State Of Medical Care Research Articles

Set-up of the Electronic Database of Pediatric Cancer Patients in Pilot Medical Facilities: A Prospective Cohort Study

Background. At present, there is no reliable statistical data (morbidity, mortality, one-year mortality, etc.) that characterize the state of medical care for children with cancers in the Russian Federation seen in due to the lack of an universal electronic database of patients. Objective. Improve the reliability of statistical data. Methods. In the clinical practice of two pilot medical facilities, an electronic database of pediatric cancer patients was introduced which allows: keep patient records with a diagnosis, key dates, follow-up data; analyze the treatment received earlier and assess its quality; make a treatment plan; obtain information on the availability of beds and the number of patients in various medical facilities; perform medical consultations involving the of specialists of the third level medical institutions. Patient (or legal representatives of the patient), has access to the «private cabinet» which provides information on the treatment plan including a schedule for taking medicines, as well as routing possibilities. Results. In the period of 6 months (09.17–02.18), information on 75 patients who received treatment from 2017 to the present was put into the electronic database. Conclusion. The electronic database provides reliable statistical data, helps monitoring the quality of medical care and routing patients. This results in reducing the budget costs and improving the survival of patients.

Woolhandler and Himmelstein Respond.

The authors discuss the current state of medical care and policy in the U.S. They mention attempts to repeal the U.S. Patient Protection & Affordable Care Act (ACA), the challenges to scientific based research and policies, and the need for policies to ease the disparity between the rich and the poor.

Paving a Better Path for Patients Dying of Heart Disease.

The state of medical care at the end of life in the United States was recently highlighted in the Institute of Medicine’s report titled Dying in America .1 However, this report focused mostly on cancer and did not address specific challenges faced by patients with heart disease, which continues to be the most common cause of death in the United States. This significant omission occurred because most research on end-of-life care has been conducted on cancer patients, and most care models, including hospice, have been designed to optimize care for that population. Therefore, unsurprisingly, patients with cancer continue to be overrepresented in hospice, whereas patients with heart disease are underrepresented (Figure). Figure. An analysis of Centers for Disease Control and Prevention data shows the relative proportions of the top 6 causes of death in the United States, both overall and in hospice. Advances in modern medicine have helped patients with cardiovascular disease live better and longer, but many suffer disproportionately when …

Cучасний стан та перспективи лікування інсультів в Україні

Однією із найпоширеніших причин смертності населення є інсульти, котрі в більшості країн посідають третє місце серед причин смертності. Поширеність інсультів в Україні одна з найбільших в Європі — 282,3 випадку на 100 тис. населення, або близько 100 тис. щорічно. Проаналізовані дані МОЗ України, низки лікувальних установ України та м. Києва щодо лікування хворих з інсультами. Показано можливості та перспективи надання медичної допомоги хворим з інсультами у м. Києві та Україні, враховуючи наявні медичні ресурси та ефективне їх використання. Аналіз сучасного стану надання медичної допомоги хворим з гострими порушеннями мозкового кровообігу виявив, що використання нейрохірургічних служб у м. Києві та Україні, котрі мають необхідне обладнання, штат, кадри, служби ургентної допомоги, після незначної реорганізації дасть змогу найближчим часом забезпечити невідкладну допомогу хворим з інсультами.

Состояние медицинского сервиса в Камчатском крае как актуальный фактор развития медицинского туризма в регионе

The tourism and hospitality industry is immediately dependent on such factors as qualified personnel, service quality, material and technical foundation, and well-developed infrastructure. The initial stage of any tourist activity development should include a thorough analysis of the corresponding industry’s state. The author of the article provides an overview of Kamchatka, the state of medical care in the region, and analyses the results of the opinion poll conducted in order to collect data on the Kamchatka population’s evaluation of the medical service quality and suggestions on medical service improvement in Kamchatka.

17-1The present state of medical care of cancer patients. 4. Possibility of immunotherapy against cancer.

17-1The present state of medical care of cancer patients. 4. Possibility of immunotherapy against cancer.

The present state of medical care of cancer patients. 3. A new molecular target of cancer chemotherapy.

The present state of medical care of cancer patients. 3. A new molecular target of cancer chemotherapy.

The present state of medical care of cancer patients. 2. Gene diagnosis of cancer.

The present state of medical care of cancer patients. 2. Gene diagnosis of cancer.

The present state of medical care of cancer patients. 1. Advances in image diagnosis of cancer.

The present state of medical care of cancer patients. 1. Advances in image diagnosis of cancer.

長寿者の居住地の特性と日常生活動作能力(Activities of Daily Living: ADL)

A study on relationship between the living environment and activities of daily living (ADL) was conducted to all elderly persons of more than 100 years old in 1993. The response was received from 840 males (73.6%) of 100-107 years of ages. Living environment was divided into three areas according to the geographical areas (Hokkaido-Tohoku-Hokuriku-Sanin, Kanto-Tokai-Kinki, and Sanyo-Shikoku-Kyushu), two community types according to an urban or an agricultural or fishing village, and four community sizes according to number of the population. Factors considered to contribute to a high level of ADL were evaluated. The results can be summarized as follows.1. According to the geographical area, the independence rate (percentage of individuals who were competent for ADL) was significantly higher in Sanyo-Shikoku-Kyushu area than in Kanto-Tokai-Kinki area in all items examined (transferring, feeding, continence and bathing). Regional differences were observed in the state of living, state of medical care, social and cultural activities, and dietary habit since the age of 80 years, watching TV and an interest in health as social and cultural activities were related to high independence rates in areas such as Sanyo.2. According to the community type, the state of medical care, whether there was a family doctor, social and cultural activities, and dietary habit since the age of 80 years in agricultural and fishing communities appeared to be favorable for independence rate, but there were not observed significant relations.3. According to the community size, none of the residents in large cities were independent in eating, continence, or bathing. The independence rate of continence was significantly lower than that in small cities and towns or villages in rural districts, suggesting that large cities are an environment unfavorable for socially independent longevity. The household composition, social and cultural activities, and dietary habit since the age of 80 years were different according to the community size, and reading newspapers of social and cultural activities was related to high independence rates in small cities and towns or villages of rural districts.

こう原病患者診療の現場より （３）

こう原病患者診療の現場より （３）

Who speaks for the patient?

Editorials1 April 1967Who Speaks for the Patient?E. J. H.E. J. H.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-4-809 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWho speaks and writes in public for the interests of any and all patients in medical care? The answer is simple— many people. The many are more than physicians; they include lawyers, drug manufacturers, bureaucrats, novelists, economists, magazine journalists, union officers, and newspaper reporters. Indeed it is probably only physicians who ever question the right of everyone and anyone to debate the best means of insuring the best care for present and future patients. This right of public voice is not itself debatable although some men in the profession have made out that it is. The state of medical care...