This article analyses the radiotherapy status in Russia in comparison with the other countries in the world against a background of cancer death rate. The Assessment of the potential of the country or region to render a radiotherapy service is given. In particular, the authors offer the comparison on the number of accelerators and radiotherapy centers in the regions of Russia. The need for equipment, radiation oncologists and medical physicists per number of patients and population is shown. A simplified method of the quantitative assessment of the quality of the technical equipment of radiotherapy centers is presented.
Unfortunately the teaching statistics in the medical school is insufficient. Only the most diligent physicians learn the basics of statistical analysis on theirself or find the possibility to get a special course similar to the summer schhool of the research methods in First state moscow emdical university I. Sechenov
Background: Analysis of publication activity in the field of biomedicine shows insignificant input of Russia in the world scientific product. This is largely due to the lack of incentives for researchers. Article describes stimulation of researchers in Russia, compares it with foreign models, formulates main shortcomings of support and stimulation of research in Russia and introduces the concept of effective contract. Aims: Development of personnel motivation and stimulation of employees of scientific and research organizations in the field of health. Materials and methods: As a successful experience the article describes the implementation of effective contract in Veltishev Research and Clinical Institute for Pediatrics where for years remuneration of researchers depended upon their positions without consideration of research results. Effective contract brought significant changes in the traditional system setting new performance and efficiency criteria. New evaluation system took into account publication activity, presentation activity, implementation of research results, raising scientific personnel, thesis work and income-generating activities. Results: Introduction of effective contract already in the second year led to a rise in the number of foreign publications, publications in journals with impact factor of more than 2, the general increase in the number of articles in peer-reviewed journals with impact factor more than 0.3, the growth of the number of articles by 1 researcher, Hirsch index improving both by individual employees and the entire Institute, increase of grant activity and presentation activity at top-rated professional congresses. The growth of publication and presentation activities has been achieved at the reduction of research staff by 23%. From financial viewpoint effective contract resulted in the redistribution of resources in favour of more efficient researchers. Conclusions: The introduction of effective contract and increase of requirements for scientific output did not cause resistance of staff, although demanded certain time for joint development of criteria by scientific community, as well as the development and implementation of soft for continuous assessment of research activity
With the rapid growth of online social network sites (SNS), the issue of health-related online communities and its social and behavioral outcomes has become increasingly popular in Internet studies and sociology of health and medicine. This paper presents the results of the empirical study investigating the structure of the 'friendship' networks and participants' communicative activity within 15 online groups on VK.com SNS. In this pilot study we seek to trace the relation between declared aims (social functions) and structure of online groups devoted to the HIV/AIDS theme. First, we propose a classification of online HIV-related groups according to their declared purposes and actual social functions. The most widespread group types on VK.com SNS are HIV activists, HIV-infected dating groups, AIDS denialists movement groups, online pages of offline organizations and social support groups. Second, we identify and describe several patterns of network structure and user behavior occurring among these groups. We distinguish five types of community structure: tight crowd, polarized crowd, stratified structure, clustered network and disintegrated structure. Finally, we find and interpret the relation between the purposes and functions, on the one hand, and network structure of online communities, on the other. Tight crowd networks mainly occur in dating groups for HIV-infected persons and, and links in them are determined by users' gender (either homogeneous or heterogeneous ties prevail). Stratified structure is related to HIV activists and especially to AIDS denialists movement groups. The crucial factor of network formation for this pattern is participation in public discussion within a group. Active users form a cohesive community while passive users stay isolated or connected with just a few active users. Our findings are consistent with some previous research on communication network structures on other social media platforms.
The author studies relationships between medical representatives and physicians from the structural embeddedness perspective. Based on the research she discloses the existing practices of relationships between pharmaceutical companies and physicians, describes possible ways of resolving administrative and legal problems associated with new regulations of drug turnover. The author also gives attention to the dissolution of ties as an important element of network analysis.
Job satisfaction among health professionals becomes important for optimizing the human resource potential. The study aims at emphasizing importance of analyzing job satisfaction in health-care organizations with different forms of property located in Moscow city. Various aspects and factors influencing physician’s job satisfaction, such as salary, work conditions and team atmosphere, were analyzed at . government (public), corporate and private medical organizations. According to the study results, physicians with the highest job satisfaction are working in private medical hospitals (67%), followed by physicians from corporate (58%) and government (56%) medical centers. The most significant motivating factors influencing the satisfaction of doctors with their work for public hospitals are working conditions, for physicians from corporate hospitals – salary and working conditions, for doctors from private clinics – salary. However, all these factors positively and significantly correlated with the satisfaction of physicians with their work in all types of health care organizations.
The paper considers the terms of reverse logistics and return material flow. The place and importance of the return material flow are defined. The reverse logistics situation in different business areas is analyzed. It is shown that rational reverse logistics management approach development has outstanding interest in service companies. The paper classifies return material flows for service companies. An economic evaluation approach of the return rationality of packing, commodities and materials is given. Effective reverse logistics management procedure for service companies is developed.
In this article problems of legal status of training organizations, including schools of highest sports mastership, are described. Also prospects of creation of system of training organizations after adopting the bill «About sports training» are predicted.
he aim of the study was to examine the main factors affecting the choice of healthcare organizations and physicians by parents seeking medical care for their children in outpatient settings. The study analyzed 16 in-depth interviews and 178 questionnaires filled by parents whose children attended state budgetary educational institutions in Moscow. The qualitative study showed that 2/3 of respondents were not satisfied with pediatric medical care provided at public healthcare organizations at the outpatient level. The main benchmark of choice of a private healthcare organization by parents was recommendation of friends or relatives. The quantitative analysis showed that 67% of surveyed parents sought private medical care for their children during the previous year. The most popular type of the used paid medical service was a single visit to a private clinic (58.1%). Among the respondents who sought paid medical services, the majority attended healthcare centres once or twice a year. The analysis of the results also revealed that the level of welfare and the number of chil- dren in the family did not affect the frequency of using paid medical services.
The article reviews current literature on various aspects of pharmacological management of TBI consequences from neuropsychological perspective. Specifically it discuses application and limitations of different groups of pharmacologic agents and their efficacy in treatment of different types of neurobehavioral consequences of TBI. Article also discusses the utility of neuropsychological approach in assessing results of pharmacotherapy in TBI.