russian patient data were taken directly from the medical records in Moscow. In a descriptive statistical analysis with Bias and R Studio the values were compared. Result A total of 428 patients from Moscow (217 male, 211 female; 348 (81,3%) were P. aeruginosa positive) and 159 patients from Frankfurt (92 male, 67 female; 137 (86,2%) with P. aeruginosa positive) were compared with regard to P. aeruginosa positivity, BMI, FEV1 and need of intravenous antibiotic therapy. CF patients in Moscow stratified by age groups had lower BMI than CF patients in Frankfurt (age 16-18: p=0,003; age 19-22: p=0,004; age 23-29: p<0,001; age 30-35: p<0,001; age 36-66: p=0,024). In a matching pairs analysis including 100 patients from Frankfurt and 100 patients from Moscow for the year 2015 FEV1 was significantly lower in Moscow patients (p<0,001). Conclusion BMI, FEV1 and need of intravenous therapy have significant impact on survival and on quality of life of CF patients. A lower BMI and a lower FEV1 result in a worse survival and determine the prognosis. This study showed a significant difference in prognostic parameters between Frankfurt and Moscow in the crosssectional analysis for the year 2015. A further study should evaluate this difference to show whether this difference will be found over a longer period of time.

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Artificial Intelligence in Russia’s Health Sector: An Analytical Perspective

Yadav

2023

Artificial Intelligence and Machine Learning in Healthcare

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Problems and Trends of Russian Health Care Development

Cited by 4 publications

References 19 publications

Progress in the development of general practice / family medicine in the city of Saint Petersburg (Russian Federation)

Progress in the development of general practice / family medicine in the city of Saint Petersburg (Russian Federation)

Comparison of surrogate parameters of prognosis (BMI, FEV1 and need of intravenous antibiotic therapy) between CF-patients with and without P. aeruginosa in Frankfurt and Moscow from 1990 to 2015

Artificial Intelligence in Russia’s Health Sector: An Analytical Perspective

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