Bulletin of Semashko National Research Institute of Public Health

The patterns of the emergence of private medical schools in Ancient Greece, the specific socio-economic conditions providing the development of medical education, the practical and theoretical achievements of Greek doctors-educators-researchers are analyzed in scientific work.

The effectiveness of medical care, on the example of oncology, is determined mainly by the effectiveness of overcoming the barriers to accessibility of medical technologies (availability, affordability, acceptability, awareness, perception, elimination of administrative barriers). This process takes time, so the only effective way to realize the positive characteristics of medical technology is to plan in advance the volumes of medical care and the conditions that ensure its successful implementation. Proactive risk management in health care takes into account the results of monitoring and forecasting to determine both the need for medical care and availability of medical technology to assess and eliminate the risks associated with public health. The basis for effective monitoring and forecasting of public health is the use of correct statistical information based on a WHO family of international classifications, and the basis for choosing the most effective medical technologies is the forecast (“Horizon Scanning”) of the appearance and evaluation of medical technologies, as well as their optimal use based on clinical recommendations. At present, the main elements of the formation of expert analysis and decision-making mechanism have been created, allowing the use of proactive public health risk management.

Introduction: Secondary stroke prevention includes several aspects, among them promotion of patient awareness of risk factors, symptoms of acute cerebrovascular accident (stroke) and actions needed in case of suspected stroke. Aim: to evaluate the results of work of schools for stroke patients and their relatives in primary stroke units and regional stroke center of Tyumen district. Patients and methods: Since 2012 schools for stroke patients and their relatives were implemented in primary stroke units and regional stroke center. Educational program includes 10 themes concerning stroke risk factors (hypertension, obesity, smoking, low physical activity and high level of stress), basics of primary and secondary prevention, main consequences of stroke (paresis, aphasia, pressure sores etc.) and ways of their correction. A special questionnaire was developed to evaluate the efficacy of educational measures, which included questions on gained knowledge and respondent opinion on the quality of education. An analysis of 2200 randomly selected questionnaires was performed. Results: A high level of attendance was demonstrated; most popular lectures included “Hypertension and stroke”, “Life after stroke” and “Stress and health”. Questionnaire survey revealed that educational materials were sufficient for most respondents (91.6%), easy-to-understand (97.3%), attendees acquired skills on stroke patient care (90.6%) and knew how to provide first aid in case of suspected stroke (98.8%). Conclusion: We recommend to continue educational programs for stroke patients and their relatives and questionnaire surveys to improve quality and efficacy of medical service.

The article deals with the development of the organizational direction of the technology "Supporting the activities of medical workers", "Experience", the rationale for the expediency of studying and introducing innovative health-saving technologies in the work of medical and preventive institutions of medical workers.

The article deals with the issues of regional experience in the creation and functioning of organizational and psychological technologies aimed at preserving the effective performance of medical workers.

The article describes the causes of famine in the 20s of the last century, which are of a systemic nature. It is shown that the Soviet government was late in taking adequate measures to prevent the famine among the population. The problem of providing people with bread was the main one at that terrible time.

The authors conduct a public health study. The article presents the problems of penitentiary medicine