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  1. Article: Certain aspects of management of health preservation system.

    Lindenbraten, A L / Vigdorchik, Ya I

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2022  Volume 30, Issue 4, Page(s) 625–628

    Abstract: The trends in development of National health care in Russia are considered. The need in formation of intersectorial system of management of health protection activities is established with priority of preventive direction, including mental prevention, ... ...

    Abstract The trends in development of National health care in Russia are considered. The need in formation of intersectorial system of management of health protection activities is established with priority of preventive direction, including mental prevention, based on systematic observation and participation of both sick and healthy people. The system goal was determined - to improve population health. The main tasks and principles of system functioning are formulated. The reasonableness of application of mechanisms of motivating and stimulating all subjects of health protection system in order to increase their interest, is indicated as one of directions of organizing and introducing intersectorial health protection system. The basic principles of development and implementation of incentive systems of remuneration were formulated. The attention is focused on such aspect related to management of health protection system as legal support. The review of sources of law in the field of health protection revealed that all subjects have duties, and everyone has responsibilities, except citizens and insured persons. To resolve this problem, it was proposed to conclude agreement between the parties, indicating rights and obligations of both parties and responsibility for violation of contractual obligations. The structure is proposed, the main principles of health protection system management are described, designed to provide real shift in achieving settled goals.
    MeSH term(s) Delivery of Health Care ; Humans ; Remuneration ; Russia
    Language English
    Publishing date 2022-08-12
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.32687/0869-866X-2022-30-4-625-628
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  2. Article: [The evaluation of direct economic loss related to tobacco smoking in 2009 and 2016].

    Lindenbraten, A L / Golubev, N A / Afonina, M A

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2019  Volume 27, Issue 4, Page(s) 363–368

    Abstract: The article presents an assessment of the economic damage associated with smoking for the period of 2009-2016. The obtained data on the prevalence of tobacco dependence for 2009-2016 showed, on the one hand, a decrease in tobacco dependence among the ... ...

    Abstract The article presents an assessment of the economic damage associated with smoking for the period of 2009-2016. The obtained data on the prevalence of tobacco dependence for 2009-2016 showed, on the one hand, a decrease in tobacco dependence among the population surveyed, and on the other hand, an increase in the share of consumer spending on tobacco products and of an index of the physical volume of retail sales of tobacco products. The study included an analysis of the incidence of diseases associated with smoking, as well as an analysis of the attendance of medical care for patients with tobacco-related diseases.
    MeSH term(s) Commerce ; Humans ; Prevalence ; Smoking ; Tobacco Products/economics ; Tobacco Products/statistics & numerical data ; Tobacco Smoking/economics ; Tobacco Smoking/epidemiology
    Language Russian
    Publishing date 2019-08-28
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.32687/0869-866X-2019-27-4-363-368
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  3. Article: [The Legal Issues of Conformity of Paid Medical Service with Expectancies of Patient].

    Lindenbraten, A L / Grishina, N K / Perepelova, O V

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2019  Volume 26, Issue 6, Page(s) 388–392

    Abstract: The article considers particular aspects of legal regulation of conformity of paid medical service with expectancies of patient. A number of measures related to improvement of legal immunity of all interested sides during interaction with medical ... ...

    Abstract The article considers particular aspects of legal regulation of conformity of paid medical service with expectancies of patient. A number of measures related to improvement of legal immunity of all interested sides during interaction with medical organization were proposed within the framework of the study.
    MeSH term(s) Health Services ; Humans
    Language Russian
    Publishing date 2019-02-12
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.32687/0869-866X-2018-26-6-388-392
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  4. Article: [The Efficiency of In-Depth Glaucoma Examination within the Framework of Dispensarization of Individuals with Chronic Infectious Diseases].

    Lindenbraten, A L / Alekseiev, I B / Aliverdieva, M A

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2019  Volume 27, Issue 1, Page(s) 9–13

    Abstract: In Russia, the population aged 60 years and older is the fastest increasing group. This is the reason of augmenting interest to screening programs permitting to timely detect chronic disease, to proceed with treatment and to stabilize condition of ... ...

