School Medicine: Analysis of Achieved Results and Search for New Solutions
DOI: 10.22138/2500-0918-2018-15-1-136-145
O.P. Kovtun, E.V. Anufrieva, N.V. Nozhkina, L.N. Malamova
Urals State Medical University, Yekaterinburg, Russian Federation;
Ministry Healthcare of Sverdlovsk region, Yekaterinburg, Russian Federation
Abstract. The study goal is to assess the medical care organization system in educational institutions of Sverdlovskaya region and define approaches to increase a quality of medical help for students. Materials and methods. An audit of the quality based on the approach of the WHO Regional Office for Europe of 10 Sverdlovskaya region educational institutions was conducted. Work activity photo-timing observation of 6 medical personnel of the School Health Service (SHS) during at least 5 working days at each employee was held. Result. The result of evaluation showed that in Sverdlovskaya region had formed regional regulatory framework to provision medical help to students in educational institutions. Staffing of the departments are paramedics – 78%, medical nurses – 28%, a child and adolescent hygiene doctors are absent. In SHS medical personnel working time structure main activity is 55,5%, medical documentation work 27,2%, a school health care informatization and IT insufficiency is noted. Results of audit allows in planned order work at improving the organization and medical care for students. The pilot project of medical electronic workflow between healthcare organizations and medical cabins in educational institutions is being implemented in region. Organizational standard of SHS work and medical personnel “Workflow map” are developed, medical personnel SHS job descriptions, including contemporary organizational and informational technologies, are actualizing. Conclusion. SHS medical personnel sufficiency must be enhanced, improve the training system, standardize the work of medical personnel. The introduction of modern IT-systems is needed to enhance quality of medical care.
Keywords: organization of medical care for students, quality of medical care, schoolchildren, school medicine, educational organizations
Received 29.11.2017
For citation:
O.P. Kovtun, E.V. Anufrieva, N.V. Nozhkina, L.N. Malamova. School Medicine: Analysis of Achieved Results and Search for New Solutions. Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2018, Vol. 15, no. 1, pp. 136–145. DOI: 10.22138/2500-0918-2018-15-1-136-145 (In Russ)
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Authors
Olga P. Kovtun
Ural State Medical University
Dr. Sci. (Med.), Professor, Rector
str. Repin 3, Yekaterinburg, 620028, Russian Federation
usma@usma.ru
ElenaV. Anufrieva
Ural State Medical University
Cand. Sci. (Med.), Department of Public Health Organization
str. Repin 3, Yekaterinburg, 620028, Russian Federation
elena-@list.ru
NatalyaV. Nozhkina
Dr. Sci. (Med.), Professor, Head Department of Public Health Organization
str. Repin 3, Yekaterinburg, 620028, Russian Federation
Ozo_usma@mail.ru
Lubov N. Malamova
Ministry Healthcare of Sverdlovsk region
Dr. Sci. (Med.)
str.Vajnera 34, 620014, Yekaterinburg Russian Federation
L.malamova@egov66.ru