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1970- 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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( 01.12.2015 31.12.2015) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17.02.2016

CONTENTS
ECONOMICS AND FINANCE IN HEALTHCARE
Pirogov M.V.
The account regional specificities in the organization of medical care with clinical
and statistical groups. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


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,

Uspenskaya E.V., Yurina S.V.


Regional features of the payment of outpatient dental care. . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. , -

WORK ORGANIZATION

Fedotkin S.M., Filimonuk M.V., Sazhnev S.M.


Critical care bundles: past, present and future. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EXPERIENCE EXCHANGE
Mayorova O.A., Appalup M.V., Momotuk K.S., Vatagina E.A., Lapayeva S.I., Drepina A.S.
Blood Service of the Moscow Government: the difficult path to advancement . . . . . . . . . . .
HEALTH INSURANCE
The results of the parliamentary hearings on the problems of the MLA: Experts of the Committee of Civil Initiatives called for reform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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OUR INTERVIEW
Lev Demidov: "The immune system can make its own, if to help her" (of existing standards
and the prospects for the treatment of melanoma) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Marianna Ulybysheva: "We are approaching the personalized medicine


where drugs are synthesized based on the individual characteristics
of the organism unique single patient" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WELCOME TO THE DISCUSSION
Komarov Yu..
Few gender differences. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


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Gorokhov M.S.
Every Russian citizen has the right to health and medical assistance . . . . . . . . . . . . . . . . . .

A survey by WHO in different countries shows widespread misunderstanding


of the public resistance to antibiotics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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ASE HISTORY
Jargin S.V.
Alcohol and alcoholism in Russia: 19702015. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INFORMATION AND LEGAL SUPPORT FOR MEDICAL
Monitoring activities in the health sector legislation
(for the period from 01.12.2015 to 31.12.2015) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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CRITICAL CARE BUNDLES: PAST, PRESENT AND FUTURE


S.M. Fedotkin, M.V. Filimonuk, S.M. Sazhnev
Summary. The search was carried out in web databases and other available sources using predetermined
keywords. We summarized findings of research on critical care bundles, particularly the most important
ones on VAP prevention, central venous catheter care and also sepsis resuscitation and management.
Key words: care bundles, intensive care, ventilator-associated pneumonia, central venous catheterization,
sepsis.


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3. .., .. // . 2012. 9. . 1929.
4. .., .. // . 2012. 8. . 2032.
5. 5 Million Lives Campaign. Getting Started Kit: Prevent Ventilator-Associated Pneumonia How-to
Guide. Cambridge, MA: Institute for Healthcare Improvement, 2008. http://www.ihi.org/
IHI/Programs/Campaign/VAP.htm.

