Bulletin of Semashko National Research Institute of Public Health

Представлены результаты исследования, в ходе которого определена структура посещаемости врачей-урологов в городской поликлинике. Выявлена высокая доля посещений не связанных непосредственно c оказанием медицинской помощи.

In article conceptual approaches to creation risk - focused model of supervision objects classification are considered and proved.

Assessment of efficiency of model of rural health care system of 14 rural municipalities of the Republic of Tatarstan with population less than 25 thousand people. Methods. The analysis of statistical data of 14 rural central regional hospitals of the Republic of Tatarstan, demographic indicators and incidence of the living population for 2000-2014 and in 6 regional hospitals is carried out, including, the analysis of efficiency of use of personnel, material and financial resources of health care for 2012-2014 is carried out. Intensive, extensive indicators and average sizes are calculated. Results. Obvious problems of a demographic situation in areas of research is established. In all regional hospitals decreased total number of the population, and in structure of the population decreased the number of the children's population. For years of research there was a twofold decrease in number of the round-the-clock stationary beds and reduction of level of hospitalization by 35%. Decreased number of visits in outpatient departments. The part of hospitalization of the emergency patients in late terms and a lethality of postoperative patients has increased. Primary incidence and prevalence of diseases among the population has increased. Conclusion. The current model of rural health care when attaching a population of less than 25,000 people is ineffective, does not provide an adequate level of population health the health care organization

The article examines the impact of globalization on the private health sector in Russia, as well as the participation of private providers of health services in the insurance programs.

Positive demographic trends in Russia since 2006 are demonstrated to be associated with narrowing regional variation spectra of population natural replacement indices and its basic determinants. Fertility and mortality correlations are discussed with population age composition, education level, income, potential of inpatient and outpatient health care facilities, number of physicians, urbanization, migration attractiveness of territories and criminal activity. Health care system is revealed to be weak in withstanding demographic challenges. Data reliability and comparability, attention to inherent causation of mixed changes are stressed to be indispensable for adequate evaluation of current situation, prospects of its development, distribution and usage of available resources.

The study examined the patients-opinion about the quality of nursing care in Omsk hospitals. The method used was a questionnaire. 47.6% of patients consider the nursing care to be excellent, 46.3% of patients considerit to be good. There is some evidencewhat patients pay attention to as for as nursing care is concerned. They suggested measures to improve the quality of care. The data obtained can be used in the nursesjob those who work in medical - prophylactic institutions.

В публикации представлен анализ современной нормативно-правовой базы по труду, в том числе и в санаторнокурортных медицинских организациях, обоснована необходимость нормативно-исследовательской работы, представлены основные методические подходы ее проведения.

Told about the history of the outstanding work of E. A. Osipova, I. V. Popov and P. I. Kurkin on zemstvo medicine overview for its achievement by the end of the XIX century and Ambassador-lived valuable methodological tool for territorial organizations, and is currently an important source for the history of health pre-revolutionary Russia.

This paper gives a short review of history of development of mammography as an independent branch of medical radiology. There is a description of a first use of mammography as a breast cancer screening toolby the example of the USA. Difficulties of new technology’s diffusion are also discussed.