Методологические подходы к перспективной оценке потребности в медицинских кадрах
In the internal medicine wide spectrum the gastroenterology is one of the chapters, less enlightened by the scientific evidence. It does not mean that the practice of the grasntroenterology may ot be improved by the systematic use of the approaches of the evidence based medicine
Till 2008 remuneration system based on the unified tariff scale was officially implemented for the public sector of the Russian economy. New remuneration system (NRS) is intended to differentiate wages more clearly, bring it into compliance with output of labour input, eliminate the disproportion in the structure of employment, which are common for public sector. In this work was made an effort to estimate results of the remuneration reform with the example of medical institutions of three regions, which sequentially introduced NRS in 2008-2009. The estimates based on the Monitoring of healthcare economic problems microdata reveal the increase of wages and salaries within institutions that adopted NRS.
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.