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    технология организации. Главное технологии организации медицинской помощи во время и после эпидемии covid19


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    НазваниеГлавное технологии организации медицинской помощи во время и после эпидемии covid19
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    СВЕДЕНИЯ ОБ АВТОРЕ

    Улумбекова Гузель Эрнстовна (Guzel E. Ulumbekova) - доктор медицинских наук, MBA Гарвард­ского университета (Бостон, США), руководитель Высшей школы организации и управления здраво­охранением - Комплексного медицинского консалтинга (ВШОУЗ-КМК), доцент кафедры обще­ственного здоровья и здравоохранения, экономики здравоохранения педиатрического факультета ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Москва, Российская Федерация E-mail: vshouz@vshouz.ru

    https://orcid.org/0000-0003-0986-6743

    Худова Ирина Юрьевна (Irina Yu. Khudova) - кандидат медицинских наук, MBA Университета Да­рема (Дарем, Великобритания), ведущий аналитик Высшей школы организации и управления здра­воохранением - Комплексного медицинского консалтинга (ВШОУЗ-КМК), Москва, Российская Феде­рация

    E-mail: i71@list.ru

    ЛИТЕРАТУРА

    1. Shock to the system: COVID-19’s long-term impact on the NHS [Electronic resource]. URL: https://www.health. org.uk/news-and-comment/blogs/shock-to-the-system- covid-19s-long-term-impact-on-the-nhs

    2. What will be the impact of the COVID-19 pandemic on healthcare systems? // Deloitte [Electronic resource]. URL: https://www2.deloitte.com/fr/fr/pages/covid-insights/ar- ticles/impact-covid19-healthcare-systems.html

    3. How has COVID-19 impacted on cardiovascular ser­vices and patients [Electronic resource]. URL: https://www. nuffieldtrust.org.uk/news-item/how-has-covid-19-impacted- on-cardiovascular-services-and-patients

    4. KFF health tracking poll - June 2020 [Electronic re­source]. URL: https://www.kff.org/report-section/kff-health- tracking-poll-june-2020-social-distancing-delayed-health- care-and-a-look-ahead-to-the-2020-election/

    5. How have healthcare utilization and spending changed so far during the coronavirus pandemic? [Electronic resource]. URL: https://www.healthsystemtracker.org/chart- collection/how-have-healthcare-utilization-and-spending- changed-so-far-during-the-coronavirus-pandemic/#item- start

    6. Whaley C.M., Pera M.F., Cantor J. et al. Changes in health services use among commercially insured US popula­tions during the COVID-19 pandemic // JAMA Netw. Open. 2020. Vol. 3, N 11. DOI: https://doi.org/10.1001/jamanet- workopen.2020.24984

    7. Where next for healthcare? June 2020 How the healthcare industry can help reboot Australia // PWC [Elec­tronic resource]. URL: https://www.pwc.com.au/health/ where-next-for-healthcare-report.pdf

    8. Методические рекомендации МР 3.1/2.1.0186-20 «Рекомендации по проведению профилактических ме­роприятий в целях предотвращения распространения новой коронавирусной инфекции (COVID-19) при восста­новлении профильной деятельности медицинских орга­низаций» (утв. Федеральной службой по надзору в сфере защиты прав потребителей и благополучия человека 25.05.2020) [Электронный ресурс]. URL: https://www. garant.ru/products/ipo/prime/doc/74110050/

    9. Framework for healthcare systems providing non- COVID-19 clinical care during the COVID-19 pandemic [Elec­tronic resource]. URL: https://www.cdc.gov/coronavirus/ 2019-ncov/hcp/framework-non-COVID-care.html

    10. Постановление Правительства РФ от 02.07.2020 № 973 «Об особенностях организации оказания меди­цинской помощи при угрозе распространения заболе­ваний, представляющих опасность для окружающих» [Электронный ресурс]. URL: http://publication.pravo.gov. ru/Document/View/0001202007080007

    11. Временные методические рекомендации «Про­филактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». Версия 9 (26.10.2020) [Электрон­ный ресурс]. URL: https://static-0.minzdrav.gov.ru/system/ attachments/attaches/000/052/550/original/%D0%9 C%D0%A0_COVID-19_%28v9%29.pdf?1603788097

