A.A. Modestov 1, S.A. Kosova 1, Ju.S. Nevolin 2, A.Z. Farrakhov 3, S.A. Fedotkina 4
1 - Scientific Centre of Children Health under the Russian Academy of Medical Sciences, Moscow
2 - Health Centre for Children, Krasnoturyinsk city, Sverdlovsk region
3 - Ministry of Health, Kazan, Republic of Tatarstan
4 - St. Petersburg Medical University, Medical College, St. Petersburg
Summary. The article summarizes results of the three-phase
multicenter study implemented in 2011-2012. The first phase included analysis
of a consolidated annual reporting form #68 "Health Center Performance Data".
The analysis has the following findings: 1. Positive dynamics in utilization of
Health centers in Russia has been identified implying increased prevention
activities performed by child health primary care specialists and school
medicine; 2. Genetic, behavior and metabolic risk factors of chronic
non-communicable diseases have been found in 60% of children examined; 3. The
Form #68 needs to be significantly updated as it lacks information required for
all-Russia monitoring of child health; 4. As of today, Health Centers'
procedures and standards of work with clients remain unspecified.
The second phase included a series of on-line surveys
of 1010 parents through Internet to identify types of information about
prevention and health promotion and methods of presenting this information. The
survey was followed by a web-based conference that provided the following
conclusions: 1. It is merging differences that is most challenging in on-line
communication rather than developing an affinity group; 2. Moderator should
focus on efforts that parents and/or the family have to undertake to achieve
the desired results.
Survey of 143 primary care pediatricians showed that
the pediatric community does not use new forms of communication through social
networks, relying on traditional method of communication with patients and the
family based on face-to-face contact and disease symptoms.
The third phase
included SWOT-analysis of health centers' performance that defined high
priority measures to ensure successful cooperation between centers both inside
and outside health care system.
The study showed that health centers for children are
a new technology in Russia aimed at early detection of children with a range of
pre-nosological disorders in pediatric population and encouragement of enabling
environment for effective prevention evolving the child, his/her family, health
care providers and educators.
Keywords. Health center; children; primary prevention; healthy
life, internet technology.
References
- Al'bitskiy
VYu, Modestov AA, Kosova SA, Bondar' VI, Volkov IM. New approaches to studying
children morbidity in the country («SOC/PEDIATRIA-2» program). Sistemnaya integratsiya v zdravookhranenii [Internet]
2010 [cited: 2013 Mar 24]; 8(2). Available from: http://www.sys-int.ru/ru/journals/2010/2-8/novye-podhody-k-izucheniyu-zabolevaemosti-detskogo-naseleniya-strany-programma (in Russian).
- Artyukhov IP, Kapitonov VF, Modestov
AA, Novikov OM. Family medicine. Social and health problems. Novosibirsk:
Nauka; 2005. 264 p.
(in Russian).
- Baranov AA, Kuchma VR. Guidelines on
application of automated technologies for screening diagnosis of health
disorders in children in educational institutions (methodical recommendations).
Moscow - St. Petersburg. 2010. 77 p. (in
Russian).
- Baranov AA, Al'bitskiy VYu, Ivanova
AA, Terletskaya RN, Kosova SA. Tendencies of morbidity and health status of
children population in the Russian Federation. Rossiyskiy pediatricheskiy zhurnal 2012;(6):
4-9.
(in Russian).
- Baranov AA, Al'bitskiy VYu, Modestov
AA, Kosova SA, Bondar' VI, Volkov IM. Morbidity of children population in
Russia. Moscow: Pediatr; 2013. 280 p. (in Russian).
- Bonita R, de Kuerten M, Duayer T,
Yamrozhik K, Vinkel'man R. Monitoring of risk factors for non-communicable
diseases. The principle of progressive implementation proposed by WHO. A brief review . Geneva:
WHO. 2001. 17 p.
(in Russian).
- Goncharova OV, Sokolovskaya TA,
Lunyashina MV, Korotkov YuA, Skoverdyak LA, Ovezov IA. Primary analysis of
health centers for children. Voprosy
statistiki 2012;(8):70-74. (in
Russian).
- The government program of health
care development in the Russian Federation up to 2020: the Regulation of the RF
Government ¹ 2511-p of 2012, December 24. [Internet] 2012. [cited 2013 Apr 25].
Available from: URL: http://www.rosminzdrav.ru/health/72
(in Russian).
- The European Health Report. WHO.
2005. [Internet]. [cited 2013 Mar 21]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0007/82456/E87325R.pdf) (in Russian).
- The European Healthcare Report 2009.
Health and healthcare systems. Geneva: WHO. 2010. 141 p. (in Russian).
- Ivanova IV, Chernaya NL, Shtanyuk
MG, Shumova TG. Screening diagnosis for improving medical examination in
children. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii
meditsiny 2008;(5): 27-29. (in Russian).
- Kotler F. Basics of Marketing [Translated from English]. Ìoscow:
Rosinter; 1996. 704 p. (in
Russian).
- Course on health: European
prevention strategy 2006. [Internet].
