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Biomedical subjects

V T Kartashov

Publications and source records attributed to V T Kartashov.

At least 19 recordsLinked to original sources
PubMed2006

[Models and practical games in training the medical service officers to control the medical care quality].

The 3-component structure of the model of medical service quality (MSQ) control is proposed. The model reflects the functional dependence of qualitative parameters of military treatment-and-prophylactic institutions' (TPI) activities: Qn = f(Rn, Mn), where the independent variables are the following: Rn is the provision of n-TPI with resources, Mn is the level of administrative activities and Qn function is MSQ. It allows transferring to information-and-analytical modeling of TPI as the triad of indices that reflect the resource quality (cadre, financial, material and technical), management and medical-and-statistical indices of medical service quality. For each of the model's component the information-and-analytical indices and criteria of their assessment are proposed. The scenario of practical games is based on abovementioned peculiarities of the model and consists of logically interconnected and successively solved situational problems. The methods and problems described can be used during medical service officers' training, for studying TPI physicians, in educational process of some departments of military medical higher schools. The specific feature of proposed models and methods is their applicability both in educational process and in practical work.

Delivery of Health Care↗
PubMed2004

[Methodical and practical approaches to the management of health care quality control in a large military polyclinic].

The experience of creation and practical use of the medical care quality (MCQ) control system in the Diagnostic center N 52 is summarized. The measures realizing the functions of planning, motivation and organization during MCQ control are described. The goals, objects and system elements, functional duties and algorithm of officials' actions during the continuous MCQ support are substantiated. Introduction of some elements of MCQ control system caused the decrease in the number of patients' complaints, defects in rendering of medical care and complications.

Algorithms↗
PubMed2004

[Organizational principles of prophylactic medical examination quaility control in the Armed Forces].

The authors suggested new organizational and methodical approaches to a prophylactic medical examination (PME) and its quality control. There were distinguished and analyzed organizational and medical aspects of the profound medical examination (PrME) and dynamic observation (DO). The process of planning, interaction and analysis of PME results as well as the importance of the medical-and-statistical indices as indicators of PrME and DO quality were described. The analysis showed the substantial role of medical standards in the PME. Being in fact peculiar models of the PrME and DO for doctors, they serve as medical and methodical documents. The authors offered the standards of the PME of servicemen and reserve soldiers (retirees), the principles of their use, which allow taking into consideration individual peculiarities of each person examined.

Health Planning↗
PubMed2003

[Learning of patients with ischemic heart disease after operations on the coronary arteries at the "School-Club for Coronary Patients"].

Such learning programs as "School-club for Coronary Patients" SCCP) are very important for rehabilitation of outpatients with coronary heart disease (CHD) after reconstructive operations on the coronary vessels. The authors summarize pilot experience gained in the activity of the SCCP at the Consulting and Diagnostic Center set up in 2000. The group of lecturers included a cardiologist, a urologist-andrologist, a physiotherapist, a phytotherapist and others. Participation of a dietitian is desirable. The activity of the SCCP aimed at explanation of the role of risk factors in development and progression of CHD, of the mechanisms of action of the most effective medicines applied in the treatment of CHD and arterial hypertension, teaching CHD patients current methods of non-drug therapy, activation of motivation for successful treatment. The curriculum is designed for 12 lessons which covers information on the structure and function of the cardiovascular system, causes of the onset and progression of CHD, principles of CHD treatments, methods of health restoration after myocardial infarction and operations on the coronary vessels. The response to the questionnaires filled in by the learners who have undergone reconstructive surgery on the coronary vessels show that the number of the learners taking the prescribed drugs regularly raised from 77.1 to 95.8%. The recommended doses were followed by 64.6% instead of 18.8%. The diet was kept by 52.1% patients instead of 29.2%. The number of exercising CHD patients raised from 12.5 to 58.3%. It is evident that training of CHD patients after surgery on the coronary vessels or MI in SCCP is an essential method to improve quality of treatment, prevention of complications, the disease prognosis. This experience should be widely introduced into the practice of outpatient departments.

Coronary Disease↗
PubMed2003

[Alternative hospital forms of medical care in Russia and abroad].

According to the available statistical data 80% of the patients begin and complete treatment in polyclinic. Now it becomes necessary to use more widely the low-expensive hospital-substitutive technologies, i.e. the day hospital and the hospital at home. Since 1989 the day hospital containing 10 beds and with two shift system functions on the base of RF MD CDC N 52. The bed turnover is not less than 3, 5, the mean bed/day is 12. 1500 patients are treated every year, among them 63% are therapeutic, 26% are surgical and 10.4% are neurological patients. More than 40% of those who need the hospital treatment are treated here. In the hospital at home 71% are the patients with diseases of lower extremity vessels, 12.5%--with trauma, 9.45%--with cardiovascular pathology and 6.3%--with respiratory diseases. Compared with the hospital beds the savings amount to 60-70%.

Bed Occupancy↗
PubMed2003

[Postoperative course of ischemic heart disease in patients with various reconstructive procedures on the coronary vessels].

The study was aimed at evaluation of a clinicofunctional condition of patients with ischemic heart disease (IHD) operated on the coronary vessels as well as features of postoperative course of the disease to design relevant therapeutic and prophylactic measures. The analysis was made of rehabilitation and long-term (up to 60 months) outcomes of cardiosurgical operations. Features of rehabilitation were studied in groups of patients after coronary artery bypass grafting (CABG), creation of a mammarocoronary bypass combined with CABG and transcutaneous transluminal coronary angioplasty. To assess the results of cardiovascular patients rehabilitation, to study long-term results of cardiosurgical operations and compare conditions of patients after different cardiac operations, the parameter of "double product" is proposed under loading of 50 W. Three periods of postoperative run of the disease were identified: improvement with maximal physical performance of the patient, clinicopsychological stabilization, functional depletion and development of IHD complications.

Angioplasty, Balloon, Coronary↗
PubMed2000

[New approaches to organization and medical examination of servicemen (Experience of the 52d Consultative and Diagnostic Center of Department of Defence of the Russian Federation].

New approaches to organization and conduction of prophylactic medical examination of servicemen were developed, scientifically grounded and introduced into the practice in Consulting-and-diagnostic Center N 52 of RF MD. Owing to it the quality and effectiveness of prophylactic examination have increased, the real picture concerning the health of contingents being served (passport of health) was obtained, the duration of profound medical examination, financial expenses and trained resources for conduction of profound medical examination and regular medical check-up with significant improvement of their quality have minimized.

Adult↗
PubMed1999

[The methods of traditional medicine in outpatient polyclinic practice].

Some 7950 patients have been treated at the traditional medicine department of the Consulting and Diagnostic Center N52, 2/3rds of them came after long and unsuccessful medicamental treatment. Psychotherapy, manual therapy and acupuncture-reflex methods were successful in 86-93% of cases. They are recommended for local clinics provided that the latter are properly equipped and stuffed.

Adult↗