    12. Tittle S., Braxton C., Schwartz R. A guide for surgical and procedural recovery after the first surge of COVID-19 // Catalyst NEJM. 2020. Jul. [Electronic resource]. DOI: https:// doi.org/10.1056/CAT.20.0287

    13. Wu K., Smith C.R., Lembcke B.T. et al. Elective sur­gery during the COVID-19 pandemic // N. Engl. J. Med 2020. Vol. 383. P. 1787-1790. DOI: https://doi.org/10.1056/ NEJMclde2028735

    14. Aziz S., Arabi Y.M., Alhazzani W. et al. Managing ICU surge during the COVID-19 crisis: rapid guidelines // Inten­sive Care Med. 2020. Vol. 46. P. 1303-1325.

    15. Centers for Medicare & Medicaid Services (CMS) recommendations re-opening facilities to provide non-emer- gent non-COVID-19 healthcare [Electronic resource]. URL: https://www.cms.gov/files/document/covid-recommenda- tions-reopening-facilities-provide-non-emergent-care.pdf

    16. American Medical Association. A physician practice guide to reopening [Electronic resource]. URL: https://www. ama-assn.org/delivering-care/public-health/covid-19-physi- cian-practice-guide-reopening

    17. Healthcare Providers: preparing for the next normal after COVID-19 // MacKinsey Survey. 2020. May 8 [Electronic resource]. URL: https://www.mckinsey.com/industries/hea lthcare-systems-and-services/our-insights/healthcare-pro- viders-preparing-for-the-next-normal-after-covid-19

    18. Excellence leads the way. A playbook for navigating the clinical and operational challenges of a global health crisis [Electronic resource]. URL: https://www.rush.edu/ sites/default/files/RushCOVIDResponsePlaybook.pdf

    19. First-Time Telehealth Tips. These tips and best prac­tices will help you make the most of your telehealth visit [Electronic resource]. URL: https://www.rush.edu/news/ first-time-telehealth-tips

    20. Thornton J. The «virtual wards» supporting patients with Covid-19 in the community // BMJ. 2020. Vol. 369. Article ID m2119 [Electronic resource]. DOI: https://doi. org/10.1136/bmj.m2119

    21. Virtual wards: caring for COVID-19 patients at home could save lives [Electronic resource]. URL: https://thecon- versation.com/virtual-wards-caring-for-covid-19-patients-at- home-could-save-lives-149292

    22. Вице-мэр Ракова рассказала об оснащении вре­менных госпиталей [Электронный ресурс]. URL: https:// rg.ru/2020/10/07/reg-cfo/vice-mer-rakova-rasskazala-ob- osnashchenii-vremennyh-gospitalej.html

    23. After COVID-19 - thinking differently about run­ning the health care system [Electronic resource]. URL: https://jamanetwork.com/channels/health-forum/fullar- ticle/2765238

    24. Постановление Правительства РФ от 02.07.2020 № 973 «Об особенностях организации оказания меди­цинской помощи при угрозе распространения заболе­ваний, представляющих опасность для окружающих» [Электронный ресурс]. URL: http://publication.pravo.gov. ru/Document/View/0001202007080007

    25. Приказ Министерства здравоохранения РФ от 19.03.2020 № 198н (с изменениями на 23 октября 2020 года). «О временном порядке организации работы медицинских организаций в целях реализации мер по профилактике и снижению рисков распространения новой коронавирусной инфекции COVID-19 (с измене­ниями на 23 октября 2020 года)» [Электронный ресурс]. URL: http://docs.cntd.ru/document/564482310

    26. Как проводить медицинскую сортировку па­циентов в условиях пандемии COVID-19. [Электронный ресурс]. URL: https://www.provrach.ru/article/11654- qcvdq-20-m05-24-meditsinskaya-sortirovka-patsientov-v- usloviyah-pandemii-covid-19

