Organization of Medical Care Secondary and Tertiary Medical

Organization of Medical Care. Secondary and Tertiary Medical Care.

Health is the biggest value of a society and individual, because it to a great extent influences processes and results of economic, social and cultural development of the country, demographic situation and state of national safety, it is the important social criterion of the degree of development and prosperity of society.

Secondary medical care is the aid that needs the service of the special character, more refined and difficult than the aid provided by a general practitioner; includes the aid provided by the specialized services according to direction of primary branches of medical service.

The main tasks of city hospital: - providing specialized round-the-clock stationary aid in a sufficient quantity; - approbation and introduction of modern methods of diagnostics, treatment and prophylaxis; - complex treatment; - examination of disabled; - hygienically education of population.

Brief scheme of the structure of city hospital Head physician Management Economic department Specialized medical department Medicallyauxiliary and diagnostically subsections Reception office Other sub-section departments Kitchen Laundry Archives Department of pathology and anatomy

n n n organizationally-methodical guidance of the work of all district’s TPE, and also control work of their activity; development and introduction of measures which are directed to upgrade the quality of medical providing; development, organization and realization of measures which can raise qualification of medical personnel; rational usage of medical personnel’s and materially-technical resources; planning, financing and organization of the materially-technical support of the district’s health care establishments; qualification raising of medical staff of the district and section TPE.

Structure of central district hospital Central district hospital Hospital management Economic department Permanent establishment Policlinic Therapy Surgical Pediatric Midwifery Gynaecological Neurological Infectional Medicallyauxiliary and diagnostically subsections Organization and Methodical cabinet Medical archives Kitchen Ambulance Pat anatomy

Estimation of health condition of population Analyses of activity TPE on the region Studding, generalizatio n and spreading of the progressive experience Organizive end methodical work Planning and organization of the raising of qualification Organization of planlyconsultive aid in the districts and region’s towns Organizive end methodical aid to the organs of health care and district’s TPE

Number of the bed-days spent by the patients Average annual = occupation of Average annual number of beds

Number of the bed-days spent by Middle duration of the staying of a patient in a = the patients Number of patients which left the permanent establishment hospital (sum of written out and deceased) Circulation of bed Number of patients that where treated in permanent establishment = Average annual number of beds Middle number of = operations for one occupied post of surgeon Number of the conducted operations Number of post of surgeon in the department

Index of lethality After operational lethality Number of the deceased patients = Number of written out + number of deceased х 100 Number of the deceased operated patients = Number of the operated patients х 100

It is necessary on the third stage: - complete transition to the multilevel system of stationary service; - completion of forming of common medical space for giving of medical care; - exposure of surplus hospital powers and establishments which do not complete modern standards and their next closing.

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