Herald of the Mechnikov Saint-Petersburg State Medical Academy (стр. 1 )

Herald of the Mechnikov Saint-Petersburg State Medical Academy

(PROFILACTICAL AND CLINICAL MEDICINE)

SCIENTIFIC JOURNAL

2009 № 3

PUBLIC HEALTH AND PUBLIC HEALTH SERVICES

1170

© A. A. Dobritsina, 2009

UDC 614.254:614.8

DobritsinaA. A. Pressing problems of health protection of medical workers rendering emergency medical aid // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 7-10.

State Educational Establishment of Higher Professional Training «Mechnikov Saint-Petersburg State Medical Academy of the Federal Agency for Public Health and Social Development of the Russian Federation», Russia, 195067, St.-Petersburg, К-67, Piskarevsky prospect, 47, tel.: [phone], fax: [phone], e-mail: *****@***com

Summary: In article the medico-social characteristic of the medical workers rendering emergency medical aid is presented, negative professional features of their work, a consequence of this influence are analyzed, the estimation of spent actions for health protection of this category of medical workers is given.

Key words: the first aid, health of medical workers, negative professional factors.

References:

1. , Инсомнические расстройства у врачей скорой помощи (сообщение 1) // Скорая медицинская помощь, СПб. – 2007. – № 1.– С. 80.

Information about the author:

Dobritsina Anna Alekseevna – the post-graduate student, work tel.: [phone], e-mail: *****@***ru

1133

© M. A.Karachevtseva, N. M. Bogushevich, 2009

UDC 614.2 : 658.325

Karachevtseva M. A., Bogushevich N. M. Integrated assessment of indexes of insurance medical organization activities on examination of quality of medical aid // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 10-13.

Saint Petersburg State Medical Academy named after I. I. Mechnikov (SPSMA) 195067, St.-Petersburg, Piskarevskii pr., 47, tel. [phone], fax: [phone], E-mail: *****@***net

Territorial Fund of the obligatory medical insurance of Saint-Petersburg (TF OMI SPb), Koli Tomchaka str, build. 9 lit "A", Saint-Petersburg, 196084 (Moscovski pr., build.120), phone: [phone], fax: [phone], E-mail: *****@***spb. ru

Summary: There is shown the integrated estimation of the indices of the Medical Insuranse companies work in the assesment of the medical help quality with their following ranking.

Key words: Integrated estimation of the Medical Insuranse companies work of the medical help quality

References:

1. О деятельности Федерального фонда ОМС по организации защиты прав граждан в системе ОМС//Обязательное медицинское страхование в Российской Федерации. - 2008. - № 4. - С.26 - 31.

2. , . Реформа обязательного медицинского страхования граждан Российской Федерации глазами страховщика// Экономика здравоохранения. - 2008.- № 8. - С. 18 - 22.

3. , Опыт организации экспертной деятель­ности для управления качеством медицинской помощи// Система управления качеством медицинской помощи в Санкт-Петербурге. Первые результаты и проблемы развития: Сб. научно-практ. работ/ Под ред. , .- СПб., 2007.- С. 52 - 62.

4. , Мониторинг реализации мероприятий приоритетного национального проекта в сфере здравоохранения // Менеджмент качества в сфере здравоохранения и социального развития. - 2007. - № 2. - С. 3 - 7.

5. , Совершенствование подходов к организации и проведению вневедомственного контроля качества медицинской помощи на основе анализа территориальных моделей / Под ред. , .- М.: Федеральный фонд ОМС, - 2007. - 136 с.

Informeition about the authors:

Karachevtseva Marina A. - M. D., professor of the department of the Organisation of the public health and managment of quality of the medical help, Saint-Petersburg State Medical Academy of I. I.Mechnikov, head of the Department of the menagment of the quality of medical help assesment of the TF OMI SPb, work tel.: [phone], E-mail: *****@***spb. ru

Bogushevich Natalya M. - assistant of the department of the Organisation of the public health and managment of quality of the medical help, Saint-Petersburg State Medical Academy of I. I. Mechnikov, leading specialist of the Department of the menagment of the quality of medical help assesment of the TF OMI SPb, work tel.: [phone], home tel.: [phone], E-mail: *****@***spb. ru

1263

© A. A. Sidorov, P. P. Romashov,, 2009

UDC 614.1:616.7-053.89

Sidorov A. A.1, Romashov P. P.2 Medical-and-social characteristics of bone-muscular system disease prevalence in working population // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 13-17.

