About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

Main arrow Archive of previous Issues arrow ╣5 2011 (21) arrow Scientific approach to the organizational foundations of the service of medical advice and diagnosis for children population: illustrated through the pattern of the Republic of Dagestan
Scientific approach to the organizational foundations of the service of medical advice and diagnosis for children population: illustrated through the pattern of the Republic of Dagestan Print
Thursday, 19 January 2012

A.A.Kalininskaya1, P.B.Abdurashidova2, L.M.Aliyeva1
Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow
2 Republican pediatric medical advisory clinic of the Republic of Dagestan

Summary. Organization and provision of the service of medical advice and diagnosis for children and adolescent population is a delicate problem in the healthcare system far from being solved as yet. It is most topical for the Republic of Dagestan as there exist certain features of national specificity in this field: large-sized families having many children, varying lifestyles within one family due to highly mixed population of the Republic, women insufficiently cultivated as mothers, especially in rural environment. The mean proportion of infants upon a medical district reaches 15%, while in the Russian Federation on a whole it does not exceed 3%.

To outline certain measures for solving the problems identified in organization and provision of the service of medical advice and diagnosis for children and adolescent population in the Republic of Dagestan.

Locally varying features of children and adolescent morbidity were investigated into in all territories of this Republic. Rate of response through involvement in medical activity of the citizens was estimated along statistical techniques. Districts of the Republic differing in accessibility of medical care for children and adolescents were compared for the volume and main stream of provision of medical advice and diagnosis-making for them.

Rural dwellers are not rarely in a position to take access to medical care in a needed volume due to low transport accessibility of central district hospitals. As a result, central district hospitals have switched - under the pressure of limited funding - to provision of medical care mainly to the population of administrative centers of rural and urban municipalities. Experimental approaches to organization of one day hospital based in the Republican childrenĺs clinic were developed and approved. Its medical and social efficiency and economic role were appreciated, as well. The current condition of outpatient medical care for children and adolescents was assessed for the structure of its primary and referral components and comprehensive measures and ways for its improvement were outlined.


  1. Extension of rights of heads of rural settlements aimed at increasing their responsibility for the health condition of the inhabitants was considered feasible in this trial.
  2. Adoption of the law (or a package of laws) - for Constituent Territories of the Russian Federation - on healthcare in localities with low density of the population was considered essential in funding general practitioners in the countryside context.
  3. Development of the National Project entitled ôHealthö is considered to enter this framework also.

Key words. Children;, adolescents; consultation and diagnostic care; areas of accessibility of medical care, organizational model of diagnosis.


  1. Ayvazova Z.N. Kompleksnoye sotsialno-gigiyenicheskoye issledovaniye sostoyaniya zdorovya podrostkov v usloviyakh krupnogo goroda [Complex social and hygienic examination of adolescentsĺ health in condition of megacity]. [PhD. Thesis]. Moscow; 2007. 24 p.
  2. Valiyeva B.I. Nauchnoye obosnovaniye sistemy organizatsii i obespecheniya kachestva ambulatorno-poliklinicheskoy pomoshchi detyam rannego vozrasta, prozhivayushchim v selskoy mestnosti [Scientific grounds for the system of organization and provision of quality ambulatory-polyclinic care to young children in rural areas]. [PhD. Thesis]. Moscow; 2006. 24 p.
  3. Gadzhiyev R.S. Semeynyy vrachebnyy uchastok [Family health care district]. Moscow: Meditsina; 1988. 272 p.
  4. Gadzhiyev R.S. Vrach obshchey praktiki (semeynyy vrach) [General practice doctor (family doctor)]. Moscow: Meditsina; 2005. 542 p.
  5. Gasanov A.N. Nauchnoye obosnovaniye sistemy obespecheniya kachestva i effektivnosti dispanserizatsii detey i podrostkov v usloviyakh detskikh gorodskikh poliklinik [Scientific grounds for the system of providing quality and efficient dispensary examination of children and adolescents in city children polyclinics]: [PhD. Thesis]. Moscow; 2006. 23 p.
  6. Starodubov V.I., Tsybulskaya I.S., Sukhanova L.P. Okhrana zdorovya materi i rebenka kak prioritetnaya problema sovremennoy Rossii [Maternity and child health protection as a priority problem in present-day Russia] //Sovremennyye meditsinskiye tekhnologii. 2009. ╣2. S. 11-16.
  7. Chicherin L.P., Leshkevich I.A., Proshin V.A., Mikhalskaya Ye. V. K voprosu o reformirovanii pediatricheskoy sluzhby [On the problem of reforming pediatric service]. Problemy sotsialnoy gigiyeny, zdravookhraneniya i istorii meditsiny 2006;(3):21-28.

Views: 16149

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Thursday, 07 November 2013 )
< Prev   Next >
home contact search contact search