Shortage Of Personnel Research Articles

Дефіцит робочої сили в Україні: причини та шляхи подолання

The publication examines and analyzes the main factors of deterioration of the situation in the labor market of Ukraine and focuses on the problem of labor force shortage in conditions of imbalance and uncertainty in the labor market. The subject of the research is the tendency of transition from the excess supply of labor force along with high unemployment, which has formed in the labor market of Ukraine, to the high level of unsatisfied demand for vacancies, which numerous experts assess as a shortage of labor force. The aim of the article is to determine the nature of the problem, causes, degree of acuteness, prospects for development and measures to overcome. The scientific novelty lies in the substantiation of the shortage of labor force as a local phenomenon that has the character of a tendency that is constantly present in the Ukrainian labor market in various quantitative values, individual professional niches and territories. From the methodological point of view, the demand for labor force is analyzed in correlation with the dynamics of tension in the labor market, and in empirical terms, the basis for its study was the information selected according to special criteria from various organizations that are constantly engaged in the recruitment of personnel in the labor market or comparative analyses of labor demand and supply. A comprehensive study of the labor market of Ukraine is carried out and numerous evidences are provided that the labor force shortage, which has been formed for several years under the influence of objective and subjective reasons and exacerbated during the wartime, is threatening, while the country has considerable untapped labor reserves. A set of signs of the real presence of a shortage of labor force has been identified and substantiated. The possibilities and actual ways to overcome the imbalances between the demand for labor force and its supply are shown. In the context of identifying the causes of the labor force shortage, the sources of possible coverage of the personnel shortage have been identified. It is concluded that the key factors in covering the personnel shortage are the reserve sources of labor, considered by the authors according to three aspects: factors of formation, professional structure, and efficiency of use.

Моделирование процесса привлечения кадров в медицинские организации, оказывающие медицинскую помощь сельскому населению.

The shortage of medical specialists and their disproportionate distribution both across territories and specialties is a global health problem. According to the Russian Federal State Statistics Service, the shortage of medical personnel as of 2022 is 84.7 thousand people, of which 26.5 thousand are doctors; compared to 2021, the problem of shortage of nursing staff is less acute, but the shortage of doctors remains. An integral part of personnel policy is the process of retaining qualified specialists. The complex motivations of employees to stop or continue working in an organization interact with the personnel decisions of a healthcare organization, which in turn requires a joint study of both the characteristics of the employees and the characteristics of the organization. Purpose of the study is to model the process of attracting personnel to medical organizations providing medical care to the rural population. Materials and methods. Data on 151 students of targeted training who entered the Orenburg State Medical University in 2011 were studied. Using machine learning methods, a mathematical model was built that allows identifying students of targeted training with a higher probability of attraction to the medical organization. Results. The presented data set is unbalanced in terms of the target variable, since only 16.8% of students continued to work in the organization. Among all the options, the most optimal in cross-validation was the use of a decision tree using weights to balance the classes. All studied medical organizations can be divided into 3 groups: organizations with a low level of attraction of specialists, organizations with an average level of attraction of specialists and organizations with a high level of attraction of specialists. Based on the data obtained and analysis of publications, measures were proposed to improve the personnel policy of medical organizations of each type. Findings. Therefore, healthcare organizations have the opportunity to monitor the attraction process of targeted students through factors related to the characteristics of the organization, such as working conditions, reputation and image, career opportunities, and others.

Доклад генерал-майора Д. П. Струкова о постановке военной цензуры в Петрограде и Петроградском военном округе. 1915 г.

