Стареене, здраве, гериатрични грижи
This article discusses the debatable problem of euthanasia. The authors consider the main arguments of supporters and opponents of euthanasia. The results of a sociological study of the attitude of Nizhny Novgorod residents to the issue of euthanasia are presented. The results show that respondents express contradictory attitude to euthanasia: on the one hand, they understand the positive side and want euthanasia to be allowed in Russia, on the other hand, they believe that there can be negative consequences (for example, self-serving murders).
Preface The world of healthcare is very challenging. Resource-constrained services, creeping bureaucratic requirements, new patient populations with greater needs than ever before, demand in excess of supply, clinician overload, major and minor breaches of patient safety, politicized workplaces, and ideology masquerading as systems planning: everywhere you look, the barriers to the provision of high-quality care are considerable, and often daunting. In the midst of all these problems, where can we turn for help? One answer is to change the focus and shift from the negatives to the positives. The very countries in which these types of problems reside always contain examples which have risen above the adversity, and provide solutions to problems. These are success stories that overcome difficulties, surmount obstacles, and deliver an accomplishment worthy of study in its own right. Professor Jeffrey Braithwaite, as health reform series editor, has led a team of internationally renowned scholars to deliver a compendium of work with precisely this focus. Regional experts Professors Russell Mannion (Europe), Yukihiro Matsuyama (South-East Asia), Paul Shekelle (the Americas), Stuart Whittaker (Africa), Samir Al-Adawi (Eastern Mediterranean), and Jeffrey Braithwaite (the Western Pacific) have made a concerted effort to harness the energies, expertise, and analytic ability of 161 authors who have combined to articulate positive messages about healthcare improvement in 60 countries. Rich and poor, northern and southern hemisphere, publicly or privately funded, technologically sophisticated or focused on the basics: the range of health systems examples, and their differing characteristics, is truly impressive. As you will see, each team of authors presents a single case example, which narrates a story of accomplishment in their home health system. The sheer diversity of case examples is testament to the range of things that can go right in healthcare. They provide plenty of lessons for those who want to improve care in their own system. Collectively, they act as a set of blueprints for what success looks like across many settings, sectors, and initiatives. That every country enrolled in the project, no matter how politically, financially, or logistically challenged, could adduce a shining example of success, is a reminder of what can be done by inspiring people who are determined to provide better services to their patient populations. In addition to being inspiring, this volume, the second in the Taylor & Francis health reform series, is instructive and practically relevant. It is jampacked with the expertise of many far-thinking and generous people across the world who take the task of improving the system they work in or on, very seriously indeed. For those of us whose appetite for reform and improvement can occasionally flag, or in cases when we become reform weary, this book is just the tonic needed. In a word, it’ s energizing. As the most extensive anthology of health system success stories ever assembled, we commend this book to you.
The Body Multiple is an extraordinary ethnography of an ordinary disease. Drawing on fieldwork in a Dutch university hospital, Annemarie Mol looks at the day-to-day diagnosis and treatment of atherosclerosis. A patient information leaflet might describe atherosclerosis as the gradual obstruction of the arteries, but in hospital practice, this one medical condition appears to be many other things. From one moment, place, apparatus, specialty, or treatment, to the next, a slightly different “atherosclerosis” is being discussed, measured, observed, or stripped away. This multiplicity does not imply fragmentation; instead, the disease is made to cohere through a range of tactics including transporting forms and files, making images, holding case conferences, and conducting doctor-patient conversations.
The Body Multiple juxtaposes two distinct texts. Alongside Mol’s analysis of her ethnographic material—interviews with doctors and patients and observations of medical examinations, consultations, and operations—runs a parallel text in which she reflects on the relevant literature. Mol draws on medical anthropology, sociology, feminist theory, philosophy, and science and technology studies to reframe such issues as the disease-illness distinction, subject-object relations, boundaries, difference, situatedness, and ontology. In dialogue with one another, Mol’s two texts meditate on the multiplicity of reality-in-practice.
Presenting philosophical reflections on the body and medical practice through vivid storytelling, The Body Multiple will be important to those in medical anthropology, philosophy, and the social study of science, technology, and medicine.
Market growth of personal medical device comes from a number of factors: • Aging population requiring more attention; • Patients with chronic diseases may measure blood pressure and blood glucose at home; • Reducing the cost of these devices; • Ease of use and availability of medical devices; • Risen cost of a series of medical tests. This article discusses the new challenges that arise in the relationship doctor - patient in the remote Monitoring human healthcare. With the advent of a greater variety of low-cost medical devices, as well as low-cost high-quality mobile communication system will allow the system to tell the Remote Healthcare Monitoring System has also become possible. This system should be as ready to doctors and patients themselves. there is a new quality in the interaction between doctor and patient. Considers a new model of doctor-patient relationship in the light of the transfer of active interaction to the virtual world.
We address the external effects on public sector efficiency measures acquired using Data Envelopment Analysis. We use the health care system in Russian regions in 2011 to evaluate modern approaches to accounting for external effects. We propose a promising method of correcting DEA efficiency measures. Despite the multiple advantages DEA offers, the usage of this approach carries with it a number of methodological difficulties. Accounting for multiple factors of efficiency calls for more complex methods, among which the most promising are DMU clustering and calculating local production possibility frontiers. Using regression models for estimate correction requires further study due to possible systematic errors during estimation. A mixture of data correction and DMU clustering together with multi-stage DEA seems most promising at the moment. Analyzing several stages of transforming society’s resources into social welfare will allow for picking out the weak points in a state agency’s work.