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.
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