The article publishes the report of the chairman of the Petrograd Military Censorship Commission, General D. P. Strukov, to the Chief of the Petrograd Military District on the organization of military censorship in the capital (July 9, 1915). By this time military censorship in Petrograd was a complex and multilevel structure, covering not only the press and correspondence, but also theater, cinema, public speeches and reports. Under the "Provisional Regulations on Military Censorship," adopted with the outbreak of World War I, censors had broad powers and could ban virtually any printed material, stop the forwarding of any correspondence, and prohibit any speech or theatrical production. However, this did not avoid numerous mistakes and contradictory decisions when censoring newspapers and magazines. It was not uncommon for one censor to authorize an article for publication and another to prohibit it. Significant difficulties also arose in the censorship of postal and telegraphic correspondence. Due to the widespread and chronic shortage of qualified personnel, postal and telegraph offices and post offices did not have time to review thousands of letters and telegrams, both internal and external. The "backlogs" of correspondence that had already formed in the first month of the war attracted the attention of the command and the censorship leadership. Meetings were held, censors were transferred to the "problem" areas, but the problem was solved slowly, and the "backlogs" generally increased. Letters and telegrams were delayed for months and often did not reach their addressees, which caused great irritation in the society and in the army. Representatives of the censorship called for a multiple increase in the funding of censorship offices and increase in the staff to solve the problem of "deposits" and complete control of internal and external correspondence. The supporter of such a campaign was General Strukov, who proposed in his report of July 9, 1915, to increase the number of censors by 450 people, to raise their salaries, and to establish a full review of all letters and telegrams. In addition, Strukov proposed to change the structure of military censorship in the capital: to subordinate all military censorship commissions of the Petrograd Military District to a single head, subordinate in his turn to the commander of the VI Army. With the help of such "unity of command" the General intended to eliminate the problem of contradictory decisions, unnecessary correspondence and conflicts between departments. Strukov's proposals were realized only partially: in 1915-1916 the number of censors was practically doubled, the maintenance of military censorship venues was improved. However, the problems of censorship - inconsistency, unjustified rigidity, selectivity and constant delay of correspondence - remained for the whole period of the First World War.

Особенности заболеваемости детей болезнями костно-мышечной системы и соединительной ткани в Чеченской республике.

Pathology of the musculoskeletal system is of great medical and social importance and is one of the ten most common diseases. The high prevalence of diseases is due to a variety of risk factors. Polyethics, Cultural, Territorial and Demographic Features of the Chechen Republic (high birth rate, high proportion of the child population, predominance of rural residents, shortage of medical personnel), are reflected in the specifics of the provision of medical care to the population, and the analysis of the incidence of diseases of the musculoskeletal system and connective tissue in children is of interest and the need for detailed consideration. The purpose of the study: to determine the peculiarities of primary and general morbidity of diseases of the musculoskeletal system and connective tissue in children in the Chechen Republic. Materials and methods. Primary and general morbidity rates of children with musculoskeletal and connective tissue diseases were assessed and analyzed according to official statistical reports and publications of the Federal State Statistics Service and the Ministry of Health of Russia for the Chechen Republic in dynamics for 2016–2022. Statistical processing was performed in MS Office‑2016 program (Word, Excel). Results. The study showed a low incidence of musculoskeletal and connective tissue diseases in children in the Chechen Republic. The incidence of children in the groups of 0–14 and 15–17 years for the last 7 years has generally had a decreasing dynamics, with a change of trend: a decrease in 2016–2019 and an increase in cases of most nosologies in 2020–2022. Against the background of the COVID‑19 pandemic, there was a significant increase in deforming dorsopathies and arthropathies in general, including reactive arthropathies and juvenile arthritis. At the same time, no such correlation was found in rheumatoid arthritis: against the background of the pandemic, the downward trend in the registration of cases was continued. Conclusions. When organizing medical care for children with diseases of the musculoskeletal system and connective tissue, the prevalence of pathology, the level of medical staffing and the age composition of the child population should be taken into account. During 2016–2022, a decrease in primary morbidity prevailed in children 0–14 years of age, and in adolescents – in total morbidity. The COVID‑19 pandemic (the virus itself, decreased physical activity, and conditions limiting the availability of ambulatory care) contributed to the increase in most arthropathies and deforming dorsopathies. On the contrary, the incidence of rheumatoid arthritis in children has been steadily decreasing for 7 years.

