Background. The effective development of healthcare and, in particular, clinical medicine, increasingly depends on the unique medical technologies and modern equipment used. Therefore, in order to form a competitive healthcare system in a megapolis, it is important to introduce a management mechanism that allows constant monitoring of emerging new technologies and a comprehensive assessment of their impact on changing the quality of medical care, assessing their contribution to public health, that is, creating a “technological funnel” for the healthcare system. Purpose. The purpose of this study is to identify the urgent problems in the analysis and comprehensive assessment of new medical technologies and determine the possible mechanisms for their introduction into clinical practice. Materials and methods. The methodology of this work is to study the literature and research of the most successful practices of introducing new medical technologies (on the example of the capital's healthcare), study the opinions of the population and healthcare professionals based on the analysis of social networks. Results. Based on the systematization of information obtained by the authors in the course of the study, authors identified the most important new medical technologies for the population and health care professionals, which, in their opinion, have changed the landscape of the capital's health care for the better. Authors determined significant criteria for improving the efficiency of the health care system through the search, comprehensive assessment and scaling of innovative practices in clinical medicine. Discussion. The creation of a "technological funnel" in the health care system of the capital makes it possible to conduct comparable research on the quality of medical care provided with many countries of the world. In addition, the constant search and comprehensive assessment of new medical technologies, potentially suitable for implementation in city clinics, can significantly influence the improvement of the quality of medical care provided to the population. Conclusion. Solving the problems associated with the optimization of search processes, comprehensive assessment, unification of the processes of introducing new medical technologies, can significantly improve the quality of medical care, as well as affect the contribution of health care to the health of citizens. At the same time, such studies require careful research and search for approaches that meet modern realities.
This article presents an analysis of international experience in the implementation of digital therapeutics technologies in health care. The features of digital therapeutics products: their distinction from digital health products and digital medicine are highlighted. An analysis of the global market for digital therapeutics is presented. The aspects of regulation of digital therapeutics and the barriers to its implementation are presented. The importance of digital therapeutics for the transition of health systems to a value-based management model is discussed.
The purpose of the article is to study approaches to the development of corporate culture of healthcare workers in terms of forming a tolerant attitude towards patients belonging to various ethno-cultural and confessional groups. Among the measures of managerial influence is the further development of the foundations of the corporate culture of employees of medical organizations, which can contribute to solving the problem of attracting patients belonging to a variety of national and religious groups. The results of the analysis (systematization of scientific literature and sociological survey in the form of interviews conducted by the authors of the article) of the main problems, the solution of which is associated with the development of corporate culture, showed that the attitude of patients and medical personnel to euthanasia, termination of pregnancy, death (including suicide); methods of reproduction of life (artificial conception, surrogacy); obstacles to religious rituals during the treatment of patients.This article presents conclusions on the analysis of these problems and possible approaches to their solution: the authors propose measures for the formation of new competencies in corporate culture (as a set of formal and informal requirements in a medical organization imposed on its employees) aimed at preventing and overcoming conflict situations arising from misunderstandings in relationships between patients and medical staff.
The authors have identified the priorities of the CPHMC based on the results of the Center's work in 2021 and the trends in the development of public health in Moscow. Along with this, the preferred directions for the development of the public health system in the city of Moscow are highlighted. Scientific research in the areas of work of the Center for Medical Health Care allows using reliable and up-to-date scientific information in the work of health care in Moscow, which makes it possible to improve not only the quality, but also the volume of work performed, projects of management decisions in the field of public health. As part of the activities of the CPHMC, it is planned to expand the range of activities related to the formation of the health of labor collectives and to draw the attention of employers to corporate public health programs to the maximum.
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