Репозиторий Университета

The article considers the results of sociological survey of medical personnel of the Moscow oblast. The purpose of study is to analyze attitude of medical personnel to the system of mandatory medical insurance in modern conditions. The sociological survey carried out according standard methodology using originally developed questionnaire. The public opinion of medical personnel of medical municipal organizations of the Moscow oblast was investigated in 2013 (n = 632) and 2017 (n = 798). It was established that, 25 years later from the moment of organization of the system of mandatory medical insurance, not all medical personnel is oriented in it. The percentage of those who consider it as a false and over bureaucratized one increased. The number of respondents considering that medical insurance organizations protect interests of patients decreased and those who feel no impact of mandatory medical insurance foundations on activities of medical organizations increased up to 35%. The most of respondents consider functions of medical insurance organizations and mandatory medical insurance foundations exclusively as controlling ones. In both surveys less than 30% of respondents supported actual system of mandatory medical insurance. The general results of the sociological survey testify the necessity of changing policy of relationship between the system of mandatory medical insurance and medical personnel, including activization of activities concerning explanation of tasks, functions and authorities of mandatory medical insurance foundations and medical insurance organizations and also consensual consideration of opinions of all participants of the mandatory medical insurance system.

© 2018 Dynasty Publishing House. All rights reserved. The objective. To study the level of knowledge of paediatricians on problems of antimicrobial therapy of respiratory tract infection with determination and analysis of the most common mistakes. Materials and methods. In 2016-2017, knowledge of antimicrobial therapy of respiratory tract infections in children was tested among 238 paediatricians in five cities (Yekaterinburg, Kirov, Novosibirsk, Surgut, Ufa). Testing included twenty stem questions composed according to modern clinical guidelines. Five answer choices were offered to each question, of which one or several were correct. Assessment of the results took into account both chosen and unchosen answers (maximally possible score was 100). The result of 91-100 scores was assessed as «excellent », 81-90 - «good», 71-80 - «satisfactory», 70 and less - «unsatisfactory». Results. The average score was 70.5. In different cities the average score was as follows: in Yekaterinburg - 71.7, in Kirov - 73.8, in Novosibirsk - 74, in Surgut - 69.3, in Ufa - 63.5. Only one physician's answers were assessed as «excellent» (0.42%), answers of 40 physicians were «good» (16.81%), 88 answers - «satisfactory» (36.97%) and 109 answers - «unsatisfactory» (45.8%). Conclusion. The study has shown insufficient knowledge of paediatrician on problems of antimicrobial therapy of respiratory tract infections. These data may be used in preparing educational programmes for physicians.