    27. Организация лечебно-диагностической работы. Как справиться с наплывом плановых больных после пан­демии [Электронный ресурс]. URL: https://e.zamglvracha. ru/829431

    28. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff [Electronic resource]. URL: https:// www.cochranelibrary.com/cdsr/doi/10.1002/14651858. CD011621.pub5/full

    29. Заявившая об отсутствии СИЗ врач подала в суд на руководство больницы [Электронный ресурс]. URL: https:// medvestnik.ru/content/news/Zayavivshaya-ob-otsutstvii-SIZ- vrach-podala-v-sud-na-nachalstvo-svoei-bolnicy.html

    30. Hospitals improvise to address COVID-19 PPE shortage [Electronic resource]. URL: https://www.cidrap. umn.edu/news-perspective/2020/06/hospitals-improvise- address-covid-19-ppe-shortage

    31. Meisenhelder C. et al. Effect of dry heat and autoclave decontamination cycles on N95 FFRs. [Elec­tronic resource]. URL: https://www.researchgate.net/ publication/341840005_Effect_of_Dry_Heat_and_Auto- clave_Decontamination_Cycles_on_N95_FFRs/citation/ download

    32. Постановление Главного государственного сани­тарного врача РФ от 22.05.2020 № 15 «Об утверждении са­нитарно-эпидемиологических правил СП 3.1.3597-20 «Про­филактика новой коронавирусной инфекции (COVID-19)».

    33. Методические рекомендации MP 3.1.0169-20 «Лабораторная диагностика COVID-19» (утв. Федеральной службой по надзору в сфере защиты прав потребителей и благополучия человека от 30.03.2020) [Электронный ресурс]. URL: https://www.rospotrebnadzor.ru/upload/ iblock/884/metod_recomed_3.1.0169_20_v_1.pdf

    34. Interim guidance on testing healthcare personnel for SARS-CoV-2. Center of Disease Control [Electronic re­source]. URL: https://www.cdc.gov/coronavirus/2019-ncov/ hcp/testing-healthcare-personnel.html

    35. Health system changes spurred by COVID may be here to stay [Electronic resource]. URL: https://www.med- scape.com/viewarticle/931989

    36. Telehealth: health care from the safety of our homes [Electronic resource]. URL: https://telehealth.hhs.gov

    37. Telehealth implementation playbook [Electronic resource]. URL: https://www.ama-assn.org/system/files/2020-04/ ama-telehealth-playbook.pdf

    38. Using telehealth to boost treatment for substance­use disorder [Electronic resource]. URL: https://www.ama- assn.org/practice-management/digital/using-telehealth- boost-treatment-substance-use-disorder

    39. Mytonomy [Electronic resource]. URL: https:// www.mytonomy.com/microlearning-patient-education- videos.html

    40. COVID-19: telehealth communication [Electronic resource]. URL: https://www.achonline.org/COVID-19/Tele- medicine

    41. Frieden J. COVID-19 is making the physician shortage worse, groups say. Medpage today [Electronic re­source]. URL: https://www.medpagetoday.com/infectious- disease/covid19/85661

    42. COVID-19 healthcare delivery impacts [Electronic re­source]. URL: https://files.asprtracie.hhs.gov/documents/ covid-19-healthcare-delivery-impacts.pdf

    43. COVID-19: Are there enough health workers? [Elec­tronic resource]. URL: URL: https://ilostat.ilo.org/covid- 19-are-there-enough-health-workers/

    44. 9 ways COVID-19 may forever upend the U.S. health care industry [Electronic resource]. URL: https://www.stat- news.com/2020/05/19/9-ways-covid-19-forever-upend- health-care/

    45. Horn D., Haas J. COVID-19 and the mandate to redefine preventive care // N. Engl. J. Med. [Electronic re­source]. URL: https://www.nejm.org/doi/pdf/10.1056/ NEJMp2018749?articleTools=true

    46. A primer for clinician deployment to the medicine floors from an epicenter of COVID-19 [Electronic resource]. URL: https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0180

    47. Communication: external and internal. AHA [Elec­tronic resource]. URL: https://www.aha.org/2020-04-03- covid-19-communications-resources