    Abstract In Russia, the population aged 60 years and older is the fastest increasing group. This is the reason of augmenting interest to screening programs permitting to timely detect chronic disease, to proceed with treatment and to stabilize condition of patient. At the same time, screening programs require permanent analysis and development that became a foundation for the actual study. The purpose of the study is to evaluate the medical organizational aspects of the second stage (in-depth) of dispensarization exemplified by glaucoma. The retrospective analysis of 392 out-patient records of patients on suspicion of glaucoma was carried out. The questionnaire for ophthalmologists, consisting of 35 questions, was developed. The anonymous questionnaire survey of 62 ophthalmologists was carried out. The analysis of results of survey established that the most significant problem of dispensarization was shortage of time on reception of patient. This problem was resolved through both partial implementation of all needed examinations (21%) and referring all patients to specialized medical centers. All scheduled manipulations are not implemented by 87% of respondents. All respondents mentioned basically needed equipment as available. The extremely low quality of in-depth examination results in redistribution of load to the specialized medical centers and to increasing of waiting time period from establishment of diagnosis to beginning of treatment of disease. It is necessary to provide continuity of medical care during the second stage of dispensarization by the way of implementation of general scheme of out-patient record and notation of particular methods of examination. These measures will both decrease load on specialized medical centers and permit apply resources more efficiently and reduce time period from suspicion of disease to establishment of diagnosis and beginning of treatment of glaucoma.
    MeSH term(s) Chronic Disease ; Glaucoma/diagnosis ; Glaucoma/microbiology ; Humans ; Infection/complications ; Mass Screening ; Middle Aged ; Retrospective Studies ; Russia
    Language Russian
    Publishing date 2019-02-21
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.32687/0869-866X-2019-27-1-9-13
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  5. Article: [The methodical principles of quality management of medical activities on particular territory].

    Lindenbraten, A L / Ludupova, E Iu / Grishina, N K / Serdiukovsky, S M

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2020  Volume 28, Issue 5, Page(s) 959–963

    Abstract: The article, on the basis of experience of development of the Republic's first territorial system of medical quality management, presents basic organizational systemic principles of building quality management of medical activity and organizational model ...

    Abstract The article, on the basis of experience of development of the Republic's first territorial system of medical quality management, presents basic organizational systemic principles of building quality management of medical activity and organizational model of system functioning. The listing of criteria and indices of assessing effectiveness of territorial system of managing quality and safety of medical activity is presented too. The purpose of developing such a system is formulated. The evidence base for actuality and feasibility of its organization is presented.
    MeSH term(s) Models, Organizational ; Quality of Health Care
    Language Russian
    Publishing date 2020-10-27
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.32687/0869-866X-2020-28-5-959-963
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  6. Article: [The Efficiency of Screening of Glaucoma within the Framework of Dispensarization of Patients with Chronic Non-Infectious Diseases].

    Lindenbraten, A L / Alekseiev, I B / Aliverdieva, M A

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2017  Volume 25, Issue 4, Page(s) 211–215

    Abstract: The development of program of dispensarization of individuals with main chronic non-infectious diseases causing premature death and disability in population is one of strategies of health care system. According the rules of dispensarization, glaucoma, ... ...

    Abstract The development of program of dispensarization of individuals with main chronic non-infectious diseases causing premature death and disability in population is one of strategies of health care system. According the rules of dispensarization, glaucoma, the most severe disease of eye resulting in blindness in case of absence of treatment, is included into listing of main chronic non-infectious diseases. The questionnaire including 35 questions for ophthalmologists of primary medical care was elaborated with purpose of evaluation efficiency of screening of glaucoma within the framework of dispensarization of individuals with chronic non-infectious diseases. The anonymous questionnaire survey of 62 ophthalmologists of primary medical care was carried out. the study demonstrated that the dispensarization system is considered as efficient by 37% of respondents and as an ineffective one -- by 63% of physicians. Nowadays, 32% of respondents more often diagnose glaucoma stage I, 63% 0 glaucoma stage I--II and 5% -- glaucoma stage II--III. The glaucoma is diagnosed by 68% of physicians during self-dependent visits of patients and by 32% during dispensarization. The implementation of tonometry within the framework of dispensarization of adult population is considered by 18% of respondents as a measure that increased diagnosing of glaucoma at early stage. The glaucoma is diagnosed more often at later stages is considered by 50% of respondents and 32% of respondents diagnose glaucoma more often at implementation of tonometry within the framework of dispensarization. The study permitted to conclude that nowadays glaucoma is more frequently diagnosed at early stage though predominantly at self-dependent visit of patients. This occurrence indicates on either inadequate dispensarization coverage of population or low quality of its i9mplementation. The alteration of basic principle of glaucoma screening is required meaning transition from mass screening model with application of tonometry providing high percentage of errors to target screening with application of broadened complex of diagnostic techniques.
    MeSH term(s) Delivery of Health Care ; Glaucoma/diagnosis ; Humans ; Mass Screening ; Noncommunicable Diseases ; Primary Health Care
    Language Russian
    Publishing date 2017-07
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.1016/0869-866X-2017-25-4-211-215
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  7. Article: Aktual'nye problemy sovershenstvovaniia zdravookhraneniia v sub"ektakh Rossiĭskoĭ Federatsii.