ДЕФИЦИТ РАБОТНИКОВ В НОВЫХ УСЛОВИЯХ РАЗВИТИЯ НАЦИОНАЛЬНОЙ ЭКОНОМИКИ

The subject of the study is the state and prospects of the shortage of workers in the Russian labor market. The purpose of the paper is to analyze possible reasons for the imbalance of supply and demand of labor and assess measures taken by the state and businesses to address them. The relevance of the study is due to statistical indicators of the shortage of qualified personnel. The scientific novelty lies in the author's assessment of various factors influencing labor shortage and measures to mitigate them. The research methods are analysis, systematization, synthesis, induction, deduction, and modeling. The study results concluded that the main factors in reducing the labor shortage were increasing wages and labor productivity, and the compliance of education and training systems with market requirements. The measures taken by the state and businesses to reduce the labor shortage, and the problems of monitoring labor market indicators, are also considered. The author's assessments may be of practical interest when developing business strategies and state labor policies.

Нефтегазовый комплекс Арктики и коренные этносы: оценка потенциала и проблемы взаимоотношений

The oil and gas industry is the basis of Russia’s socio-economic development and remains the main source of foreign exchange earnings. In the 21st century, hydrocarbon exploration moved to Arctic regions. The study aims to assess the impact of the Arctic oil and gas industry on indigenous peoples of the North and identify ways to improve contractual relations between them. To this end, statistical, cluster, aggregation, analogy approaches, etc. were used. Analysis of the differences of oil and gas districts in economic activity, commodity specialisation, transport logistics revealed 6 clusters: Nadym-Urengoy, Purovsky, Zapolyarny, Nenets, Taimyr-Turukhansky (Vankorsk) and Usinsky. The oil and gas fields are linked to places of traditional residence and economic activity of small indigenous peoples that are rich in renewable natural resources. The development of these areas expanded the country’s oil and gas resource base. However, it also caused social and environmental problems associated with a decrease in renewable natural resource potential of places of traditional residence and economic activities as a result of pollution and reduction of fishing and hunting grounds. Simultaneously, the shift method traditionally used to overcome the shortage of qualified personnel in the Northern and Arctic regions allows oil and gas companies to avoid the cost of creating social infrastructure. Despite advances in technology and state policy measures implemented to solve social, ethnic and environmental problems of small indigenous peoples, economic benefits are the most important reason for the development of the Northern and Arctic regions. Thus, contractual relations between extractive corporations and indigenous ethnic groups do not protect peoples’ livelihoods. A comprehensive assessment of renewable natural resource potential is required to reduce the damage to indigenous peoples and the environment during hydrocarbon exploration.

Integrated Care Model by the Village Health Volunteers to Prevent and Slow down Progression of Chronic Kidney Disease in a Rural Community, Thailand.

Chronic kidney disease (CKD) is a major health problem in Thailand and health behaviors are central to its risk and progression. Because of the shortage of healthcare personnel, village health volunteers (VHVs) have been collaborating in the primary health care system. However, the contribution of VHVs to CKD reduction has not been evaluated yet. This study aimed to evaluate the efficacy of the VHV-integrated model in preventing and slowing down CKD and its risk factors. The population-based cohort study was conducted in a rural community of Thailand between 2017 and 2019. Baseline clinical and behavioral characteristics including CKD, diabetes, hypertension, and other high-risk factors of the participants were collected. The integrated care model was initiated by the multidisciplinary care team that facilitated, empowered, and trained VHVs targeting risk factors of CKD, health literacy, and health promotion. Then the participants were educated and trained for lifestyle modification and were monitored continuously for 18 months by VHVs. Changes in the CKD risk factors, and kidney functions before and after the application of integrated care model were compared. A total of 831 subjects participated in the study with an average age of 57.5 years, and 69.5% were female. Among them, 222 participants (26.7%) were diagnosed as having CKD, the vast majority (95%) of which were in the early stages (G1-G3 and A1-A2). CKD risk factors such as high salt intake, smoking, alcohol consumption, self-NSAID (non-steroidal anti-inflammatory drugs) use were significantly decreased after application of the care model. Also, hemoglobin A1c was significantly reduced in diabetic patients, and blood pressure was controlled better than before in the hypertensive patients. Most importantly, a decline of estimated glomerular filtration rate of the CKD group was improved and lower than the non-CKD group. The integrated care model through VHV significantly attenuated the risk factors associated with CKD in the general and high-risk population and effectively slowed down the progression of CKD.