02/2016

http://glavvrach.panor.ru

21

22


6. Berenholtz S.M., Dorman T., Ngo K., Provonost P.J. Qualitative review of intensive care unit
quality indicators // Journal of Critical Care. 2002. 17. . 1215.
7. Dellinger R.P., Levy M.M., Carlet J.M. et al. Surviving Sepsis Campaign: international guidelines
for management of severe sepsis and septic shock // Intensive Care Med. 2008. 34. .
1760.
8. Evaluation of the Modernisation of Adult Critical Care Services in England Research Report
Produced for the National Institute for Health Research Service Delivery and Organisation
programme. 2009.
9. Fernandez J.F., Levine S.M., Restrepo M.I. Technologic Advances in Endotracheal Tubes for
Prevention of Ventilator-Associated Pneumonia Chest. 2012 Jul. 142 (1). . 231238.
10. Frampton G.K., Harris P., Cooper K., Cooper T., Cleland J., Jones J. et al. Educational interventions
for preventing vascular catheter bloodstream infections in critical care: evidence map, systematic
review and economic evaluation // Health Technol Assess. 2014. 18 (15).
11. Fulbrook P., Mooney S. Care bundles in critical care: a practical approach to evidence-based
practice Nursing in Critical Care. 2003. Vol 8. 6. . 249255.
12. Hagg H., El-Harit J., Vanni C., Scott P. All Bundled Out Application of Lean Six Sigma
techniques to reduce workload impact during implementation of patient care bundles within
critical care A case study. RCHE Publications. 2007. Paper 26. http://docs.lib.purdue.
edu/rche_rp/26.
13. International Nosocomial Infection Control Consortium (INICC) Bundle to Prevent Central
Line Associated Bloodstream Infections (CLAB) in Intensive Care Units (ICU): An International
Perspective. 2013.
14. Khodyakov D. et al. Project JOINTS: What factors affect bundle adoption in a voluntary quality
improvement campaign? // BMJ Qual Saf. 2014. . 111. doi:10.1136/bmjqs-2014-003169.
15. Koenig S.M., Truwit J.D. Ventilator-Associated Pneumonia: Diagnosis, Treatment and Prevention
// Clin Microbiol Rev. 2006 Oct. 19 (4). . 63757. http://www.ncbi.nlm.nih.gov/
pmc/articles/PMC1592694/.
16. Lagan S.H. NATIONAL care bundle audit. http://www.midtrentccn.nhs.uk/images/
ServiceImprovement/Care_bundles_national_report_2008.pdf.
17. Levy M.M., Dellinger R.P., Townsend S.R. et al. The Surviving Sepsis Campaign: results of an
international guideline-based performance improvement program targeting severe sepsis //
Intensive Care Med. 2010. 36. . 22231.
18. Minkoff H., Berkowitz R. Fetal Monitoring Bundle Obstet Gynecol. 2009. 114. . 13325.
19. OGrady N.P. et al. Preventing Ventilator-Associated Pneumonia. Does the Evidence Support the
Practice? // JAMA. 2012. 307. . 25342439.
20. Pandharipande P., Wesley E.E. Sedation and Analgesia in the ICU: Pharmacology, Protocolization
and Clinical Consequences Anesthesiology Clin 29 (2011).
21. Patel G.W., Roderman N., Gehring H., Saad J., Bartek W. Assessing the Effect of the Surviving
Sepsis Campaign Treatment Guidelines on Clinical Outcomes in a Community Hospital Ann
Pharmacother. 2010. 44. . 17338. Published Online, 26 Oct 2010, theannals.com,
DOI 10.1345/aph.1P251.
22. Pronovost P.J., Goeschel C.A., Colantuoni E. et al. Sustaining reductions in catheter related
bloodstream infections in Michigan intensive care units: observational study // Br Med J.
2010. 340. . 309.
23. Qian Zhang, Chunsheng Li. The Roles of Traditional Chinese Medicine: Shen-Fu Injection on the
Postresuscitation Care Bundle Evidence-Based Complementary and Alternative Medicine Volume
2013, Article ID 319092, 7 pages. http://dx.doi.org/10.1155/2013/319092.
24. Ray B., Samaddar D.P., Todi S.K., Ramakrishnan N., John G., Ramasubban S. Quality indicators
for ICU: ISCCM guidelines for ICUs in India // Indian J Crit Care Med. 2009. 13.
. 173206.
25. Resar R., Griffin F.A., Haraden C., Nolan T.W. Using Care Bundles to Improve Health Care Quality.
IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare
Improvement, 2012.
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and septic shock // N Engl J Med. 2001. 345. . 136877.

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27. Saving Lives High Impact Interventions Central venous catheter care. http://webarchive.
nationalarchives.gov.uk/20120118164404/http://hcai.dh.gov.uk/files/2011/03/2011-03-14HII-Central-Venous-Catheter-Care-Bundle-FINAL.pdf.
28. Saving Lives High Impact Interventions Peripheral intravenous cannula care.
http://webarchive.nationalarchives.gov.uk/20120118164404/http://hcai.dh.gov.uk/
files/2011/03/2011-03-14-HII-Peripheral-intravenous-cannula-bundle-FIN%E2%80%A6.pdf.
29. Van Saene H.K.F., Silvestri L.M.A., Gullo de la Cal A., Ed. Infection Control in the Intensive Care
Unit. 2012. Springer. ISBN 978-88-470-1600-2.


-, 57, - .
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BLOOD SERVICE OF THE MOSCOW GOVERNMENT:


THE DIFFICULT PATH TO ADVANCEMENT
O.A. Mayorova, M.V. Appalup, K.S. Momotuk, E.A. Vatagina, S.I. Lapayeva, A.S. Drepina
Summary. It has been described the structure of the Blood Service of the Moscow Health Department,
the development of donor community in a metropolis, historical aspects of stimulation donors activity
from the Moscow Government, receiving positive results allow us to speak about the success of events.
Key words: Blood Service, Moscow Government, progress, donors activity, haemocomponents, blood
supply.
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S.V. Jargin
Summary. The problem of alcohol abuse and alcoholism in Russia is well known. However, an improvement tendency with a decline of heavy binge drinking has been noticed since approximately the last
decade or more. At the same time, there is a tendency to exaggerate the alcohol-related problems, which
tends to disguise shortcomings of the public health, shifting responsibility for the relatively low life expectancy onto the patients i.e. self-inflicted diseases allegedly caused by alcohol consumption. The purpose of this review was to draw attention to alcohol abuse and related issues of public health. Apart
from alcohol, the following causes of the enhanced mortality should be named: limited availability of
modern health care, especially for men of older age, including those prone to the alcohol consumption,
toxicity of some alcoholic beverages causing up to severe intoxications. Besides, there is a problem of
property-related crime against alcohol abusers aimed among others at appropriation of their flats and
houses. Admittedly, a quality improvement tendency of sold alcohol since approximately the last decade
has been noticed.
Key words: alcoholism, alcohol intoxication, public health.

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