Problemy sot͡sialʹnoĭ gigieny, zdravookhranenii͡a i istorii medit͡siny / NII sot͡sialʹnoĭ gigieny, ėkonomiki i upravlenii͡a zdravookhraneniem im. N.A. Semashko RAMN ; AO "Assot͡siat͡sii͡a 'Medit͡sinskai͡a literatura'."
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Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med · Oct 2020
[ECONOMIC BURDEN AND CURRENT STATUS OF THE DRUG SUPPLY MANAGEMENT FOR IMMUNE INFLAMMATORY DISEASES (BY EXAMPLE OF ULCERATIVE COLITIS AND CROHN'S DISEASE)].
to estimate the quality and availability of medical care for patients with ulcerative colitis (UC) and Crohn's disease (CD), to assess the impact of the economic burden of these diseases on the healthcare budget of Russia and to systematize the main problems in the organization of medical care and drug supply for patients with inflammatory bowel diseases (IBD). Regional IBD databases (2016-2018), official statistical databases, costs of treatment and results of expert interviews with specialists in IBD were used in the study. The analyzed databases showed 104,668 patients with UC in Russia in 2018 (prevalence rate 71 per 100,000 people) and 66,647 patients with CD (prevalence rate of 45 per 100,000 people). ⋯ It shows the high social and economic value of IBD for the country. The main problems of medical care and drug supply for IBD patients are the mismatch of official statistical data and real IBD prevalence in Russia due to absence of comprehensive register and the insufficient supply with ABT due to limited funding. A federal center for IBD should be founded for better quality of registration, for the precise monitoring and for the active management of personal drug supply.
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Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med · May 2019
[The refusal in immunodiagnostic of tuberculosis in municipal conditions].
The problem of refusal of immunodiagnostic of tuberculosis has a significant public resonance in Russia, but it is not widely covered by research. The purpose of study is to determine causes of refusal of legitimate representatives of children to carry out measures for mass immunodiagnostic of tuberculosis and to suggest possible ways of adjusting this negative phenomenon. In a cross-sectional study, the results of a questionnaire survey of 269 respondents - legal representatives of children who systematically refused to carry out immunodiagnostic of tuberculosis, are being studied. ⋯ The significant percentage of respondents demonstrate risky behavior regarding the transmission of tuberculosis behavior. They have not been tested for a long time on tuberculosis, and their children are not vaccinated with BCG. The acuteness of the problem can be reduced through greater flexibility in choosing the survey technique and activation of sanitary education of population.
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Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med · Mar 2016
[The primary medical sanitary care and characteristics of drinking water supply of population].
The article considers characteristics of organization ofprimary medical sanitary care on territory with carcinogenic risks related to drinking water supply as exemplified by the Orlovskaia oblast. The importance of registration by local health authorities the sources of permanent chemical pollution of drinking water. The analysis of the State program of the Orlovskaia oblast “The development of health care in the Orlovskaia oblast in 2013-2020". The necessity of additional inclusion of issue related to healthy drinking water supply of population to prevent development of malignant neoplasms and prevalence of oncologic morbidity on oblast territory.
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Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med · Jul 2014
[The problems of formation of competence of personnel of psychiatric service].
The article considers the category of competence of medical personnel of psychiatric service. The characteristics of focusing on professional activities in-psychiatry are analyzed. The problems of formation of professional competence of psychiatrists are considered.
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Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med · Jan 2014
[The actual issues and means of development of oncological service of the Krasnodarskiy kraiy].
The article presents substantiation of actuality of oncological diseases. The results of the regional preventive program "Oncopatrol" are presented. The actual issues of oncological service of the Krasnodarskiy kraiy are emphasized.