Статья
Evaluation of health care delivery integration: The case of the Russian Federation
Fragmentation in organization and discontinuities in the provision of medical care are problems in all health systems. A major challenge is to strengthen integration in order to enhance efficiciency and health outcomes. This artickle assesses issues related to fragmentation and integration in concptual terms and argues that key attributes of integration are teamwork, coordination and continuity of care. It then presents a summary of service integration problems in Russia and the results of a large survey of physicians concerning the attributes of integration. It is argued that characteristics of the national service delivery model don't ensure integration. Teh Senashko model is not an equivalent to the integrated model. Big organizational forms of service provision, like polyclinics and integrated hospitals-polyclinics don't have higher scores of integration indicators than smaller ones. Proposals to improve integration in Russia are presented with the focus on the regular evaluation of integration/fragmentation, regulation of integration activities, enhancing the role of PHC providers, economic incentives.
Сборник материалов Международной научно-практическая конференция IX Левитовские чтения. «Особенности исследований в психологической, педагогической практике и социальной работе». 23-24 апреля 2014 года, Москва, МГОУ
В спектре внутренней медицины гастроэнтерология является одной из наименее освещенных научными доказательствами областей. Это не означет, однако, что еe практика не может быть усовершенствована последовательным использованием подходов доказательной медицины
While many countries have increased the opportunities for patient choice of provider, there is debate to what extent this has had positive effects on efficiency and quality of healthcare provision. First, some conditions should be met to exercise such choice, of which the most important is the provision of reliable data on providers’ performance to both patients and physicians as their agents, as well as increasing primary health care (PHC) providers’ involvement in realization of patient choice. Second, expanding patient choice does not always lead to efficient allocation of resources in a healthcare system. This article explores these controversial developments by using empirical evidence from the Russian Federation. It shows that choice indeed has value for patients, but there are many areas of inefficient choice, which leads to misallocation of healthcare recourses. Thus, health policy in this area should be designed to ensure a reasonable balance between objectives of expanding choice and promoting more efficient organization of healthcare provision. Political rhetoric about unlimited patient choice may be useless and even risky unless supported by well-balanced programmes of supporting and managing choice.
Fragmentation in organization and discontinuities in the provision of medical care are prob-lems in all health systems, whether it is the mixed public-private one in the USA, nationalhealth services in the UK, or insurance based one in Western Europe and Russia. In all ofthese countries a major challenge is to strengthen integration in order to enhance efficiencyand health outcomes. This article assesses issues related to fragmentation and integrationin conceptual terms and argues that key attributes of integration are teamwork, coordi-nation and continuity of care. It then presents a summary of service integration problemsin Russia and the results of a large survey of physicians concerning the attributes of inte-gration. It is argued that characteristics of the national service delivery model don’t ensureintegration. The Semashko model is not an equivalent to the integrated model. Big orga-nizational forms of service provision, like polyclinics and integrated hospital-polyclinics,don’t have higher scores of integration indicators than smaller ones. Proposals to improveintegration in Russia are presented with the focus on the regular evaluation of integration/fragmentation, regulation of integration activities, enhancing the role of PHC providers,economic incentives.
This prototype development explains the challenges encountered during the ISO/IEEE 11073 standard implementation process. The complexity of the standard and the consequent heavy requirements, which have not encouraged software engineers to adopt the standard. The developing complexity evaluation drives us to propose two possible implementation strategies that cover almost all possible use cases and eases handling the standard by non-expert users. The first one is focused on medical devices (MD) and proposes a low-memory and low-processor usage technique. It is based on message patterns that allow simple functions to generate ISO/IEEE 11073 messages and to process them easily. MD act as X73 agent. Second one is focused on more powerful device X73 manager, which do not have the MDs' memory and processor usage constraints. The protocol between Agent and Manager is point-to-point and we can distribute the functionality between devices.
Developed both implementation X73 Agent and Manager will cut developing time for applications based on ISO/EEE 11073.
Сборник включает статьи участников международной научно-практической конференции «Экономика и управление: проблемы и перспективы развития», прошедшей 15-16 ноября 2010 г. в г. Волгограде на базе Регионального центра социально-экономических и политических исследований «Общественное содействие». Статьи посвящены актуальным вопросам экономической, управленческой теории и практики, изучаемыми учеными из разных стран - участниц конференции.
Переводы классики по разделам экономической науки (ВЕХИ ЭКОНОМИЧЕСКОЙ МЫСЛИ), учебники экономические, справочные и методические материалы, книжные серии, экономическая терминология
Целью работы является сравнение режимов денежно-кредитной политики с точки зрения уязвимости экономики использующих их стран к кризисам. Работа состоит из двух частей. Первая часть содержит обзор литературы, где представлены результаты исследований, рассматривающие подверженность кризисам экономик, применяющих такие режимы денежно-кредитной политики, как таргетирование валютного курса, классическое и модифицированное инфляционное таргетирование. Также приводятся оценки эффективности накопления валютных резервов в качестве инструмента предотвращения или смягчения кризисов. Во второй части работы – эмпирической – описаны методология и результаты сравнения адаптационных способностей экономик, полученные на основе анализа динамики ключевых макроэкономических показателей в докризисный и посткризисный периоды в странах, сгруппированных по режимам денежно-кредитной политики. Кроме того, представлены оценки подверженности экономик кризисам на основе расчета частот наступления кризисов при различных режимах.
В статье проанализированы последствия гайдаровских реформ для России.
В статье проанализированы практические аспекты различных методов реализации правила передачи голосов, а именно, метода Грегори, включающего метода Грегори, взвешенного включающего метода Грегори.