    48. Safe and ready to serve you [Electronic resource]. URL: https://www.beaumont.org/safe

    49. Butler C.R., Wong S.P.Y., Wightman A.G. et al. US clinicians’ experiences and perspectives on resource limita­tion and patient care during the COVID-19 pandemic // JAMA

    Netw. Open. 2020. Vol. 3, N 11. Article ID e2027315. DOI: https://doi.org/10.1001/jamanetworkopen.2020.27315

    1. Lobdell K., Hariharan S. Improving health care lead­ership in the COVID-19 era // Catalyst NEJM. 2020 [Elec­tronic resource]. DOI: https://doi.org/10.1056/CAT.20-0225


    REFERENCES

    1. Shock to the system: COVID-19’s long-term impact on the NHS [Electronic resource]. URL: https://www.health. org.uk/news-and-comment/blogs/shock-to-the-system- covid-19s-long-term-impact-on-the-nhs

    2. What will be the impact of the COVID-19 pandemic on healthcare systems? Deloitte [Electronic resource]. URL: https://www2.deloitte.com/fr/fr/pages/covid-insights/ar- ticles/impact-covid19-healthcare-systems.html

    3. How has COVID-19 impacted on cardiovascular ser­vices and patients [Electronic resource]. URL: https://www. nuffieldtrust.org.uk/news-item/how-has-covid-19-impacted- on-cardiovascular-services-and-patients

    4. KFF health tracking poll - June 2020 [Electronic re­source]. URL: https://www.kff.org/report-section/kff-health- tracking-poll-june-2020-social-distancing-delayed-health- care-and-a-look-ahead-to-the-2020-election/

    5. How have healthcare utilization and spending changed so far during the coronavirus pandemic? [Electronic resource]. URL: https://www.healthsystemtracker.org/chart-collection/ how-have-healthcare-utilization-and-spending-changed-so- far-during-the-coronavirus-pandemic/#item-start

    6. Whaley C.M., Pera M.F., Cantor J., et al. Changes in health services use among commercially insured US popu­lations during the COVID-19 pandemic. JAMA Netw Open. 2020; 3 (11). DOI: https://doi.org/10.1001/jamanet- workopen.2020.24984

    7. Where next for healthcare? June 2020 How the healthcare industry can help reboot Australia. PWC [Elec­tronic resource]. URL: https://www.pwc.com.au/health/ where-next-for-healthcare-report.pdf

    8. Methodological Recommendations МР 3.1 / 2.1.0186-20 «Recommendations for the implementation of preventive mea­sures in order to prevent the spread of a new coronavirus infec­tion (COVID-19) during the restoration of the profile activities of medical organizations» (approved by the Federal Service for Su­pervision of Consumer Rights Protection and Human Well-being 05/25/2020) [Electronic resource]. URL: https://www.garant. ru/products/ipo/prime/doc/74110050/ (in Russian)

    9. Framework for healthcare systems providing non- COVID-19clinicalcareduringtheCOVID-19pandemic[Electronic resource].URL:https://www.cdc.gov/coronavirus/2019-ncov/ hcp/framework-non-COVID-care.html

    10. Decree of the Government of the Russian Federa­tion of 02.07.2020 No. 973 “On the specifics of organizing the provision of medical care in the event of a threat of the spread of diseases that pose a danger to others” [Electronic resource]. URL: http://publication.pravo.gov.ru/Document/ View/0001202007080007 (in Russian)

    11. Interim guidelines for the prevention, diagnosis and treatment of new coronavirus infection (COVID-19).

    Version 9 (10/26/2020) [Electronic resource]. URL: https://static-0.minzdrav.gov.ru/system/attachments/at- taches/000/052/550/original/%D0%9C%D0%A0_COVID- 19_%28v9%29.pdf?1603788097

    1. Tittle S., Braxton C., Schwartz R. A guide for surgical and procedural recovery after the first surge of COVID-19. Catalyst NEJM. 2020; Jul. [Electronic resource]. DOI: https:// doi.org/10.1056/CAT.20.0287

    2. Wu K., Smith C.R., Lembcke B.T., et al. Elective sur­gery during the COVID-19 pandemic. N Engl J Med 2020; 383: 1787-90. DOI: https://doi.org/10.1056/NEJMclde2028735

    3. Aziz S., Arabi Y.M., Alhazzani W., et al. Managing ICU surge during the COVID-19 crisis: rapid guidelines. Intensive Care Med. 2020; 46: 1303-25.