STUDYING THE FAMILY EDUCATION GUIDANCE SERVICE SYSTEM OF PRIMARY AND SECONDARY SCHOOLS FROM THE PERSPECTIVE OF POSITIVE EDUCATION

The article is devoted to the study of the family education guidance service system in primary and secondary schools in China. The analysis of the activities of family education counseling services, which have become a sphere of educational services, is presented. The country attaches increasing importance to them. The article examines the state of family education and counseling service systems in primary and secondary schools using Guang'an City, Sichuan Province, as an example. The results of a survey of 500 families to identify the needs and preferences for professional guidance of family education are presented. The survey shows that most parents of primary and secondary school students attach great importance to family education. It is concluded that the family education counseling service system should actively implement the concepts and methods of positive education to provide families with better educational support and guidance. However, the shortage of professional personnel in the family education counseling service system needs to be solved. In addition, the family education counseling service system should organize special training courses to help parents understand and solve their children's psychological problems, and improve parents' attention to children's mental health. In this way, it is necessary to provide personalized services and guidance according to the needs of different families. It is also necessary to publicize and promote the family education counseling system to improve parents' awareness and participation, and finally, it is necessary to strengthen the supervision and evaluation of the family education counseling system to ensure its effective implementation.

Intensive care challenges for the next pandemic

Experience during the COVID-19 pandemic has highlighted the need for crisis preparedness, particularly in intensive care units (ICUs). Addressing key challenges is vital for improving readiness and response, as well as ensuring better protection for vulnerable populations. Our review focuses on the recent literature examining the challenges in acute care settings during the pandemic. We aimed to identify lessons that could improve our ability to handle similar situations. Studies have highlighted the critical role of intensive care, responsiveness, and preparedness. The key challenges identified include a shortage of trained personnel to meet high demand without compromising care quality or overburdening healthcare workers. Resource scarcity during the pandemic emphasizes the importance of reasonable resource allocation to ensure sufficient care provision. Additionally, addressing post-ICU syndrome and early rehabilitation is crucial, as ICU treatment can lead to long-term physical, psychological, and cognitive issues that can affect patients' quality of life. Finally, fostering a culture of data sharing and research collaboration is essential for knowledge exchange and improving crisis management across healthcare centers.

The Implementation of the Acknowledgment of Rights through the Conversion of Customary Land Ownership

To ensure legal certainty and the protection of the rights of each party to land ownership, including customary lands, it is necessary for the state to regulate this matter. One of the substantial triggers for conflicts is the neglect of the rights of indigenous communities, especially concerning the recognition of customary land, and there is still confusion in land regulations. The second root cause is that the conversion process of land rights from customary land to one of the rights under the Agrarian Law (UUPA) is still fully regulated by the law. The conclusion of the research in this thesis is that the implementation of recognition through the conversion of customary land aims to acknowledge previous land rights and to ensure legal certainty, which can contribute to the realization of a just and prosperous society as envisioned by Article 33 Paragraph (3) of the 1945 Constitution of the Republic of Indonesia. Obstacles in the implementation of the recognition of customary land rights include the lack of legal awareness among the community, the perception that recognition by the indigenous community is already strong, a lengthy and costly conversion process, incomplete land administration systems, and a shortage of technical conversion personnel. To address these obstacles, the Land Office plays a crucial role in conducting outreach and implementing policies related to the recognition of rights through the conversion of customary land ownership.

Comparison of vision screening results between trained teachers and general practitioners among elementary school students in rural Bali: A cross-sectional study

Context: Visual impairment is a major healthcare burden worldwide. The vision screening program was supposed to be conducted routinely; however, the shortage of healthcare personnel posed a significant challenge. Aims: This study was conducted to compare the visual acuity examination results of elementary school students when examined by trained teachers as lay screeners and general practitioners (GPs). Settings and Design: This was a cross-sectional study involving 2056 students from 19 elementary schools under one primary healthcare center in Gianyar. Materials and Methods: All students included in the study underwent a basic visual acuity test using the Snellen’s Chart at a distance of 6 m. The test was performed two times, once by teachers and once by GPs. Statistical Analysis Used: Data analysis was performed using Cohen’s Kappa interrater reliability. Results: The total number of study participants was 2056 students. The mean age of the screened students was 9.43 ± 1.69 years, and most of them were male (52.4%). The estimated number of children needing further eye examination and referred to the ophthalmologist was 253 (12.31%). The agreement between visual acuity examinations conducted by teachers and GP was found to be almost perfect, as indicated by Kappa values of 0.859 for the right eye, 0.856 for the left eye, and 0.878 for both eyes, and these were statistically significant (P < 0.001). Conclusions: The high agreement value of visual acuity examination between teachers and GP shows the feasibility of involving teachers as lay vision screeners, which can elevate the number of children screened.

