[Organization of rest periods between shifts for physicians].
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Biomedical subjects
Publications and source records attributed to G I Kutsenko.
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It is shown that valid annual planning of the activities of the State Epidemiological and Sanitary Control Service oriented on social well-being parameters helps determine the role of each specialist of the staff, the scope of the measures and their sequence, thus warranting effective work of the service.
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Current methodology and organization of evaluations of the efficiency of specialists and subdivisions of sanitary epidemiological institutions of the first level of managing are presented. The authors propose a method for quantitative evaluation of the efficiency for comparison of compatible and equivalent values. Definitions essential for evaluation of the efficiency the State Sanitary and Epidemiological Surveillance are formulated. A demonstration model of computer processing of the data for estimations of efficiency of the State Sanitary and Epidemiological Surveillance has been developed.
Methodological, technological, and organization characteristics of efficiency evaluation of specialists and hygienic departments engaged in a State Sanitary Surveillance (SSS) Center of the first level of management are presented. Main notions concerning the efficiency of SSS are formulated. A method for quantitative evaluation of the quality is offered, allowing comparison of compatible and equivalent parameters. Validation for mathematical models of efficiency and quality criteria is offered. Computer technology Sanepidotsenka (Sanitary epidemiological evaluation) is offered, which is used in the regulation of SSS Center activities aimed at maintenance of sanitary and epidemiological well-being of territories.
Discusses obviously limited potentialities of obtaining systematized analytical data by organs and institutions of social sphere. Such potentialities are particularly low in public health, specifically pediatric research and practice, where analytical materials would help improve the development of strategic programs of maternity and childhood protection and adopt adequate managing solutions at all levels. One of the constructive decisions aimed at the formation of a system of sociohygienic monitoring of children's health and ensuring integration of efforts of all responsible organs is creation of Federal Center of Social prevention for Children and Adolescents. The Center will ensure economy and rational utilization of finances and staff at the state and territorial level. Its purpose is to unite the interests of all profile organs and institutions for ensuring social well-being of children and adolescents.
Complex medical social analysis of reproductive health of modern boys was carried out. Approaches to specialized care of boys and youths in St. Petersburg are presented. Measures aimed at creation of a universal staged specialized service including outpatient and inpatient care are offered. Standards were determined as regards care of boys with reproductive system disorders for primary health care centers and for the second component of specialized service, responsible for the major part of outpatient care. A comprehensive departmental system of medical care quality control is suggested, including public health administrative organs and clinical expert committees of treatment and prophylactic institutions.