    4. Centers for Medicare & Medicaid Services (CMS) recommendations re-opening facilities to provide non-emer- gent non-COVID-19 healthcare [Electronic resource]. URL: https://www.cms.gov/files/document/covid-recommenda- tions-reopening-facilities-provide-non-emergent-care.pdf

    5. American Medical Association. A physician practice guide to reopening [Electronic resource]. URL: https://www. ama-assn.org/delivering-care/public-health/covid-19-physi- cian-practice-guide-reopening

    6. Healthcare Providers: preparing for the next normal after COVID-19. MacKinsey Survey. 2020; May8 [Electronic re­source]. URL: https://www.mckinsey.com/industries/health care-systems-and-services/our-insights/healthcare-pro- viders-preparing-for-the-next-normal-after-covid-19

    7. Excellence leads the way. A playbook for navigating the clinical and operational challenges of a global health crisis [Electronic resource]. URL: https://www.rush.edu/ sites/default/files/RushCOVIDResponsePlaybook.pdf

    8. First-Time Telehealth Tips. These tips and best prac­tices will help you make the most of your telehealth visit [Electronic resource]. URL: https://www.rush.edu/news/ first-time-telehealth-tips

    9. Thornton J. The «virtual wards» supporting patients with Covid-19 in the community. BMJ. 2020; 369: m2119 [Electronic resource]. DOI: https://doi.org/10.1136/bmj. m2119

    10. Virtual wards: caring for COVID-19 patients at home could save lives [Electronic resource]. URL: https://thecon- versation.com/virtual-wards-caring-for-covid-19-patients-at- home-could-save-lives-149292

    11. Vice-Mayor Rakova spoke about equipping tem­porary hospitals [Electronic resource]. URL: https:// rg.ru/2020/10/07/reg-cfo/vice-mer-rakova-rasskazala-ob- osnashchenii-vremennyh-gospitalej.html (in Russian)

    12. After COVID-19 - thinking differently about run­ning the health care system [Electronic resource]. URL: https://jamanetwork.com/channels/health-forum/fullar- ticle/2765238

    13. Decree of the Government of the Russian Fed­eration of 02.07.2020 No. 973 «On the peculiarities of organizing the provision of medical care in the event of the threat of the spread of diseases that pose a danger to others» [Electronic resource]. URL: http://publication. pravo.gov.ru/Document/View/0001202007080007 (in Russian)

    14. Order of the Ministry of Health of the Russian Feder­ation of March 19, 2020 No. 198n (as amended on October 23, 2020). “On the temporary procedure for organizing the work of medical organizations in order to implement mea­sures to prevent and reduce the risks of the spread of a new coronavirus infection COVID-19 (as amended on October 23, 2020)” [Electronic resource]. URL: http://docs.cntd.ru/ document/564482310 (in Russian)

    15. How to triage patients in a COVID-19 pandemic. [Electronic resource]. URL: https://www.provrach.ru/ article/11654-qcvdq-20-m05-24-meditsinskaya-sortirovka- patsientov-v-usloviyah-pandemii-covid-19 (in Russian)

    16. Organization of medical and diagnostic work. How to cope with the influx of planned patients after a pandemic [Electronic resource]. URL: https://e.zamglvracha.ru/829431 (in Russian)

    17. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff [Electronic resource]. URL: https:// www.cochranelibrary.com/cdsr/doi/10.1002/14651858. CD011621.pub5/full

    18. The doctor who declared the absence of PPE sued the hospital administration [Electronic resource]. URL: https://medvestnik.ru/content/news/Zayavivshaya- ob-otsutstvii-SIZ-vrach-podala-v-sud-na-nachalstvo-svoei- bolnicy.html