Information and communication technologies (ICTs) for effective educational service provision in public senior secondary schools in Rivers State, Nigeria

The research examined how information and communication technologies (ICTs) are used in public senior secondary schools to provide effective educational services in Rivers State, Nigeria. Descriptive survey design was adopted in the study. The population consisted of seven thousand, one hundred seventy-nine (7179) teachers and administrators from which a sample of seven hundred and eighteen (718) (10%) was used for the study. For the purpose of collecting data, a self-constructed questionnaire entitled: "Use of Information and Communication Technologies for Effective Educational Service Provision Questionnaire (UICTEESPQ)” was used. The research questions were answered with mean and standard deviation while the hypotheses were tested using z-test at a 0.05 level of significance. The revealed ICT tools such as projectors, radios, and televisions were not used to their full potential because of a lack of appropriate skills, a shortage of ICT support personnel, and a lack of funding, among other factors. It was therefore recommended, among others, that periodical evaluation of the present information and communication technology tools should be used in order to identify information and communication technology that is urgently required in public schools in Rivers State.

Artificial Intelligence-Based Quality Improvement Strategies for Clinical Psychological Counseling Services

Abstract Clinical psychological counseling suffers from problems such as a shortage of medical personnel and uneven quality, and artificial intelligence technology provides a feasible way to solve these problems. In this paper, a chatbot model for psychological counseling is designed using Seq2seq, and Encoder-Decoder and Attention mechanisms are introduced to improve decoding accuracy. LSTM is used as the basic unit, and the beam search algorithm is added to improve the diversity of replies. The experimental results show that adding LSTM and Beam Search can generate higher-quality and more natural psychological counseling responses, and the loss value of this paper’s model decreases to 1.33 after 10 rounds of training. The total score of the OQ-45.2 questionnaire of the experimental group’s post-test decreased by 13.8 points, and the mean value of symptom distress decreased by 8.26, performing significantly better than that of the control group. The chatbot design in this paper is reasonable and aids in improving the quality of clinical psychological counseling services.

ОСОБЛИВОСТІ ІННОВАЦІЙНОГО РОЗВИТКУ БІЗНЕС-СТРУКТУР В УМОВАХ НЕВИЗНАЧЕНОСТІ

The article is devoted to definition of features of development of innovative activity of structures of Ukrainian business in conditions of uncertainty and working out of ways of acceleration of innovative development. Relevance of the conducted research stems from the increasing role of innovation in the recovery of the economy which is located in conditions of instability and unpredictability. The purpose of the article is to develop ways of innovative development of business structures operating in conditions of uncertainty in Ukraine. In order to achieve the mentioned purpose in the course of the research the concept of "innovations", factors which promote or hinder their implementation, and peculiarities of innovative development of business structures in Ukraine in modern conditions were determined. Based on the results of the analysis of innovation activities of business structures in Ukraine identified problems that hinder development, and developed ways to solve them. In the course of the study general scientific methods were used: analysis, synthesis, induction, analogy and deduction. The article for the first time shows practical solutions to problems that slow down the development of business structures that use innovative technologies. Based on a review of the scientific literature, it is found that innovation is a qualitative change that allows businesses to strengthen their position in a competitive market. In a rapidly changing market, domestic business structures should pay considerable attention to innovation development in order to maintain and strengthen their position. In order to activate innovation in an uncertain environment, a number of challenges need to be addressed, including a shortage of available funding, a shortage of qualified personnel, outdated facilities of enterprises and government laboratories that could conduct experimental research on demand, and inefficient government support. To this end, it is proposed to establish new and develop existing technology parks and free economic zones to attract investment in modernising production, and to change the policy of setting the wage fund for domestic specialists. On the part of the state, it is advisable to build modern laboratories for experimental research commissioned by business, to create legal conditions for the development and implementation of innovations. Practical value of the research consists in possibility to use the received results by business structures of Ukraine and the state bodies in the course of creation of the policy of innovative development.

