Laboratory and Clinical Medicine. Pharmacy

Scientific and practical quarterly peer-reviewed journal

 

ISSN 2712-9330 (Online)

VOL 4, No. 1 (2024)

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    Economics and Management in Medicine and Pharmacy

  • THE OUTSOURCING MODEL FOR THE MEDICAL SERVICE MANAGEMENT OF A SANATORIUM-RESORT ORGANIZATION

    Autors: Mironov S. V.
    • Pages: 4-10
    • Views: 22
    Organizations providing sanatorium and resort treatment often face a shortage of highly qualified health care professionals. Outsourcing of the medical service causes a number of new difficulties and is often impossible. At the request of practical healthcare, the author conducted a search for best practices to solve these problems. It turned out that alternative management models are absent both in open literature sources and among well-known organizations of the sanatorium-resort profile. As a result, the author has developed and implemented a new management model in which the general management of the organization and line staff remain on the customer's staff, and the management of the medical service is transferred to an outsourcer contractor with appropriate personnel and expertise. The advantages of this model are:
    1) flexible contract management; 2) cost optimization; 3) elimination of excessive time and money expenses; 4) expansion of competencies; 5) risk minimization; 6) reduction of non-income-generating workspaces. Optimization of about 25 % of the direct costs of managing the medical service, as well as a number of indirect costs, has been achieved. At the same time, it was possible to avoid the problems caused by outsourcing of the medical service. The limitations of the proposed model are revealed: 1) suitable only for organizations with a small medical service; 2) does not provide direct sales of services to customers; 3) does not include research work. Thus, the developed model can be applied in organizations providing sanatorium and resort treatment, taking into account the existing limitations.
  • LEGAL ISSUES OF INTOXICATION DURING MEDICAL EXAMINATION OF DRIVERS

    • Pages: 11-16
    • Views: 24
    The aim of medical examination for toxins (for instance, alcohol, narcotic on so on) is a diagnostic an intoxication. However, there are a several legal and methodological complication which associated with urine/blood check-up by chemical and toxicological methods for drugs and/or psychotropic substances, new potentially dangerous psychoactive substances, intoxicants and chemicals that causes impairment of physical and mental health.
    Medical reports, the algorithm for interpreting laboratory reports, validated chemical and toxicological check-up in urine/blood for psychotropic substances is proposed for drivers.
  • Clinical Case

  • THE ROLE OF MULTIDISCIPLINARY APPROACH ON THE WAY TO SEARCH AN EFFECTIVE DIAGNOSTIC ALGORITHMS IN LABORATORY EXAMINATION OF PATIENTS WITH MALE ACCESSORY GLAND INFECTIONS

    • Pages: 17-24
    • Views: 15
    Diagnostic accuracy of result analysis which obtained by any laboratory method depends on the mandatory compliance of out-of-laboratory preanalytical stage including sampling materials for examination. Current clinical report demonstrated step-by-step decision-making algorithm in tandem “urologist-doctor of clinical laboratory diagnostics” on the way to examining a patient with MAGI. The crucial role of sperm sediment cytology (SSC) as an urgent method in the diagnosis of MAGI is shown. Furthermore, this the first time we ever used the laboratory diagnostic approach of prostate gland sediment secretion examination by nucleic acid amplification technique with polymerase chain reaction in real time with Androflor-NCMT test (Neisseria gonorrhoeae/Chlamydia trachomatis/Mycoplasma genitalium/Trichomonas vaginalis) (MANC-PCR-RV/Androflor-NCMT), which showed expected report.
  • TREATING OF HEAD AND NECK SQUAMOUS CELL CARCINOMA WITH SUPERSELECTIVE INTRAARTERIAL CHEMOINFUSION. CLINICAL REPORT

    • Pages: 25-33
    • Views: 23

    Treating of head and neck squamous cell carcinoma is a relevant, complicated medical and social problems of modern oncology. Untimely appointment to doctor causes detection of late stages of disease. This clinical case presents an effectiveness of perspective combined treatment of inoperable malignant neoplasms of head and neck based on the technique of transarterial chemoembolization.

  • THE ROLE OF THREE-STAGE EXAMINATION ON THE WAY TO SEARCHING A CAUSES INFERTILITY IN MALE. CLINICAL REPORT

    • Pages: 34-42
    • Views: 22

    This clinical report presents inconsistency of diagnosis “idiopathic male infertility”. For the extended examination, basic semen examination, MAR-test, ultrasound of scrotum, hormonal examination, MRI (magnetic resonance imaging) of pituitary gland, TRUSE (transrectal ultrasound examination) of prostate gland, as well as a MANA/PCR-RT (method of amplification of nucleic acids with polymerase chain reaction in real time) with Androflor test have been implemented to exclude bacteriospermia. According to current diagnosis, treatment with combination of non-antibacterial drugs was prescribed. This approach was applicated to decrease the total bacterial mass. According to recommendations of professional association [1] a three-stage examination was applied which was resulted with etiological factor of male infertility.

  • Review Articles

  • HEALTHCARE – 2023

    Autors: Matveev V. I.
    • Pages: 43-49
    • Views: 10
    The international exhibition “Healthcare – 2023” was held as part of “Russian Healthcare Week”. Modern medical equipment was presented: X-ray machines, digital tomographs, ultrasound diagnostic devices, endoscopes, cardiographs, remote temperature monitoring, medical instruments and so on. Exhibition’s scientific programs was devoted to problems in medicine and key role of young scientists nowadays.