[cited 2013 Mar 21]. Available from: URL: http://www.euro.who.int/__data/assets/pdf_file/0010/76528/E89306R.pdf (in Russian).
- Kuchma VR, Skoblina NA, Milushkina
OYu, Bokareva NA, Yampol'skaya YuA. Characteristics of morphofunctional
indicators in Moscow school children of 8-15 ages (by the results of
longitudinal researches). Vestnik Moskovskogo universiteta 2012;(1):76-83. (in Russian).
- On regulatory changes in the Order
of the Ministry of Health and Social Development of the RF of 2009 August
19, N 597í "On organization of
health centers to form a healthy
life style in the citizens of the Russian Federation including reduction in
tobacco and alcohol consumption ", the Order of the Ministry of Health and
Social Development of the RF ¹ 430í of 2010 June 8. [Internet]. [cited 2013 Mar 29].
Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=102627 (in Russian).
- On the measures on implementation
of the Regulation of the RF Government
of 2009 May 18 ¹ 413 "On financial
provision from the federal budget in 2009 the measure aimed at formation of
healthy life style in the citizens of
the Russian Federation including reduction in tobacco and alcohol consumption":
the Order of the Ministry of Health and Social Development of the RF of 2009
June 10 ¹ 302í (ed. 2009
August 19) [Internet]. [cited 2013 Mar 29]. Available from: http://www.rg.ru/2009/06/24/mery-finansirovanie-dok.html (in Russian).
- On the national strategy for
children for 2012-2017. The Decree of the President of the RF [Internet].
[cited 2013 Mar 29]. Available from: http://ïðåçèäåíò.ðô/acts/15530 (in
Russian).
- On allocation of grants from the
budget of the MHI Federal Fund to regional programs of healthcare modernization
in the subjects of the RF in 2011-2012: the Regulation of the RF Government of
2010 December 27 ¹ 2396-ð [Internet].
2012 [cited 2013 Mar 29]. Available from: http://www.bestpravo.ru/rossijskoje/rx-postanovlenija/g2n.htm (in Russian).
- On mandatory health insurance in the
Russian Federation: the Federal Law of 2010 November 29 N 326-ÔÇ [Internet].
[cited 2013 Mar 27]. Available from: http://base.garant.ru/12180688/ (in Russian).
- On organization of health
centers to form a healthy life style in
the citizens of the Russian Federation including reduction in tobacco and
alcohol consumption: the Order of the Ministry of Health and Social Development
of the RF of 2009 August 19 ¹ 597í [Internet]. [cited 2013 Mar 29]. Available from: http://base.garant.ru/12169847/ (in Russian).
- On the basic principles of
population health protection in the Russian Federation (ed. 2012 June 25 N 89-ÔÇ, 2012 June 25 N 93-ÔÇ): the Federal Law of the RF of 2011
November 21 n323-ôç.
[Internet]. [Cited 2013 Mar 29]. Available from: http://www.referent.ru/1/190056 (in Russian).
- "The program for assessing children
morbidity by using electronic registration data in municipal clinics and
results of medical examinations" SOC/PEDIATRIA-3 computer program. Register of
computer programs ¹2011610938 of 2011 Jan 25. (in Russian).
- Skvortsova ES, Shurygina TE,
Livshits VV. Social and health characteristics of alcohol consumption by
adolescents, students of professional colleges in Russia (monitoring data
2006-2007). Sotsial'nye aspekty zdorov'ya
naseleniya [Online Scientific Journal] 2010 [cited 2013 Mar 28]; 15(3).
Available from: http://vestnik.mednet.ru/content/view/223/30/lang,ru/ (in Russian).
- Soboleva NP, Skoverdyak LA, Korobova
TV. The main directions of activity of health prevention centers (interagency
approach). Mikhaylova YuV, editor. Moscow: RIO TsNIIOIZ; 2004. 128 p. (in Russian).
- Social determinants of health and
wellbeing in adolescents. Geneva : WHO; 2012. 252 p. (in Russian).
- Therapeutic
psychology. Basic principles of consulting and psychotherapy (Translated from
English). Moscow: Eksmo; 2002. 624 p. (in Russian).
- Uspenskiy IV. Internet as a marketing tool. St.Petersburg: BKhV. 2000. 315 p. (in Russian).
- Tseluyko VM. Psychology of a modern
family. Moscow: VLADOS; 2004. 288 p. (in Russian).
- Yakovleva TV, Al'bitskiy VYu.
Problems and ways of forming a healthy lifestyle in the population of the
Russian Federation. Moscow: M-Studio; 2011. 216 p. (in Russian).
- Yakovleva
TV, Ivanova AA, Terletskaya RN. Problems of a healthy lifestyle in children and
students. Kazanskiy meditsinskiy zhurnal 2012;93(5):792-795. (in Russian).
- EUROHIS: Development of general
tools for health surveys. Moscow: Prava Cheloveka; 2003.193 p. (in Russian).
- Facebook has attracted 5
million Russian users. [Internet] 2011
[cited: 2012 Oct 21] Available from: http://www.dv-reclama.ru/russia/analytics/detail.php?ELEMENT_ID=21905 (in Russian).
Views: 25512
|