Type Of Medical Activity Research Articles

Socio-economic significance of the health resort complex in the Healthnet market

Aim. To substantiate the socio-economic significance of the sanatorium-resort complex in the market “Healthnet”. Tasks. To study the literature devoted to the topic “Healthnet”; to investigate the structure of the market “Healthnet”; to determine the place of sanatorium-resort complex in the market “Healthnet”.Methods. In the course of writing the article the methods of logical and structural analysis, generalization, comparison were applied, official statistics was used.Results. According to the results of the research of subjects, objects and segments of the Healthnet market, the lack of the role of the sanatorium-resort complex, which, being a set of objects and types of medical activities that provide treatment, recovery, prevention and rehabilitation of citizens, contributes to health saving of the population, was revealed. It was determined that the sanatorium-resort complex can be presented both as a consumer of Healthnet products and as a part of the Healthnet market, contributing to the growth of exports of medical services due to the inflow of foreign recreationists.Conclusions. According to the estimates of the World Health Organization, Russia lags behind the leading countries of the world in terms of epidemiological situation, health care costs per capita, GDP per capita, average life expectancy. It is advisable to include target indicators of activity of health resort complex organizations in the current Healthnet Market Roadmap and consider them as full-fledged participants of this market. In case of ignoring the sanatorium[1]resort complex as a part of the market “Healthnet” the set tasks on health protection of the population both before the market itself, and before the state, infrastructural centers and other subjects will be under the threat of non-fulfillment.

Нормативно-правовые проблемы безопасности территориально распределенных информационных систем в офтальмологии

Purpose. To consider, characterize and analyze the regulatory framework of the Russian Federation, which determines the use of information technologies in ophthalmology, without which it is now impossible to provide high-tech medical care. Material and methods. The subject of this study is the legislation of the Russian Federation devoted both directly to the health care system in our country and to the requirements for ensuring information security. In accordance with the specifics of the subject under study, general scientific research methods were necessarily used in this work: analysis and synthesis, deduction and induction. Results. The legal system of the Russian Federation is not so specialized in the use of information technologies in medicine that in ophthalmology there would be some special regulatory framework, different from other types of medical activities. The objective basis of this universality is that it is practically the same technological base everywhere in medicine. Conclusion. The presence of all the necessary conditions determining belonging to the status of a subject of critical information infrastructure creates sufficient grounds for the applying of requirements related to the regulation of medical activities based on the Federal law «On the Security of Critical Information Infrastructure of the Russian Federation». Keywords: medicine, information technology, information security, critical information structure of the Russian Federation

FUNCTIONAL DIAGNOSTICS FOR THE NEEDS OF MEDICAL AND SOCIAL EXAMINATION OF THE RUSSIAN FEDERATION

The problems of licensing and licensing control of medical activities in the Russian Federation are related to the fundamental responsibility of healthcare - to comply with federal standards of safety, quality and accessibility. The introduction of special diagnostic equipment into the activities of the institutions of medical and social expertise of the Russian Federation and the obligation to use it for expert needs from 2022 has become the time to answer the questions: what are the safety and quality requirements when carrying out work using special diagnostic equipment; whether the organizational and managerial schemes of the activities of institutions of medical and social expertise should change; whether this is a new level of development of medical and social expertise or an expansion of the competencies of functional diagnostics; Are we standing at the origins of a new type of medical activity, and is there much new in this? Answers to these questions should not be expected from the future, putting at risk, in a period of uncertainty and searching for solutions, the life and health of patients, but it is advisable to look in the history of domestic medicine and science, their best practices, adapting them to the strict compliance with the legal field of our country today today.

COVID-TECH AND DIGITAL TECHNOLOGIES IN FOREIGN AND RUSSIAN HEALTH CARE DURING THE NEW CORONAVIRUS INFECTION PANDEMIC

The novel coronavirus infection (COVID-19) pandemic has become the biggest challenge to global and national health systems in the last 100 years. At the same time, the rapid spread of COVID-19, which required the introduction of quarantine measures, the need to maintain social distance and isolate the infected, spurred the development of information technology (IT). In healthcare, information technology has begun to play the role of support systems for various types of medical activities that have experienced a tremendous increase in workload. The use of modern information technologies in the fight against the consequences and spread of the pandemic has even acquired its own term - COVID-Tech. The article provides an overview of the achievements of COVID-Tech made in the world and in Russia since the beginning of the pandemic. Experts identify 6 main areas of application of information technologies in medicine during a pandemic: diagnostics and screening of COVID-19, search for treatment regimens for the disease and new drugs based on big data analysis, work with databases, their analysis and analytics (for example, creating maps of the spread of a pandemic virus SARS-CoV-2), monitoring social distancing, the spread of the disease, information support for the population during a global emergency, the use of telemedicine technologies in medical education and the use of robotic assistants. For each of the 6 areas, an overview of the developed technologies is presented. An assessment was made of the contribution of information technology to addressing urgent health issues during a period of increased workload.

On the Licensing of Forensic DNA Analysis Activities

The question of whether it is appropriate to classify genetic examinations of kinship as a medical service is considered in the article. Establishment of identity of an unknown individual (alive or dead) with a specific person is a classic example of forensic medical genetic examination. At the same time an examination on establishment of biological kinship of people whose identity is known and doesn’t demand identification cannot be classified as an identificational. That is the study of human DNA to establish kinship cannot be referred to as a class of medical examinations. Forensic medical examination (including genetic) is a type of medical activity which is carried out by a medical organization and therefore needs licensing. However, if an examination is not carried out in a medical organization and there is no word “medical” in the name such an examination cannot be considered as a medical activity and doesn’t need licensing exactly as it is arranged in expert institutions of the Ministry of Internal Affairs of the Russian Federation at this point. Such examinations can be considered as a type of forensic biological expertise.