КООПЕРАЦИОННЫЕ ВЗАИМОДЕЙСТВИЯ В АГРОПРОДОВОЛЬСТВЕННОМ КОМПЛЕКСЕ: БАРЬЕРЫ И ПЕРСПЕКТИВЫ РАЗВИТИЯ

In the context of this study, cooperation is considered as a form of joint activity of subjects (usually individuals) with the aim of realizing common interests. The main factors limiting the possibilities for the development of agricultural cooperation include: low level of social and economic trust of the rural population in each other, loss of trust in the cooperative ideology and the priority of private interests, lack of positive examples of the development of cooperation, high level of regression and disunity of rural communities, sporadic and fragmentation of the agricultural cooperation system, low level of financial capabilities of potential cooperators, limited sources of financing investment and operating activities, limited government support funds, low level of investment attractiveness of cooperative associations, shortage of qualified personnel, the need to ensure certain standards of product quality and its compliance with established requirements, etc. It is concluded that the potential for the development of cooperation in the agricultural sector is determined by the significant number of small businesses - potential cooperators, the ability of cooperation to increase the stability of social ties in rural communities and the effectiveness of economic interactions of rural economic entities, the ability of small commodity producers to function successfully in those market niches which are not attractive to large businesses, the possibility of cooperation to create conditions for increasing the level of income of participants in cooperative associations, the possibility of cooperation to saturate local markets in rural areas with high-quality food products and essential goods, the transition to a cluster model of development of agro-industrial integration, which involves easier entry into the cluster system of cooperative small commodity producers, etc.

АНАЛИЗ ГОСУДАРСТВЕННОЙ ПОЛИТИКИ ПОВЫШЕНИЯ РОЖДАЕМОСТИ КАК ФАКТОР ВЛИЯНИЯ НА РЫНОК ТРУДА В РЕГИОНЕ

The state demographic policy aimed at increasing the birth rate, against the background of the ongoing natural decline of the Russian population, is gaining priority, since the population, the level and quality of its life are among the key characteristics of stability in the country. The natural growth of the population, which is provided by the birth rate, forms potential labor resources in the long term, which is especially important in the context of an increasing shortage of personnel in the country. The problems of fertility and ensuring the reproduction of the population are multidimensional, because They are influenced by both socio- economic factors and factors that determine the target social attitudes. This study analyzes demographic trends, the labor market, implemented measures to support families, increase demography and the number of workers in the Russian Federation and the Lipetsk region. The factors influencing both fertility and the order of birth of children, as well as social support that helps maintain the well-being of families with children and their quality of life, including the development of the social sphere, are studied. Based on the results of the study, proposals have been developed to improve state policy measures to increase the birth rate and reduce the deficit in the labor market.

Анализ трендов и потребностей современного рынка труда для на примере ит-отрасли: пути преодоления карьерного разрыва

The article analyzes the state of the Russian labor market in 2023, and also examines the main trends, including the shortage of personnel, the need to implement measures to retain highly qualified specialists in companies, the growth of the average age ofthe applicant, the demand for knowledge of Asian languages and skills to work with modern digital solutions, and others. Based on a comparison of 2022 and 2023, an increase in vacancies on popular job search platforms was re-vealed, and the areas most in need of personnel were identified. Using the example of the IT-industry, the required soft and hard skills for specialists in the most popular positions are analyzed. As a result of the work carried out, recommendations were formulated for universities aimed at improving the career preparation of students. Salaries by industry are considered, where the sharpest jump in the IT sector can be identified, starting in 2021. The paper analyzes the most popular areas of university educational programs, and one of the most popular areas was chosen to analyze the competencies formed in them: “Information Technology” at Lomonosov Moscow State University. As a result of the work carried out, recommendations were formulated for universities aimed at improving the career preparation of students The research's novelty rests in its comprehensive approach to the study of the gap between the requirements for university graduates and the requirements of the labor re-sources market, in order to develop practical recommendations for overcoming it. The authors em-phasize the need for further research into the imbalance in higher education and the labor resources market, including in the IT sector, which holds strategic importance in fostering an innovative econ-omy and the realization of goals for Russia’s technological sovereignty.