    Lindenbraten, A L

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2004  , Issue 4, Page(s) 23–26

    Title translation Topical issues related with promoting the healthcare in subjects of the Russian Federation.
    MeSH term(s) Health Care Reform ; Health Services Administration ; Humans ; Public Health ; Russia
    Language Russian
    Publishing date 2004-07
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
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  8. Article: [The public opinion about health care: the main factors of increasing satisfaction of population with medical care].

    Mihailova, Iu V / Siburina, T A / Son, I M / Shchepin, V O / Lindenbraten, A L / Mihailov, A Iu

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2019  Volume 27, Issue 3, Page(s) 231–236

    Abstract: The evaluation of satisfaction of population with medical care has become widespread in practice of medical institutions as an obligatory criterion of assessing quality of their functioning. The study objective is to determine degree of satisfaction of ... ...

    Abstract The evaluation of satisfaction of population with medical care has become widespread in practice of medical institutions as an obligatory criterion of assessing quality of their functioning. The study objective is to determine degree of satisfaction of population Russia with health care and role of particular factors in its formation. The study applied questionnaire survey of residents of 9 subjects of the Russian Federation using representative sampling of 1457 observations. The Pearson contingency indicator and the Chuprov-Cramer indicator of association between two nominal variables were determined. The ranking of signs according their influence strength was carried out. The most significant role in evaluation of satisfaction with health system functioning is played by satisfaction with medical care. Among the factors characterizing consumers of medical services, self-assessment of one's health status, social status of respondents, residence demonstrate the most effect. The priority factors in formation of positive public opinion about health care are identified. It is proved that positive opinion about health care depends on quality and accessibility of popular types of medical care, organization of functioning of primary health care medical organizations according expectations of population. The level of satisfaction with health care system is lower than in case of rendered medical services.
    MeSH term(s) Delivery of Health Care ; Humans ; Personal Satisfaction ; Public Opinion ; Russia ; Surveys and Questionnaires
    Language Russian
    Publishing date 2019-06-28
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.32687/0869-866X-2019-27-3-231-236
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  9. Article: [The evaluation of efficiency of medical organizations providing primary medical sanitary care in conditions of capitation financing].

    Lindenbraten, A L / Chuvatkin, P P / Grishina, N K / Saitgareev, R R / Znachkova, E A / Ataeva, N B

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2019  Volume 27, Issue 2, Page(s) 144–146

    Abstract: The article analyzes the results of implementing per capita financing mechanism in medical organizations providing primary medical sanitary care. The comprehensive methodology was applied, including analysis and generalization of experience, statistical, ...

    Abstract The article analyzes the results of implementing per capita financing mechanism in medical organizations providing primary medical sanitary care. The comprehensive methodology was applied, including analysis and generalization of experience, statistical, analytical, sociological, monographic description, economic, comparative analysis, organizational experiment. The analysis demonstrated that in actual conditions number of subjects of the Russian Federation, being able to include in per capita standard only those volumes of additional medical care that can be directly impacted by primary health care unit decreased significantly.
    MeSH term(s) Capital Financing ; Primary Health Care/economics ; Russia
    Language Russian
    Publishing date 2019-04-16
    Publishing country Russia (Federation)
    Document type Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
    DOI 10.32687/0869-866X-2019-27-2-144-146
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  10. Article: [The economic aspects of mortality of population in the Republic of Sakha (Yakutiya)].

    Timofeyev, L F / Ivanova, A A / Lindenbraten, A L / Grishina, N K

    Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

    2014  , Issue 3, Page(s) 20–23

    Abstract: The article presents data concerning dynamics of level and structure of mortality of population of the Republic of Sakha (Yakutiya) during 1990-2012. The study revealed gender differences and main causes of population mortality. The standardized ... ...

    Abstract The article presents data concerning dynamics of level and structure of mortality of population of the Republic of Sakha (Yakutiya) during 1990-2012. The study revealed gender differences and main causes of population mortality. The standardized indicators of mortality due certain causes are presented. The economic losses because of population mortality in 2006-2011 are calculated. It is established that the most input into economic losses because of population mortality was made by diseases of blood circulation system, external causes and neoplasms.
    MeSH term(s) Cardiovascular Diseases/economics ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/mortality ; Female ; Humans ; Male ; Mortality ; Neoplasms/economics ; Neoplasms/epidemiology ; Neoplasms/mortality ; Russia/epidemiology ; Sex Factors
    Language Russian
    Publishing date 2014-05
    Publishing country Russia (Federation)
    Document type English Abstract ; Journal Article
    ZDB-ID 1483853-9
    ISSN 0869-866X
    ISSN 0869-866X
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