Rendering Pediatric Palliative Medical Care on Outpatient Basis

2016 ◽  
Vol 7 (2) ◽  
pp. 154-157
Author(s):  
Alexander E Tkachenko ◽  
Irina V Kushnareva
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Comparative Analysis ◽  
Medical Care ◽  
Pediatric Palliative Care ◽  
Outpatient Basis ◽  
Current Health ◽  
Health Care Legislation ◽  
Palliative Medical Care

The article discusses the complexity of interpretation of the current health care legislation in relation to the provision of pediatric palliative care on outpatient basis. It also introduces a comparative analysis of the current legislation and represents amendment proposals.

THE INTER-DISCIPLINARY CONCEPTUALIZATION OF PALLIATIVE CARE AS A SOCIAL SUB-INSTITUTION

2017 ◽  
Vol 16 (2) ◽  
pp. 68-71
Author(s):  
I. L Krom ◽  
M. V Erugina ◽  
E. A Andriyanova ◽  
A. B Shmerkevitch
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Care ◽  
Social Institution ◽  
Structural Functions ◽  
Social Structural ◽  
Palliative Medical Care

The health care is considered as a social institution since XX century. The main purpose of health care is in amelioration, rehabilitation and promotion of health. This social institution, according to its implementing functions, comprises four sub-institutions. The analysis of trends of institutionalization of the sub-institution «Palliative medical care» is presented in methodological plane of system of social structural functions (AGIL). From the perspective of dysfunctional practices of sub-institution of palliative medical care developing in Russia, a medicalization of palliative care is discussed.

scholarly journals The tendencies in institutionalization of palliative care of adult population in the present-day Russia

2016 ◽  
Vol 15 (1) ◽  
pp. 14-18
Author(s):  
I. L Krom ◽  
M. V Erugina ◽  
A. B Shmerkevitch
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Care ◽  
Chronic Diseases ◽  
Adult Population ◽  
Social Institution ◽  
Legal Documents ◽  
Well Development ◽  
Palliative Medical Care

The analysis of actual interpretations of palliative care from perspective of multi-professional and multi-disciplinary approach is presented. The main trajectories of chronic diseases determining modern strategies of palliative care are considered. The main tasks and directions of palliative care are indicated. According the authors, the normative legal support of provision of palliative medical care of population permits planning and developing of the mentioned type of care in Russia. To provide availability of palliative medical care scientific methodical substantiation is required and as well development of unified classification of conditions requiring indication and organization of palliative care. The standards of provision of palliative care are to be adjusted to the mentioned classification. The article mentions that the legal documents adopted in Russia determine palliative care as palliative medical care. The medicalization of palliative care in Russia is considered from perspective of dysfunctional practices of social institution of health care.

scholarly journals ОСНОВНІ ХАРАКТЕРИСТИКИ СИСТЕМИ ВЗАЄМОДІЇ МЕДИЧНИХ ЗАКЛАДІВ В МЕЖАХ ОДНОГО ГОСПІТАЛЬНОГО ОКРУГУ

2020 ◽  
pp. 11-18
Author(s):  
Стовбан Микола Петрович ◽  
Стовбан Ірина Василівна
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Care ◽  
Strategic Decisions ◽  
Local Authorities ◽  
Prospective Development ◽  
Hospital District ◽  
Functional Association ◽  
Development Plans ◽  
Area Health

The article examines the concept of "hospital district". Broad participation of hospital districts requires the implementation of effective forms of partnership in planning and taking strategic decisions on their development. The hospital districts are created to organize a network of health care institutions in the region, in a way that will provide systematic interaction between members of the hospital district, as well as with providers of other types of care (primary, tertiary (highly specialized) medical care, palliative care and rehabilitation), pharmaceutical services. Boundaries and composition of each district are formed on the basis of criteria of the district, they are established by the Procedure for the creation of hospital districts. The hospital districts are created as "a functional Association of hospitals located in a particular area". Health establishments, which belong to the hospital district, remain in the ownership and subordination of local authorities who are members of the hospital district. To improve secondary healthcare, Hospital Council are created with the aim of coordinating actions, devising ideas the on organization and operation of medical care within a separate hospital district, preparation and confirmation of the prospective development plans of hospital districts for 5 years (taking into account the needs of modernization and resources).

