Plavinski S. L., Shabalkin P.I.
Clinico-economical evaluation of the atosiban use in preterm birth
pp. 1-12 (Research)
Preterm births are serious life-threatening complication of pregnancy which bears a high risk of death and other complications both in mother and child. Today many efficient options exist for tocolysis, that is prolongation of pregnancy necessary to maturation of fetus’s lung. Selection of optimal therapy usually done based on effectiveness and safety profile, but in third-payer setting economical aspect of treatment if also important. The cost-minimization analysis and budget impact analysis show that in Russian setting use of atosiban will result in significant savings.
Key words: atosiban, preterm birth, cost minimization analysis, budget impact analysis
Kildebekova R. N., Dmitriev A. V., Fedotov A. L., Sayakhov R. F.
The Influence of Physical Exercises on the Dynamics of Arterial Pressure and Psychological Health of Patients with Arterial Hypertension
pp. 13-18 (Research)
The purpose of the present study was to evaluate the clinical efficacy of physical rehabilitation of hypertensive patients using cycle trainers and static-dynamic exercises including an intense component in ambulatory settings. Rehabilitation measures resulted in lowering blood pressure, reducing body weight and negative behavioural risk factors, promoting psychological health, improving self-esteem.
Nesterova A. V., Krasnopolskaya I. I.
Providing free high-tech medical care in Russia – analysis of the practice
pp. 19-43 (Research)
The article analyzes practical issues of providing high-tech care through a quota system. The principal idea of the article is to access the possible impact of inclusion of high-tech care in general health insurance on convenience of its receiving. Referral algorithm for high-tech care is described, problems of practice for granting high-tech care through quota system are analyzed. An estimate is made, that the problems described may be tackled by inclusion of high-tech care in general health insurance.
The article is based on contextual analysis of ways of directing citizens for high-tech care, studies of high-tech care centers geographical location and an empirical study on high-tech care provided for patients with upper urinary tract cancer in one of the cancer clinics in the city of Moscow (as of 2014).
Material for producing a contextual analysis article was about the direction of citizens to VMP, studying geography location centers for VMP, and the results of empirical research to provide patients with upper urinary tract cancer in one of the cancer centers in the city of Moscow (as of 2014). A semiformalized depth interview based on a plan containing a list of question wording was chosen as a research method. The study surveyed the following target groups: doctors, patients, representatives of non-profit organizations working in the health sector, the former employees of the Ministry of Health.
Interview results suggest that the algorithm for providing high-tech care through a quota system is confusing for the patient and the very practice of high-tech care provision diverges with standards established by law. At the same time, only a portion of the existing problems can be solved by inclusion of high-tech care into general health insurance framework. The authors believe that the results can be used to improve existing algorithms for high-tech care provision.
Key words: high-tech care, quotas, cancer patients, general health insurance
Kalatchov B. F.
Cocaine was the curse of our youth | Drugs in the trenches and in the rear of the World War I
pp. 44-54 (Discussion)
The article dwells upon a relatively unknown historical fact – the influence of the WW I on the expansion of non-medical use of narcotic drugs in Russia and the West. Address The issue of the creation of non-addictive analgesics is considered. The thesis of the prohibition as a reason for the intensive growth of drug use is refuted.
Key words: cocaine, morphine, painkillers, First World War, drugs, drug addiction
