The development and enhancement of general medical  practice as major condition of successful modernization of primary health  care

Volnuhin, A V; Siburina, T A; Knyazev, A A

doi:10.32687/0869-866x-2021-29-2-306-312

Cited by 3 publications

(2 citation statements)

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“…Стратегическое планирование в здравоохранении в настоящее время признаётся условием повышения эффективности и совершенствования управления здравоохранением [10][11][12][13][14][15] [16,17] . Множественные отдалённые последствия у пациентов, перенёсших коронавирусную инфекцию, определяют необходимость укрепления инфраструктуры и материальнотехнической оснащённости медицинских организаций, а также решения вопроса об их обеспеченности врачами [18] .…”

Section: обоснованиеunclassified

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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Section: обоснованиеunclassified

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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“…Отмеченные ранее векторы научного поиска, встречавшиеся в научных публикациях за период с 2012 по 2022гг и определившие стратегические приоритеты развития первичной медикосанитарной помощи (ПМСП) в Российской Федерации [1], к которым были отнесены вопросы доступности медицинской инфраструктуры [2][3][4], формирования новых подходов к финансированию медицинской помощи, реализации отдельных программ и проектов [5][6][7][8][9][10][11][12], создания моделей взаимодействия медицинских организаций первичного звена здравоохранения с больничными организациями и службой скорой медицинской помощи [13][14][15][16], обеспечения необходимыми ресурсами, прежде всего кадровыми [17][18][19][20][21][22][23][24], использования технологий, направленных на совершенствование организации работы структурных подразделений на осно-…”

Section: Introductionunclassified

Cognitive-matrix analysis of research on primary health care development in the Russian Federation for the period from 2012 to 2022

Orlov,

Shepel,

Voshev

et al. 2024

Cardiovasc Ther Prev

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The distribution of publications posted in the Elibrary for the period from January 1, 2012 to December 31, 2022, in the structure of a cognitive matrix of taxonomic characteristics for the analysis and assessment of primary health care in the Russian Federation made it possible to establish areas of scientific interest and identify gaps in specific areas and indicators characterizing its current and future development.Aim. To distribute scientific publications according to the relevant segments of the cognitive matrix of taxonomic characteristics for the analysis and assessment of primary health care in the Russian Federation.Material and methods. A database of 41824 publications was used, for which a triple review was carried out with the involvement of 9 experts selected according to appropriate criteria for level of education, work experience in the healthcare system, and academic credentials. At the first two stages, publications not related to primary health care, as well as duplicate publications, were excluded. At the final stage of reviewing, a selective analysis of publications was carried out, assessing the correctness of their distribution into the corresponding taxa of the cognitive matrix, followed by adjustment (if necessary).Results. A cognitive matrix of taxonomic characteristics has been generated for the analysis and assessment of primary health care in the Russian Federation, containing 30339 publications distributed across relevant domains, subdomains and primary health care indicators. The matrix is also presented in a heat map format, allowing an assessment of the most studied taxa of primary health care, as well as highlighting those areas in primary health care in which more research should be carried out to provide a basis and methodology for making informed decisions on its development.Conclusion. Systematized and ordered publications can serve as a basis for a wide range of users in the preparation of systematic reviews and other publications on specific domains, subdomains, primary health care indicators and universal health coverage principles. This study has shown the high efficiency of the cognitive matrix of taxonomic characteristics as a unified tool for aggregation or decomposition of features characterizing the development of primary health care in the Russian Federation.

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The value of the outpatient clinic for cardiovascular surgery in the context of modernization

Golukhova

Semenov

Коваленко

et al. 2022

National Health Care (Russia)

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As a result of the Program “Modernization of primary health care in the Russian Federation” medical care has been developed at all levels of its provision, starting from primary health care and up to specialized. Aim. Аanalysis of the current state of the outpatient health care link and the results of its activities in ensuring the availability of medical care to the population in the field of “cardiovascular surgery”. Material and methods. The sources of information were the information provided by the subjects of the Russian Federation at the request of the Bakulev National Medical Research Center for Cardiovascular Surgery (Bakulev NMRCCS), official statistical reporting data, materials obtained during field events in supervised regions of the Russian Federation on the organization of medical care in the field of “cardiovascular surgery” by specialists from Bakulev NMRCCS. The organization of providing medical care in the profile “cardiovascular surgery” at the level of the polyclinic level in 38 regions Russian Federation supervised by the Bakulev NMRCCS was studied. Results. The article presents the current state of staffing of outpatient clinics, their relationships with higher-level medical organizations and measures to improve their work in general. The role of the introduction of registers of patients with diseases of the cardiovascular system and the importance of a unified information system in improving the quality of medical care is noted. The importance of telemedicine technologies in increasing the availability of medical care is shown. Discussion. Most of the subjects of Russia have improved the provision of their residents with cardiologists. Successful modernization of the primary care depends on the introduction of the unified state information system of healthcare at all levels of healthcare, starting from the possibility of making an independent appointment with a doctor in an electronic schedule of outpatient appointments. The high prevalence of cardiovascular diseases mortality requires the decision on a unified form of registers for the main diseases. Also, the modernization program should include provisions on the activation of the use of telemedicine technologies. Conclusion. Thus, the target program “Modernization of primary health care in the Russian Federation” is one of the most relevant events in the domestic health care. One of the criteria for the effectiveness of polyclinic departments can be considered the number of residents of the subjects of the Russian Federation who received highly specialized medical care.

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The development and enhancement of general medical practice as major condition of successful modernization of primary health care

Cited by 3 publications

References 0 publications

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

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

Cognitive-matrix analysis of research on primary health care development in the Russian Federation for the period from 2012 to 2022

The value of the outpatient clinic for cardiovascular surgery in the context of modernization

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