Citizens' perspectives on relocating healthcare.

Healthcare systems around the globe are facing challenges. There are increasing demands and costs at the same time as a diminishing health workforce. Without change, healthcare will become unsustainable. The Dutch government is searching for solutions, one of which is relocating healthcare. Relocating healthcare from expensive institutions to sites closer to patients' homes is an important part of this. This relocation is expected to reduce costs and lessen shortages of personnel. However, although citizens have an important stake in this, little is known about how they think about this topic. This research aims at investigating citizens' perspectives on relocating care. In December 2021, three open-ended questions were sent to 1,500 members of Nivel's Dutch Healthcare Consumer Panel, 796 respondents responded. In addition, two citizen platforms were organised in March and April 2022. A total of 23 citizens participated. Our results indicated that the following aspects are important for citizens in healthcare delivery: being treated by someone with expertise in the area of their need, familiarity with the healthcare provider and the treatment of less complex care close to home. When certain conditions are met, citizens prefer treatment for less complex care from their general practitioner rather than in a hospital. The most important condition is that the general practitioner has the right expertise regarding their health question. The willingness to relocate care from the general practitioner to other healthcare providers or to self-care is also present. One of the problems, however, is that citizens often do not know to which healthcare provider they should go or what they should do to increase self-care. From a citizens' perspective, relocating care is an acceptable solution for keeping healthcare sustainable in the future, provided that certain conditions are met.

Ecology and safety in the field of national economy

This article addresses the important issue of the interrelation between ecology and safety in the national economy. The authors analyze the influence of environmental factors on production processes and the livelihoods of the population, as well as examine measures to ensure environmental safety in various economic sectors. This article serves as valuable research for specialists in the fields of ecology, economics, and management, as well as for anyone interested in the issues of environmental safety at the national economy level. The work thoroughly analyzes the impact of environmental factors on production processes, economic activity, and the social sphere. It also discusses the importance of ensuring environmental safety for sustainable societal development and the preparation of relevant personnel. Domestic education has recently faced a shortage of personnel in the management system and has organized training based on colleges and universities; however, this approach has not yielded the desired effect. The paper presents scientific approaches to this problem (N.A. Zarubova, D.A. Pastukhova, T.N. Melnikova, V.K. Vittenbek, M.E. Kiryagina, and others) and addresses approaches to personnel training. Special attention is paid to issues of corporate and state social responsibility in environmental protection, as well as the interaction of various stakeholders in the process of forming an environmentally friendly national economy.

Teleproctoring in therapeutic neurointervention: Experience from Iraq-Saudi Arabia collaboration.

Proctoring in neuroendovascular surgery is one of the potential solutions for the shortage of personnel and experience, particularly in unstable and limited-resource areas such as Iraq. The study was conducted at the Baghdad Neurovascular Center (BNC), the first Hybrid neurovascular institution in Iraq, where sequential online zoom-based meetings between the BNC team and the expert from the Kingdom of Saudi Arabia were used for teleproctoring for neurointerventional procedures. A total of 28 sessions were conducted, four sessions for each case. Seven cases with various intracranial vascular lesions were operated for neuroendovascular procedures from July/2021 to March/2022. The teleproctoring for each case included four sequential sessions: (1) preoperative planning, (2) device selection and preparation, (3) intraoperative live-stream proctoring, and (4) postoperative reflection and follow-up planning. The procedures include coiling for dural arteriovenous fistula; preoperative tumor embolization; preoperative, partial, and staged embolization for arteriovenous malformation; coiling for intracranial aneurysm; and attempted Giant aneurysm flow-diversion. Major complications were avoided through teleproctoring, and all patients had good outcomes. In addition, the teleproctoring provided an effective training experience to the local neuroendovascular team that is otherwise not feasible. Teleproctoring is an effective and feasible tool to improve patient outcomes and provide a training experience to the local neuroendovascular teams in resource-limited regions.