Bulletin of Semashko National Research Institute of Public Health

To estimate the quality of the publications the results of clinico-economic studies in oncology, in Russian journals. Materials and Methods: search for available materials in Russian databases. Inclusion criteria were: the modeling (decision tree, Markov model). Exclusion criteria: absence of the modeling and incremental analysis, including the analysis method to minimize costs and article, which deals with several types of cancer. The depth of search was 5 years. The Quality of Health Economic Studies (QHES) and the method of minimal detailed assessment (MDA) were used for assessment the quality of presentation materials. Results. 15 articles have been selected for the analysis. The total score of the analyzed studies was 74 points by the method QHES and 69 points using MDA. More than 40% of the publications were with high quality, more than 50% - a medium quality. The improvement the quality of the publication can be achieved by describing the source of funding and research perspectives, structure models and methods of analysis, time horizon and the discount. The quality of articles devoted to clinical and economic analysis, a description of the assumptions and limitations of the model is also necessary. Conclusion. There is the evaluation the quality of the materials of clinic - economic studies in oncology, published in the Russian Federation in the article. Recommendations and suggestions on the structure of the article and the parameters of the model that will improve the quality of publication, and to ensure the requirements of International magazines.

The data presented comparative analysis of the efficacy of therapeutic and preventive measures carried out in the sanatorium and in the Department of pathology of pregnancy maternity home, as well as data conducted a special study of pregnancy and outcome of labor in conditions that present a high risk by maternal and perinatal diseases - a miscarriage.

Considering the importance in modern conditions of the control over the activities of medical organizations, including the monitoring of sanitary and anti-epidemic (preventive) measures, the special relevance acquired the development and implementation of standardized approaches. The processes of examination and evaluation of sanitary and anti-epidemic (preventive) measures in the system of quality control and safety of medical activity are considered.

The article deals with the approaches to the classification of spa facilities. The analysis of the regulatory framework indicates the absence of currently optimal classification model of health resorts. The system of normative acts of the Russian Federation governing the activities in the health sector in general and health resort industry in particular, fixed model, which determines the approach to classification of resorts. It should be noted that the rules provided for in this classification does not meet the objectives of strategic planning and are not convenient for management decisions. In this regard, in the course of the study it was proposed a classification system for spa resorts, in particular for the branches of JSC "Russian Railways - health." Under the proposed model, the determining factor for membership has been accepted medical practice, got his definition of the specific types of sanatorium organizations and the conditions to be met by resorts for spa treatment.

It is proved that the problem of involuntary examination of persons with mental disorders is conditioned to a large extent by imperfection of the law "On psychiatric care and guarantees of citizens' rights in its provision." Specific proposals for changes to the existing legislation are presented.

The article reflects some aspects of provision and increase the availability of the dialysis population use in the Russian Federation at the regional level in institutions of various forms of ownership. In the course of the study the following methods were used: studying and generalization of experience, analytical, method of comparative analysis. The aim of the present study was to determine the main directions of development of the organization and provision of hemodialysis care in the Russian Federation, with regard to the accessibility of its delivery in medical organizations of different ownership. A particularly important direction of analysis of provision of dialysis care in Russia is the study of the dynamics of the number of dialysis patients and the provision of dialysis care in institutions of different forms of ownership. The results revealed that in modern conditions the major proportion of patients prefer to contact the state centers. At the same time every year increases the importance in the provision of dialysis care centres, created through public-private partnership, it is therefore necessary to make competent management decisions to ensure the increase of accessibility of care for different segments of the population.

Correctly organized healthcare system for children under 3 years can significantly reduce the risks of severe complications and mortality among preterm and newborn soon after birth, and at a later period of their life. Purpose: development of proposals on improvement of medical care in preterm infants during the first three years of life. Material and Methods: The analytical and mathematical and methods, as well as the method of logic synthesis were used. Retrospective analysis of primary medical documentation was held. The time horizon of the study was from 2012 till 2014. Results: The system of medical care for patients under 3 years at the Pediatric department of Perinatal center, Moscow State clinical hospital № 70 was evaluated and the main directions of its improvement have been indicated. Conclusion: It is possible to reduce the number of patients requiring complex inpatient rehabilitation after 2 years in case of early rehabilitation and individual approach.

On the basis of available information, the analysis of reforming the primary health care in the capital's health, as well as evaluation of the preliminary results, to identify both advantages and possible disadvantages and shortcomings with a view to leveling and thus improve the quality of the organization of primary health care in the capital. The study used the following methods: the study and generalization of experience, statistical, sociological, economic, analytic method comparative analysis. The study was conducted on the basis of the medical organizations of the North-Eastern Administrative District of Moscow. An analysis of the staffing situation in the outpatient Associations North-East of Moscow in the dynamics of the five-year period revealed that there is still a shortage of personnel in relation to medical and nursing staff, there is also an imbalance in the states cadre of specialists, which greatly complicates the implementation of ongoing reform. Revealed substantial disparities in planned and actual load per physician post for a number of specialties. As part of this study revealed that the bulk of state funds spent on organizing the activities of urban health centers (medical organization of the first level), while the cost per visit remains low and does not reflect the real cost of medical services rendered. All the results obtained may be used in the preparation of regulations in the framework of further health reforms in Moscow.

The article presents critical comments on the use in target programs of development of health care of the individual indicators that are not related to the competence of the health authorities, as well as a list of specific indicators that can be used in such programs due to the fact that their change can affect the health care system.

The article presents the results of the improvement of material and technical base General Hospital in Moscow in the framework of implementation of the program of modernization of the capital's health and its influence on the effectiveness of the institution.

On the basis of the official publications of Rosstat and the Bureau of medical statistics of the Department of health of Moscow the analysis demand of high-tech assistance in traumatology and orthopedics in Moscow to be 5.6 per 10 thousand population. It is shown that data on the volume demand of high-tech medical care are the basis for solving current and future tasks for improving the system of high-tech medical care in the Moscow healthcare.

The article analyzes the work of the second all-Russian Congress of factory physicians, held in Moscow in 1911. The program of the second all-Russian Congress of factory doctors, attention: sanitary-hygienic conditions of work and life of workers, children and women's work, physical development, morbidity and injury of the workers, health care workers, state insurance and the status of pregnant women and nursing mothers.

Present a study on the reform of medical education in Russia, important for modern medicine, as will serve the objectives of rebuilding a coherent scientific and accurate history of formation and development of higher medical education in Russia, and also studied the experience of reforms carried out in the course of the reform of 1840-1863 years, due to the similarity of many of the problems solved today can be used to improve the training of the modern physician.

Experience of activity of the Russian and West European natural-historical and scientific and technical museums of last decade as the base to development of new directions of development of medical museums in the Russian Federation is compared and analyzed. The revived Medical museum in Moscow can be an example of original conceptual designing and innovative development for museums of the given profile group.

Article devoted to the 80th anniversary of the historian of medicine, honorary doctor of the Northern State Medical University, honored worker of higher school of Russia, doctor of historical sciences, Professor Gennady Stepanovich Shchurova. Scientific heritage of the scientist presented through his scientific works. Among them books: "Nikolai Prokopevich Bychihin. Worthy son of the Fatherland", dedicated to the life and activity of the rector of the Northern State Medical University; "Professors of the Northern State University", telling about the leading scientists and scientific schools of Northern European Russia and other works. Professor GS Schurov - founder and first director of the museum complex of the Northern State Medical University; the founder and first chairman of the Society for the Study of History of Medicine of the European North, which now bears his name.