No abstract

No abstract

The article presents the results of questionnaire survey of physicians concerning issues of prevention and dispensary observation of а-HCV/HBsAg positive patients. The study established inadequate awareness and medical activity of physicians concerning issues of prevention and dispensary observation of patients from risk group and patients with viral hepatitis C/B. The working experience and medical length of service without any additional training give no guarantees of sufficient knowledge in issues of prevention, timely detection and corresponding observation of a-HCV/HBsAg positive patients.

Introduction. The incidence of chronic viral hepatitis C in women is determine the relevance of the infection vertical transmission to children with the outcome to chronic viral hepatitis C. It is necessary to assess the effectiveness of current measures to prevent perinatal viral hepatitis C and to develop strategy for prevention viral hepatitis C in children for future. Aim: to evaluate the organization and putting into effect the prevent of perinatal viral hepatitis C in an outpatient setting. Material and methods: authors presents the results of questionnaire survey of а-HCV-positive children’s mothers with chronic perinatal viral hepatitis C. The analysis of the results was carried out using Cohen Kappa method, Cohen Kappa consent coefficient (κ) was calculated. Results: The study established inadequate organization and implementation of measures to provide medical care for the prevention of perinatal viral hepatitis C int all stages of ambulatore care. Conclusion: it is necessary to create a multi-level system of prevention of viral hepatitis C in children.

The study established impacting of regional activities of social economic incentives of medical personnel on the process of employment in medical institutions of rural area. The analysis of Federal and regional legislation regulating process of incentives of physicians to employment in rural health care system was implemented. The study material was based on the results of implementation of activities of social economic incentives of medical personnel to join rural medical institutions applied in the territory of the Nizhny Novgorod region in 2006-2017. The comparative analysis was implemented concerning normative base of activities of social economic support of physicians including assessment of quality and scope of material preferences and also analysis of effect of types of material incentives on amount of input of specialists in rural health care. The comparative characteristics are presented concerning regional activities of supporting rural medical personnel with ready-made accommodation and vehicles and also assessment of federal activities related to granting rural physicians with single compensation payment of one million rubles. The implemented study demonstrated that problem of recruitment of medical personnel in general and in rural health care in particular is an extremely complicated task. The Federal and regional health authorities were engaged in development of alternatives of solution of this problem until now. It is established that a significant importance in decision making related to employment in rural medical institutions is attached to implementing programs of social economic support. It is derived that measures of social economic support related to granting ready-made accommodation within the framework of regional activities favored more active involvement and long-term assignment of medical personnel in rural area than granting with single compensation payment of one million rubles.