scholarly journals Assessment of the prospects for introducing drug insurance into military healthcare as part of project activities

2020 ◽  
Vol 22 (2) ◽  
pp. 125-133
Author(s):  
A. Y. Fisun ◽  
Y. V. Miroshnichenko ◽  
M. P. Shcherba ◽  
R. A. Golubenko
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Russian Federation ◽  
Subsequent Development ◽  
Outpatient Basis ◽  
Drug Supply ◽  
Military Health ◽  
Drug Insurance ◽  
Insurance System ◽  
The Russian Federation

It is shown that one of the priority areas of the social policy of the Russian Federation is the consideration of improving the drug supply, the rationale for the national drug policy, as well as the introduction of the drug reimbursement (insurance) system, as one of the key mechanisms to increase the affordability of drugs by partially or fully reimbursing their cost citizens when providing medical care on an outpatient basis. It was revealed that in the context of reforming the healthcare system, the specifics of the work of power ministries and departments are not sufficiently taken into account. In this regard, the features have been studied and an assessment has been given of the prospects for introducing drug insurance into military health care as part of project activities, as one of the mechanisms for implementing interagency cooperation in modern socio- economic conditions when reforming drug supply. It is reflected that the introduction of drug insurance mechanisms can increase the availability of drugs, have a positive effect on the health of the assigned contingents, and reduce the frequency and duration of hospitalizations. At the same time, the following were identified as the main prospects and systemic prerequisites for implementation: the need to create a reliable legal basis for the formation and subsequent development of a unified state system of drug supply, taking into account the specifics of military health; transition to a rational system of financing drug supply for the provision of medical care on an outpatient and inpatient basis as part of a project to develop a new model for the provision of primary health care and specialized medical care based on a unified medical and technological hospital base; prospective reduction of expenses for the supply of medical care in stationary conditions; optimal distribution of rights and responsibilities, ensuring coherence between health authorities; prevention of duplication, ensuring equal and guaranteed drug supply for citizens as part of the project to ensure the quality and accessibility of medical care to privileged contingents of the Ministry of Defense of the Russian Federation. A possible model of drug supply for contingents attached to military medical organizations is substantiated when providing medical care on an outpatient basis when introducing a drug insurance system at the state level. The following key elements of a grounded model are described: adjustment of drug supply management; clarification of the categories of assigned contingents; optimization of the order of dispensing of drugs; the formation of restrictive lists of drugs; optimization of financing.

scholarly journals RATING EVALUATION OFSPECIALIZED MEDICAL CARE BYTHEPATIENTSNEPHROLOGIC PROFILE OFTHE UKRAINEPROVINSE

2015 ◽  
pp. 3-8
Author(s):  
M. Kolesnyk ◽  
N. Kozlyuk ◽  
S. Nikolaenko ◽  
N. Stepanova ◽  
Y. Gonchar
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Acute Kidney Injury ◽  
Comparative Analysis ◽  
Kidney Disease ◽  
Medical Care ◽  
Kidney Injury ◽  
Evaluation Methodology ◽  
Use Of Health Care ◽  
Comprehensive Study

The aim of the work was to conduct a comparative analysis of indicators of the performance of nephrological services in the regions of Ukraine by using the method of complex statistical coefficients. Materials and methods. Evaluation of the performance of the system of provision of nephrological services in the regions of Ukraine was made by studying the indicators that characterize the structure, use of health care resources, quality and efficiency of its provision submitted to National Register ofpatients with chronic kidney disease and patients with acute kidney injury (2015). Results. By using rating evaluation methodology, it was identified place of relevant region by each indicator, by each area and by all areas of provision of nephrological services in the region as a whole. Conclusions. As a result of a comprehensive study of the condition of the system of providing nephrological service in the regions, there were identified ranking places of the administrative territories.

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