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Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

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QUALITY OF MEDICAL AID TO THE PATIENTS WITH COMBINED SPINAL COLUMN AND SPINAL CORD INJURY IN ST. PETERSBURG

https://doi.org/10.14531/ss2007.3.74-76

Abstract

Objective. To analyze the quality of medical aid to patients with combined spinal column and spinal cord injury in St. Petersburg. Material and Methods. Organization and evaluation of the quality of medical aid to 741 patients with combined spinal column and spinal cord injury were analyzed. A method of integrated quality evaluation adapted to the given problem was used with a highest index being 1.0. Results. The majority of patients with combined injury (74.8 %) were primarily cured by specialized and maneuver teams of emergency medical service. The integrated index in special medical aid teams was 0.76 for diagnosis quality, and 0.87 for treatment quality. Integrated indices for both diagnosis and treatment quality in maneuver teams were 0.75. Conclusion. Quality indices of medical aid to patients with combined spinal column and spinal cord injury in St. Petersburg at pre-admission and admission stages are low. The study showed that there is a possibility to enhance medical aid quality by the way of staff development and management quality improvement.

About the Authors

Vladimir Vladimirovich Shchedrenok
Russian Polenov Neurosurgical Institute, St. Petersburg
Russian Federation


Igor Vasilyevich Yakovenko
Russian Polenov Neurosurgical Institute, St. Petersburg
Russian Federation


Olga Vladimirovna Moguchaya
Russian Polenov Neurosurgical Institute, St. Petersburg
Russian Federation


Sergey Vladimirovich Orlov
Russian Polenov Neurosurgical Institute, St. Petersburg
Russian Federation


Nikolay Vladimirovich Anikeev
Russian Polenov Neurosurgical Institute, St. Petersburg
Russian Federation


References

1. Берснев В.П., Щербук Ю.А., Щедренок В.В. и др. Нейрохирургия Санкт-Петебурга 2000–2003. СПб., 2004.

2. Гуманенко Е.К. Политравма. Актуальные проблемы и новые технологии в лечении // Новые технологии в военно-полевой хирургии и хирургии повреждений мирного времени: Тез. докл. Междунар. конф. СПб., 2006. С. 4–14.

3. Доклад о состоянии здравоохранения в Европе. Копенгаген: ЕРБ ВОЗ, 2002.

4. Поляков И.В., Милосердов В.П., Максимов А.В. Документирование процедур и процессов в системах менеджмента качества медицинской помощи // Вестн. СПб. ГМА им. И.И. Мечникова. 2005. № 2. С. 170–172.

5. Филатов В.Б. Стратегия развития регионального здравоохранения: опыт формирования. М., 1999.

6. Фраерман А.П., Кравец Л.Я., Арефьев В.А. и др. Проблема черепно-мозговой и сочетанной травмы на современном этапе // Актуальные проблемы нейрохирургии: Сб. науч. тр., посвященный 40-летию Нижегородского нейрохирургического центра. Н. Новгород, 2003. С. 23–46.

7. Щепин О.П., Стародубов В.И., Линденбратен А.Л. и др. Методологические основы и механизмы обеспечения качества медицинской помощи. М., 2002.

8. Health 21: The Health for All Policy Frameworks for the WHO European Region // European Health for All Series. № 6. Copenhagen: WHO Regional Office for Europe. 1999.

9. National Health Research Systems. Report on international workshop. Geneva: WHO, 2002.

10. Word Report on Knowledge for Better Health. Strengthening Health Systems. Geneva: WHO, 2004.


Review

For citations:


Shchedrenok V.V., Yakovenko I.V., Moguchaya O.V., Orlov S.V., Anikeev N.V. QUALITY OF MEDICAL AID TO THE PATIENTS WITH COMBINED SPINAL COLUMN AND SPINAL CORD INJURY IN ST. PETERSBURG. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2007;(3):074-076. (In Russ.) https://doi.org/10.14531/ss2007.3.74-76



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ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)