[Changes in the basic socio-demographic indicators of health in the population of St. Petersburg (1990-2001)].
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Biomedical subjects
Publications and source records attributed to N Ia Shabashova.
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The purpose of the study was to work out economic rationale for intensifying treatment at specialized oncological establishments. Modern modalities of cancer treatment require patients to be admitted to specialized hospitals. However, at present nearly half of them receive treatment in general medical establishments which, as a rule, do not have facilities for combined and complex treatment. It is estimated that shifting patient examination emphasis from hospital to outpatient clinic might increase the clinical bed turnover by 6.7% which, in turn, will allow to treat 43000 patients more in specialized hospitals every year. The introduction of such scheme will cost 6.8 times less than commission of new beds required for management of the equivalent number of cancer patients.
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Mode of life was studied in 947 old-age cancer patients radically treated for tumors of major localizations. After treatment 28.2% resumed work and 28.4% worked for over 5 years taking an active part in social life. Family relations were good in 83.9% of cases; the nature of their leisure activities somewhat changed as a result of taking less physical exercise. 44.2% continued to show a closed group attitude and to care about each other for a long time.
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