[The training of family physicians].
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Biomedical subjects
Publications and source records attributed to A A Kalininskaia.
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The activities of hospital-replacing forms (HRF) of medical care are analyzed for the Samara and Tver regions. In the Samara region the number of HRF beds was 13.2 per 10,000 population, 9.3 of these at day-time hospitals of outpatient centers and 3.9 at hospitals. In the Tver region the number of day-time beds was 5.5 at hospitals and 0.97 at outpatient centers per 10,000 population. In the Samara region the estimated number of days of treatment at HRF was 475 per 1000 population, which is sufficient.
Incidence of diseases involving temporary disability among dentists in Tver is 81.2 cases and 939.2 days per 100 workers; according to the data of sociological interviews (with consideration for chronic diseases and self-treatment cases over 3 years), it is 120.5 cases per 100 workers. The percentage of dentists with chronic diseases is 69.9, which is lower than recorded in medical files (21.4%). This indicates a high percentage of nonrecorded diseases which are self-treated.
Mobile medical care for people in rural areas well developed in the 1980s has lost its initial meaning and become only formal in a number of areas. The paper gives different organizational forms of medical care for rural population in some areas (the Nizhni Novgorod and Rostov Regions, the Republic of Komi, the Jewish Autonomous Region) of the Russian Federation.
The paper deals with a complex sociohygienic study of the basic indices of resource provision of the public health system in the Tver Region and with an analysis of the scope of inpatient care to the population of the Torzhok District, Tver Region. Based on an in-depth examination, the efficiency of the use of the bed fund of the central district hospital (CDH) was evaluated and economic losses from inadequate use of beds and economic effects of work of daily CDH-based hospitals were calculated.
The paper deals with the issue of how to set up experimentally a home-based inpatient facility (HBIF). City clinic No. 1 (Samara) was the research experimental base. The HBIF stuff managerial forms and the HBIF operational scope are defined; besides, the category of patients, who received medical care at HBIF and the public questioning results are described. The HBIF economic efficiency was estimated and the norms of job loads were standardized for HBIF practitioner and medical assistant.
Results of developing and implementing, in experiment conditions, of primary medical sanitary care program targeted to cardiovascular patients is presented. Organizational functional model of schools for patients with arterial hypertension and ischemic heart disease is approved. Medical social and economic efficiency of these schools activities is proved.