Statistics on the work of gastroenterologists in the Russian Federation in 2013–2017
https://doi.org/10.24931/2413-9432-2020-9-2-36-44
Abstract
In recent decades, increasing importance in modern diagnostic algorithms is given to techniques that use optical systems, including those with the ability to examine organs in various spectral ranges and in fluorescence modes. The rapid development of modern technologies and their implementation in the field of healthcare requires constant improvement of the organization of medical care to the population. Endoscopic services in Russia began to emerge in the 70s of the 20th century. In the early stages, it was represented by independent diagnostic rooms based on large medical clinics and research centers. Over the past decades, endoscopic methods of diagnosis and treatment have moved far forward. For the successful use of endoscopic technologies in clinical practice, qualified medical personnel are needed, including oncologists, gastroenterologists, and other specialists proficient in endoscopic techniques. The human potential of endoscopy was initially formed by part-timers, most often from surgeons and therapists. In this regard, it is necessary to analyze the activities of specialist doctors who provide medical care in outpatient conditions. The aim of the study was to analyze the activities of gastroenterologists providing outpatient medical care at the federal level and in the pilot regions of the Russian Federation. The multidirectionality of trends regarding the level of burden on gastroenterologists in the subjects of the Russian Federation is established. In all federal districts, a decrease in the number of visits per gastroenterologist and a decrease in the part-time coefficient was observed.
About the Authors
N. E. Guryanova
Central Research Institute of Organization and Informatization of Health Care, Ministry of Health of Russia
Russian Federation
Moscow
Russian Federation
Moscow
O. I. Sachek
Central Research Institute of Organization and Informatization of Health Care, Ministry of Health of Russia
Russian Federation
Moscow
Russian Federation
Moscow
M. A. Ivanova
Central Research Institute of Organization and Informatization of Health Care, Ministry of Health of Russia
Russian Federation
Moscow
Russian Federation
Moscow
References
1. Levchenko N.V., Khrachkov V.V., Shavaliev R.R., Kislitsyn D.P. Antegrade papillotomy using YAG:HO laser for stenosis of the large duodenal papilla. Biomedical Photonics. 2018, vol. 7(1), pp. 21–27. (in Russian)
2. Tumanina A.N., Polezhaev A.A., Apanasevich V.A., Gurina L.I., Volkov M.V., Tarasenko A.Yu., Filonenko E.V. Experience of using photodynamic therapy in the treatment of esophageal cancer. Biomedical Photonics. 2019, vol. 8(2), pp. 19–24. (in Russ.)
3. Kundukhova E.R., Remizov O.V., Butaev T.M., Dzugaeva Z.I., Alagova A.R. main directions in solving the problems of endoscopy development. Modern problems of science and education, 2017, no 2. (in Russian)
4. Filonenko E.V. The history of development of fluorescence diagnosis and photodynamic therapy and their capabilities in oncology. Russian Journal of General Chemistry, 2015, vol. 85(1), pp. 211–216. (in Russian)
5. Sokolov V.V., Chissov V.I., Filonenko E.V., Sukhin G.M., Yakubovskaya R.I., Belous T.A., Zharkova N.N., Kozlov D.N., Smirnov V.V. Photodynamic therapy of cancer with the photosensitizer PHOTOGEM. Proceedings of SPIE - The International Society for Optical Engineering, 1995, vol. 2325, pp. 375–380.
6. Sokolov V.V., Chissov V.I., Filonenko E.V. Sposob lazernogo oblucheniya pri endoskopicheskoi fotodinamicheskoi terapii nachal’nogo raka polykh organov. Metodicheskie rekomendatsii [Method of laser irradiation in endoscopic photodynamic therapy of initial cancer of the hollow organs. Methodological recommendations]. Moscow, 2002, p. 8.
7. Chissov V.I., Sokolov V.V., Filonenko E.V. et al. Clinical fluorescence diagnostics in photodynamic carcinoma treatment with the photosensitizer Photogem. Khirurgiya, 1995, vol. 71 (5), pp. 37–41.
8. Korochanskaya N.V., Durleshter V.M., Kovalevskaya O.V., Serikova S.N., Popandopulo K.I. The morbidity and mortality rates from diseases of the digestive system in the Krasnodar Territory and the quality of medical care for gastroenterological patients. Rossiiskii zhurnal gastroenterologii, gepatologii, koloproktologii, 2019, vol. 29(4), pp. 30–37. (in Russ.)
9. Nolte E., McKee M. Measuring the health of the nations: analysis of mortality amenable to health care, BMJ, 2003, vol. 327, pp. 1129. DOI:10.1136/bmj.327.7424/1129//
10. Son I.M., Shipova V.M., Ivanova M.A. i dr. Rationing of outpatient care during primary care. Zdravookhranenie, 2014, vol. 7(7), pp. 6–8. (in Russ.)
11. Ivanova M.A. Rationing of the labor of the endocrinologist. Zdravookhranenie, 2016, vol. 2, pp. 52–55. (in Russ.)
12. Ivanova M.A. Rationing of labor is one of the ways to optimize the quality of medical care for patients]. Sotsial’nye aspekty zdorov’ya naseleniya, 2007, vol. 4(4), p. 6. (in Russ.)
13. Ivanova M.A. Rationing of labor - as the main tool for the formation of the staffing of outpatient facilities. Sovremennye problemy zdravookhraneniya i meditsinskoi statistiki, 2014, vol. 1, pp. 2–14. (in Russ.)
14. Kalashnikova I.A., Achkasov S.I. Peristomal skin complications and quality of life in patients with intestinal stoma. Sbornik tezisov. Materialy II s”ezda koloproktologov stran SNG, III s”ezda koloproktologov Ukrainy s uchastiem stran tsentral’noi i vostochnoi Evropy. Odessa. [Collection of abstracts. Materials of the II Congress of Coloproctologists of the CIS countries, IIIrd Congress of Coloproctologists of Ukraine with the participation of countries of central and eastern Europe. Odessa city], 2010, pp. 261–262.
15. Vorob`ev G.I., Achkasov S.I., Kalashnikova I.A. Organization of rehabilitation services for ostomy patients. Menedzhment kachestva v sfere zdravookhraneniya i sotsial’nogo razvitiya, 2007, vol. 2, pp. 55–56. (in Russ.)
Review
For citations:
Guryanova N.E., Sachek O.I., Ivanova M.A. Statistics on the work of gastroenterologists in the Russian Federation in 2013–2017. Biomedical Photonics. 2020;9(2):36-44. https://doi.org/10.24931/2413-9432-2020-9-2-36-44
Views:
895
Email this article 