1State unitary enterprise “Vodokanal Saint-Petersburg” branch “Medical Center”, 191124, Russia, Saint-Petersburg, Stavropolskaya str., 12/15, tel./fax: [phone], e-mail: *****@***spb. ru

2State Educational Institution for Higher Professional Training “Mechnikov Saint-Petersburg State Medical Academy” of Roszdrav, Russia, 195067, Saint-Petersburg, Piskarevsky prospect, 47, tel.: [phone], fax: [phone], e-mail: *****@***ru

Summary. Basing on the results of statistical preventive medical examination and morbidity accompanied by temporary disability data medical-and-social characteristics of bone-muscular system diseases were studied in the workers of the industrial enterprise. High social-economic significance of these diseases was shown, which was due to their increased prevalence, high level of primary invalidisation, significant level of temporary disability.

Keywords: diseases of bone-muscular system, physical inability, morbidity with temporal disability.

References:

1. , , Яненко инвалидность в России: аналитический обзор 1999-2002 гг. – М.: АНО «НААЦ», 2004, - 39 с.

2. Белова : руководство для врачей.- М.: Антидор, 2002. – 736 с.

3. , , Медицинская статистика в амбулаторно-поликлинических учреждениях промышленных предприятий. – СПб., 2009 – 416 с.

Information about the authors:

Sidorov Alexander Anatolievich – Director of the Branch “Medical Center” of the State Unitary Enterprise “Vodokanal Saint-Petersburg”, work tel./fax: [phone], mobile phone:[phone], e-mail: *****@***spb. ru

Romashov Pavel Pavlovich – Candidate od Medical Sciences, Assistant-Professor of the department of Traumatology, Orthopedics and Field Surgery with the course of Syomatology of the Machnikov Saint-Petersburg State Medical Academy, work tel.: [phone], home tel.: [phone], mobile phone: [phone].

1137

© Yu. A. Khrustalyeva, 2009

UDC 340.69 : 347.948

Khrustalyeva Yu. A. Analysis of establishing cause-effect relations in the materials of the repeated examinations // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 17-20.

Federal State Educational Institution of Higher Professional Learning «Army Medical Academy n. a. S. M.Kirova» Ministry of Defense Russian Federation, 194044, St.-Peterburg, str. Lebedeva 6, tel.: [phone], fax: [phone].

Summary: Have made evaluation of determination cause-and-effect relation in case of making recurrent appraisals. Found out the cases different treatment presence or absence cause-and-effect relation in valuation the same accidents. Working-out criterias of the sort of relation and application unified approaches to determination causality will be redound to decrease experts mistakes.

Key words: expert appraisal by materials of file of case, recurrent expertise, expert report, answers, cause-and-effect relation.

References:

1. Методологические основы судебно-медицинской экспертизы: Автореф. дис. …д-ра мед. наук. – М., 2004. – 24 с.

2. Судебно-медицинская оценка дефектов оказания медицинской помощи в условиях крупного города: Автореф. дис. …к-та мед. наук. – СПб., 2002. – 24 с.

3. Оценка заключения судебно-медицинского эксперта по уголовным делам / , , . – М.: Юрлитинформ, 2008. – 224 с.

4. Судебно-медицинская деятельность в уголовном судопроизводстве: правовые, организационные и методические аспекты / , , . – СПб.: Издательство «Юридический центр Пресс», 2003. – 467 с.

5. Критерии обоснованности врачебного риска и их судебно-медицинская оценка / // Суд.-мед. эксперт. – 2004. – № 1. – С. 3–7.

Information about the author:

Khrustaleva Julia Alexandrovna - candidate of medical sciences, docent, assistant-professor of the Department of Forensic medicine of Army Medical Academy n. a. S. M.Kirova, work tel.: [phone], home tel.: [phone], mobile phone [phone], e-mail: *****@***ru.

1141

© A. V. Bereznikov, V. P. Konev, I. V. Pismennyi, Yu. O. Onufriychuk, 2009

UDC 616.33/.37-07-08+340.6

Bereznikov A. V.1, Konev V. P.1, Pismennyi I. V.1, Onufriychuk Yu. O.2 Legal examination of cases of medical aid in Oddi sphincter dysfunction // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 20-23.

1Federal Educational Establishment for High Professional Training Omsk state medical academy of Ministry of Health and social development of the Russian Federation, 644043, Omsk, Lenina street, 12, phone: [phone], a fax: [phone], E-mail: *****@***ru