STANDARDIZATION AS AN APPROACH TO IMPROVING THE QUALITY OF CLINICAL AND LABORATORY WORK

Standardization is defined as an activity that regulates the general and repetitive application of a system of prescriptions on different (including specific) issues in order to achieve optimal order in certain circumstances. It involves the creation, dissemination and implementation of standards aimed at improving the common properties (quality, suitability, etc.) of products, processes and services. Standards are documents that contain rules, norms, and requirements for a product or service, in order to achieve better efficiency and meet the expectations of consumers and customers. Standards are means of information, serving to improve quality, to support the economic development and contributing to the benefit of the whole Society. The term ‘Standard’ is at the core of the standardization process. Applied to the health system, the standard is a regulatory document developed on the basis of different consensus and validated by a relevant body. This regulatory document establishes a set of rules and requirements concerning different types of medical activities and the results of their implementation. An important objective of each healthcare system is to provide the population with accessible, quality and safe medical care. The introduction of a system of standards in healthcare and in medicine, in particular, is a powerful tool for its achievement. This ensures high quality of the medical assistance offered, a rational use of financial, material and personnel resources as well as an optimization of the diagnostic and healing process. Standards set a minimum/optimal level of Quality Assurance through mandatory requirements that are the basis of State guarantees for affordable medical care, range and types of health services, lists of specific technologies with proven effectiveness, as well as guidelines to further improve the level of quality by formulating further scientifically substantiated recommendations. Standards allow for aggregation of information, which leads to optimization of solutions at all levels in the healthcare system. Standardization is one of the main means of achieving and maintaining the necessary level and one of the main tools in Quality Management. In laboratory medicine, standardization is an approach for the optimization of clinical and laboratory activities. The provision of high quality services is the responsibility of every professional working in the respective diagnostic structure. The quality and standardization in the Specialization of “Clinical Laboratory” are focused not only on the accuracy of laboratory results, but also they step on a broader basis, including each stage of the clinical and laboratory analysis, in order to make important medical decisions subject to patient care.

The Actual Legal and Organizational Problems of Licensing of Military Medical Expertise

The article presents analysis of problems of organization of functioning of military medical commissions in the light of implementation of complex of activities related to licensing of military medical expertise as a type of medical activity. The conceptual definitions and main legislative acts regulating procedures of licensing of the given type of expertise are considered. The characteristics of functioning of military medical expertise in actual conditions of Russia, including experience of Moscow and the Moskovskaia oblast are established.

Analiza strukturalno-semantyczna wybranych nazw gabinetów stomatologicznych w województwie podkarpackim

This article is devoted to a structural and semantic analysis of selected names (approximately eight hundred onyms) of dentist’s private practices operating now in the province of Podkarpacie. Increased awareness of the society as regards health, hygiene and physical culture was one of the effects of political and economic transformations that took place after 1989 in Poland. In connection with it, numerous medical private practices were established, inclusive of the dentist’s ones, in which a wide scope of new services were offered to the patients, like in the Western countries. The onyms discussed here, that name current dentist’s private practices, are a specific linguistic exemplification of the said intensive transformations in the Polish health services. In the collected set of names, two main categories are clearly differentiated. The first category includes names formed in part with an element of anthroponic character (forename and surname of the owner) and in part with an element giving information about a type of medical activity. Whereas, the second category covers multiword onyms encompassing a portmanteau element that is so fashionable now in the company’s names. Thus, dentists adjust the names of their private practices to the current tendencies in naming of businesses, trying to make the names of their private practices original, unique and thanks to that effective in alluring new customers - patients.

Diffusion des informations médicales à l’épreuve des usages de l’Internet : quelques réflexions d’éthique et de déontologie appliquée

Learned and professional societies as well as health authorities must attempt to provide free access to their databases for physicians, by a simple repertory of key words and, if necessary, by portals. Although information available for physicians may not be intended to be secret, it often requires some professional training to be interpreted appropriately. The principles of the Code of Medical Ethics, as transcribed in the Public Health Code, apply to all forms and media of information and communication. In public spaces, readers must be guaranteed that information written by physicians corresponds to the state of the art, that it is not advertising or self-promotion or commercial, that it was developed by a process ensuring quality, and that it distinguishes clearly between a popularized description of scientific data and what remains uncertain because research is on-going. The public should be informed about the source of the information they see, the editorial quality of the site, and any potential financial dependence or conflicts of interest. According to the medical association, prudence is recommended for physicians who moderate chat-rooms and discussion lists. List moderation, like any other type of medical activity, must not be improvised; it requires prudence, thought, and training.

Eliminating scope of practice and licensing laws to improve health care.

Entry into the practice of medicine is heavily regulated through scope of practice and licensing laws that make it illegal for nonlicensed individuals to perform many medical services. As institutions are structured at the beginning of the twenty-first century, most regulation takes place at the state level, through state departments of health that establish criteria for performing different types of medical activities, and that restrict allowable activities for various types of health care professionals. The regulations over the activities of physicians are more uniform across states than for other health care professionals because, although the regulation is done by individual state governments, the standards for physicians are set by the National Board of Medical Examiners, a group controlled by physicians themselves. The justification for this regulation is that it produces higher quality health care. Some would make an even stronger argument that regulation is necessary because patients do not have sufficient knowledge to distinguish effective practitioners from ineffective ones.