    19. Hospitals improvise to address COVID-19 PPE shortage [Electronic resource]. URL: https://www.cidrap. umn.edu/news-perspective/2020/06/hospitals-improvise- address-covid-19-ppe-shortage

    20. Meisenhelder C., et al. Effect of dry heat and au­toclave decontamination cycles on N95 FFRs. [Electronic resource]. URL: https://www.researchgate.net/publica- tion/341840005_Effect_of_Dry_Heat_and_Autoclave_De- contamination_Cycles_on_N95_FFRs/citation/download

    21. Resolution of the Chief State Sanitary Doctor of the Russian Federation of 05/22/2020 No. 15 “On the approval of the sanitary and epidemiological rules of SP 3.1.3597-20” Prevention of new coronavirus infection (COVID-19)“. (in Rus­sian)

    22. Methodical recommendations MP 3.1.0169-20 “Laboratory diagnostics of COVID-19” (approved by the Federal Service for Supervision of Consumer Rights Protec­tion and Human Well-being dated 03/30/2020) [Electronic resource]. URL: https://www.rospotrebnadzor.ru/upload/ iblock/884/metod_recomed_3.1.0169_20_v_1.pdf (in Rus­sian)

    23. Interim guidance on testing healthcare personnel for SARS-CoV-2. Center of Disease Control [Electronic re­source]. URL: https://www.cdc.gov/coronavirus/2019-ncov/ hcp/testing-healthcare-personnel.html

    24. Health system changes spurred by COVID may be here to stay [Electronic resource]. URL: https://www.med- scape.com/viewarticle/931989

    25. Telehealth: health care from the safety of our homes [Electronic resource]. URL: https://telehealth.hhs.gov

    26. Telehealth implementation playbook [Electronic resource]. URL: https://www.ama-assn.org/system/files/ 2020-04/ama-telehealth-playbook.pdf

    27. Using telehealth to boost treatment for substance­use disorder [Electronic resource]. URL: https://www.ama- assn.org/practice-management/digital/using-telehealth- boost-treatment-substance-use-disorder

    28. Mytonomy [Electronic resource]. URL: https:// www.mytonomy.com/microlearning-patient-education- videos.html

    29. COVID-19: telehealth communication [Electronic resource]. URL: https://www.achonline.org/COVID-19/Tele- medicine

    30. Frieden J. COVID-19 is making the physician shortage worse, groups say. Medpage today [Electronic re­source]. URL: https://www.medpagetoday.com/infectious- disease/covid19/85661

    31. COVID-19 healthcare delivery impacts [Electronic re­source]. URL: https://files.asprtracie.hhs.gov/documents/ covid-19-healthcare-delivery-impacts.pdf

    32. COVID-19: Are there enough health workers? [Elec­tronic resource]. URL: URL: https://ilostat.ilo.org/covid- 19-are-there-enough-health-workers/

    33. 9 ways COVID-19 may forever upend the U.S. health care industry [Electronic resource]. URL: https://www.stat- news.com/2020/05/19/9-ways-covid-19-forever-upend- health-care/

    34. Horn D., Haas J. COVID-19 and the mandate to redefine preventive care. N Engl J Med. [Electronic re­source]. URL: https://www.nejm.org/doi/pdf/10.1056/ NEJMp2018749?articleTools=true

    35. A primer for clinician deployment to the medicine floors from an epicenter of COVID-19 [Electronic resource]. URL: https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0180

    36. Communication: external and internal. AHA [Elec­tronic resource]. URL: https://www.aha.org/2020-04-03- covid-19-communications-resources

    37. Safe and ready to serve you [Electronic resource]. URL: https://www.beaumont.org/safe

    38. Butler C.R., Wong S.P.Y., Wightman A.G., et al. US clinicians’ experiences and perspectives on resource limita­tion and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020; 3 (11): e2027315. DOI: https://doi. org/10.1001/jamanetworkopen.2020.27315

    39. Lobdell K., Hariharan S. Improving health care lead­ership in the COVID-19 era. Catalyst NEJM. 2020 [Electronic resource]. DOI: https://doi.org/10.1056/CAT.20-0225


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