Unfortunately, doctors often forget ...

Unfortunately, doctors often forget that the patient must be properly fed. The main task of our Association - the maximum spread among the physicians understanding of the necessity and importance of nutritional factors in intensive care. Today, the Association created a school of training, where the training of divers specialists. Because of this we managed to create a Western-style in the North West region 20 brigades of intensive nutritional support. Note: there is no specialty, chief nutritionist at the Health Committee is also not a problem of nutritional support yet solved. This can be regarded as a kind of experimental model of medical self-governance in a country where medical authorities in law no. In the framework of the territorial medical associations (Association of Medical organizations in St. Petersburg), we found an effective "ground contact" with the majority of professional medical associations. The next moment is no less important: adequate nutritional support of patients in intensive care needs, as it is not sad, adequate financial resources. To increase the tariff for the severe category of patients in need, including those in intensive nutritional support, is possible only through participation of the Association of medical organizations in St. Petersburg in the urban tariff commission, the Board of the territorial fund CBOs. That is why for enterprise-wide solutions (interdisciplinary) problems, I recommend that the heads of professional associations that are not yet members of the territorial medical associations, consider joining the Association of medical organizations in St. Petersburg. SA Andenko Undoubtedly, the materials of this meeting will have an impact in the professional medical environment. We are ready for dialogue, we are ready to defend our views on the formation of civil society institutions in the health sector, both in the St. Petersburg and across the Russian Federation. Thank you for your attention.

Performance and assessment of quality of emergency medical services prehospital

AE Zhukov, VK Tiunov, GI Devyatkova, V. Nelyubin MUZ "Perm city station ambulance" Among the problems of increasing the efficiency of the service quality management of SMEs emergency medical care is of particular importance. But today's realities are such that quality management is based mainly on emotions, feelings and intuition leader, while to be based on evidence. They are theoretically and practically grounded analysis procedure, based on statistical data model. When you create a system of quality assurance in medicine applied methodological framework for the assessment laid A. Donabedianom, who proposed to use for this triad that characterizes any process technology and consisting of structure (resources - material, human, institutional), technology (the process of medical care) and the results .