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The work is devoted to the study of the issue of gender inequality in Russian neurosurgery. Materials and methods: the study is based on an anonymous survey of neurosurgeons working in Russia. The authors have developed 2 questionnaires, different for men and women. 103 certified neurosurgeons were interviewed, 53 of them were men and 50 — women. Results: on average, male neurosurgeons were older, with more work experience, more often had a medical category (p <0.05) and performed a greater number of independent operations (p <0.01). In all the same questions characterizing the perception of the image of a female neurosurgeon, significant differences were revealed between men and women (p <0.01). Women do not feel less trust in the quality of their work because of their gender, but throughout their medical education and work, they regularly face the notion that neurosurgery is not a suitable profession for women. Harassment is not a typical phenomenon in Russian neurosurgery. Among the authors of articles in the 5 most cited Russian neurosurgical journals for 2016–2018, there were 20.7 % women; 15 % of the first authors were women. Conclusions: female neurosurgeons in Russia face manifestations of gender discrimination in the professional environment, which is an additional obstacle to becoming a neurosurgeon. The perception of the image of a female neurosurgeon differs significantly among neurosurgeons, depending on their gender. English version of the article on pp. 488-494 is available at URL: https://panor.ru/articles/sexism-in-russian-neurosurgery/70193.html
The work is devoted to the study of the issue of gender inequality in Russian neurosurgery. Materials and methods: the study is based on an anonymous survey of neurosurgeons working in Russia. The authors have developed 2 questionnaires, different for men and women. 103 certified neurosurgeons were interviewed, 53 of them were men and 50 — women. Results: on average, male neurosurgeons were older, with more work experience, more often had a medical category (p <0.05) and performed a greater number of independent operations (p <0.01). In all the same questions characterizing the perception of the image of a female neurosurgeon, significant differences were revealed between men and women (p <0.01). Women do not feel less trust in the quality of their work because of their gender, but throughout their medical education and work, they regularly face the notion that neurosurgery is not a suitable profession for women. Harassment is not a typical phenomenon in Russian neurosurgery. Among the authors of articles in the 5 most cited Russian neurosurgical journals for 2016–2018, there were 20.7 % women; 15 % of the first authors were women. Conclusions: female neurosurgeons in Russia face manifestations of gender discrimination in the professional environment, which is an additional obstacle to becoming a neurosurgeon. The perception of the image of a female neurosurgeon differs significantly among neurosurgeons, depending on their gender. English version of the article on pp. 488-494 is available at URL: https://panor.ru/articles/sexism-in-russian-neurosurgery/70193.html
Introduction. Efficient bed fund management is one of the most important conditions for an appropriate management of healthcare provision. The aim of the study is to analyze the trend in anesthesiologic and intensive care unit bed capacity in federal districts (FD) and subjects of the Russian Federation for 2014-2018. Material and methods. We analyzed the indicators of intensive care beds use (availability of beds to population, hospitalization rate, duration of patient’s stay in intensive care bed, occupancy, bed turnover, mortality) according to federal statistical observation - forms No. 14 and No. 30. Results. In Russia, the provision of beds in the health care sector has been decreasing over the last decade. At the same time, resuscitation beds were not affected by such changes, and from 2014 to 2018 the number of resuscitation beds tended to increase by 80.8%, which is associated, among other things, with the changes in the methodology of formation of the annual reporting form №30. The following changes in indicators of intensive care beds use were revealed in the trend in the Russian Federation as a whole for 2014-2018: the hospitalization rate slightly increased by 28.6% (from 0.5 to 0.7); provision of the population with intensive care beds (per 10,000 population) tends to increase by 45.8% population) tends to increase by 45.1% (from 1.1 to 2.0); length of stay of the patient on average increased by 23.9% (from 7.0 to 9.2 days); average occupancy (bed work) tends to decrease from 254 to 247 days; bed turnover tends to decrease from 36.1 to 26.9; mortality rate increases from 30.2 to 46.9%. Limitations. The results of the study of the dynamics of anesthesiologic and intensive care unit bed capacity are only valid for the Federal districts and Federal subjects of the Russian Federation. Conclusions. Additional studies are needed to further objectivize the assessment of ICU bed utilization efficiency.
Introduction. The quality of anesthesiology and resuscitation care for pregnant and postpartum women is critical to the prevention of maternal mortality. Materials and methods. We analyzed the provision of medical care in the profile “anesthesiology and resuscitation (for pregnant women)” according to the data of the subjects of the Russian Federation for 2020–2022, the insert to Form No. 32 for 2020–2021, the Register of critical obstetric conditions for 2021–2022, and field visits to the subjects of the Russian Federation over 2021–2022. Results. During 2021, the number of intensive care beds for women in obstetric hospitals in Russia was 0.74 per 10,000 women of childbearing age, the average annual occupancy was 193.3 days and the average length of stay was 1.31 days. In the period 2021–2022 the staffing level of obstetrician-anesthesiologists and resuscitators increased from 68.4% to 69.5%, and that of anesthesiology nurses from 78.9% to 80.1%. The average rate of regional analgesia for spontaneous deliveries was 28.9% in 2021 and 28.7% in 2022, and for cesarean sections – 88.3% and 91.2%, respectively. Between 2020 and 2021, the rate of critical obstetric conditions increased by 54.5%, the number of consultations conducted by specialists of remote obstetric centers increased by 23.1%, and the number of patients evacuated by mobile teams increased by 23.0%. Research limitations. The results of the study are applicable in the federal districts and constituent entities of the Russian Federation. Conclusion. Analysis of the provision of medical care in the anesthesiology-resuscitation (for pregnant women) profile allows identifying problems and develop measures for the prevention and reduction of maternal mortality in the subjects of the Russian Federation.
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