Chicherin L P, Nagaev R Ia
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2014 Nov-Dec(6):40-4.
The model of the subject of the Russian Federation is used to consider means of development of health protection and health promotion in adolescents including implementation of the National strategy of activities in interest of children for 2012-2017 approved by decree No761 of the President of Russia in June 1 2012. The analysis is carried out concerning organization of medical social care to this group of population in medical institutions and organizations of different type in the Republic of Bashkortostan. Nowadays, in 29 territories medical social departments and rooms, 5 specialized health centers for children, 6 clinics friendly to youth are organized. The analysis of manpower support demonstrates that in spite of increasing of number of rooms and departments of medical social care for children and adolescents decreasing of staff jobs both of medical personnel and psychologists and social workers occurs. The differences in priorities of functioning of departments and rooms of medical social care under children polyclinics, health centers for children and clinics friendly to youth are established. The questionnaire survey of pediatricians and adolescents concerning perspectives of development of adolescent service established significant need in development of specialized complex center. At the basis of such center problems of medical, pedagogical, social, psychological, legal profile related to specific characteristics of development and medical social needs of adolescents can be resolved. The article demonstrates organizational form of unification on the functional basis of the department of medical social care of children polyclinic and clinic friendly to youth. During three years, number of visits of adolescents to specialists of the center increases and this testifies awareness of adolescents and youth about activities of department of medical social care. The most percentage of visits of adolescents to specialists was made with prevention purpose. Among physicians about 93% approved the given model of development of medical social service for adolescents.
俄罗斯联邦主体模型用于考量青少年健康保护与促进发展的手段，包括实施俄罗斯总统于2012年6月1日第761号法令批准的《2012 - 2017年儿童权益国家战略》。对巴什科尔托斯坦共和国不同类型医疗机构和组织中针对这一人群的医疗社会关怀组织情况进行了分析。如今，在29个地区设立了医疗社会部门和科室、5个儿童专科健康中心、6个青少年友好诊所。人力支持分析表明，尽管儿童和青少年医疗社会关怀的科室数量有所增加，但医务人员、心理学家和社会工作者的岗位数量却在减少。确定了儿童综合诊所、儿童健康中心和青少年友好诊所中医疗社会关怀科室和部门在运作重点上的差异。对儿科医生和青少年关于青少年服务发展前景的问卷调查显示，对设立专门综合中心有显著需求。基于这样的中心，可以解决与青少年发展的特定特征和医疗社会需求相关的医学、教育学、社会学、心理学、法律等方面的问题。本文展示了儿童综合诊所医疗社会关怀部门与青少年友好诊所基于功能进行统一的组织形式。三年来，青少年到该中心专家处就诊的次数增加，这证明青少年和青年对医疗社会关怀部门的活动有所了解。青少年到专家处就诊的最大比例是出于预防目的。约93%的医生认可为青少年提供医疗社会服务的这种发展模式。
