The main purpose of public health is quality improvement of medical care. Ranking of healthcare organizations is rather effective information and marketing tool for external quality management of medical care. The author reviewed international experience in selecting quality measures of medical care to rank healthcare organizations that could be used as a methodological framework for designing rankings of healthcare organizations in Russia. The aim of the study was to identify methodological basis of international rankings of health care facilities: major indicators and criteria for evaluating quality of medical care. The author analyzed methods for developing rankings of international healthcare organizations through the analysis of international scientific sources and information made public by state organizations working in the area of health management as well as through four expert interviews with experts in health management. The author attempts to structure indicators and criteria for quality evaluation of medical care based on Donabedian’s triad as well as identify definitions, content and balance between clinical and non-clinical indicators.
The paper uses the data of the Russian Longitudinal Monitoring Study to analyze the change in the state of health of the Russian population in the post-Soviet period. Age is regarded as a factor with a potential to influence incidence of chronic disease, disability and self-preservation behavior. The authors stress the importance of such factors of health deterioration as smoking and alcohol consumption.
The paper introduces to results of sociological surveys of heads of insurance companies working under mandatory health insurance system. The surveys were carried out by the National Research University «Higher School of Economics» in 2012 (joint with the Federal Obligatory Medical Insurance Fund) and in 2014. Data analysis shows that a considerable part of these organizations hasn’t already serves only passive middlemen in the allocation of funds. But their impact on planning of medical care volume in the mandatory health insurance system and on improvement of quality of medical care is very modest.
The article explains the economic necessity of transformation in the social sphere and functioning under the laws of the market economy. As the transformation of social services in the tradable goods it is necessary to change property relations in this area. Non-state nature of the property of these organizations may occur either on the basis of the “donation” of state property or on the basis of its “replacement’ income from the sale of social services. The main consequence of such processes in the social sphere will be expansion of the middle layer of the Russian society.
The problem of population ageing became very important for the recent decades especially for developed countries. Better quality of life together with improvements in medical care allows people to live longer, however the population ageing brings severe social and economic impacts such as increased demand for medical care, high risk of chronic disease, growing pensions and medicine spends. ICT is seen now as an innovative way of solving some of these problems. Recent concepts of telecare, telemedicine and independent living brought the opportunities for ageing problems resolutions. Diverse service providers and solution developers work separately on their own products while there is huge opportunity of combining them together using SOA. In this article the diabetes case is examined and the event-driven service oriented approach is used to create the architecture of information system supporting distant health management. Together with detailed architecture description and its advantages, ICT for ageing market overview and its' key barriers are given in this paper.
The paper represents an application of agent-based approach for simulation modeling as the new way to create epidemic models. Such approach can be used to solve various problems in healthcare and other nontechnical fields of knowledge.The AnyLogic 6 agent-based computer simulation model of the influenza spreading was created. The model allows making a shortrange sickness rate forecast based on current morbidity statistics.
In various comparisons between Individual Psychology and Humanistic Psychology similarities in the concept of man are seen. Furthermore the connections in the life history between Adler, the founder of Individual Psychology, and Maslow and Rogers, the two most important persons in Humanistic Psychology are shown here; Adler even was their teacher in New York in a certain extent. Theoretical convergences and divergences between the both edifices of ideas are reviewed and on the basis of concrete statements Adler's role as a guiding intellectual force of the movement of Humanistic Psychology and Person-centered Approach is pointed out. Finally the growing discussion about efforts for integration between the different therapeutic approaches will be examined.
On the basis of a series of interviews with top managers of companies, carried out in February-April 2009, and study of special literature the authors made an attempt to identify the segments of the Russian medical-pharmaceutical industry, where a full innovation cycle takes place. They also retraced an influence of innovation projects on a strategic process designing.