The overcoming of this situation is necessary to boost health care bills high quality in rural places. The focusing on current local options that come with health care bills support and taking into account qualities of wellness of population are expected. In this respect the important thing aspect may be the training of rural Transfection Kits and Reagents doctors to employ high-tech technologies, including electronic simulation and telecommunications equipment. The relevance for the state program “Zemstvo Doctor” is obvious, but the medical knowledge system does not have any official directions in regards to the need of correcting academic programs. The efficiency of changes put on educational programs ended up being determined by subjective evaluation of the need and also the clinical connection with physicians-lecturers who are associated with solving systematic and practical problems of medical care in rural areas.The dilemma of physicians-paramedical personnel interaction features long history. There are such reasons behind misunderstanding as real stereotypes and arrogant mindset regarding the section of physicians, low assessment of medical nursing assistant professional activities, gender inequality. The system of medical care becomes more complex depending on advanced level technologies, advanced specialization and neglect to human character relations that complicates adaptation of experts and staff interactions. Therefore, it is important that every individuals in patient health care bills comprehend their individual functions and responsibilities, and understand their functions and actions influence all downline. The increasing tension within staff results in lowering in health care bills quality and undermines self-confidence of customers to health and paramedical personnel. These misconceptions donate to existing shortage of nursing staff in Russia. The methods of fixing the “eternal dispute” predicated on nationwide and intercontinental scientists knowledge are proposed.The article covers such dilemmas of current state of staffing in medical sector as availability of healthcare system specialists, education programs for people to medical educational companies and post-graduate programs for experts, expert motivation and task prospects for students, leads for development of medical knowledge and training. In addition to professional world, modern medical care system is also a market for medical services, which, based on expert estimates, is about 10 trillion US dollars per 12 months. The individuals in neuro-scientific medical services are not just organizations that provide health care bills, but also makers of health gear and medicines. The medical world can’t to successfully develop separated from social construction. The staffing in medical area needs, along side professional motivation and work customers so that you can entice professionals in the field of medicine, and provide social help with regards to their retention. The pupils entering health college need decent salary after graduation and favorable conditions for additional progression in professional field.The unfavorable demographic situation into the Russian Federation determines need of building medical, business and personal technologies for preventing abortions because of non-medical reasons. The purpose of the study was to evaluate consensus opinion of physicians about explanations women refusing to carry on maternity, to determine directions of avoiding abortions and to evaluate effectiveness associated with Municipal Competition “Life is sacred gift”, the initiative associated with All-Russian plan “Sanctity of Motherhood”. The research used such sociological technique as questionnaire study of 20 obstetricians gynecologists about factors that cause miscarriage and primary instructions of avoidance of abortion. The evaluation had been implemented of dynamics of rate of abortions during last 5 years prior to the introduction of revolutionary system of prevention of abortion with participation of physicians, psychologists, representatives of community and religious businesses in the shape of the competition “Life is sacred present” (2006-2010) as well as in program execution (2012 -2016 GG.) Also had been used the concordance method, the Fisher’s angular transform and rank correlation. The consistency of views of physicians about place of lacking of knowledge about dangers of abortion and reproductive health in lady decision making about abortion (W = 0.32; χ² = 44.8; p less then 0.001), about motivation of keeping pregnancy once the main concentrate on non-medical abortion prevention (W = 0.33; χ² = 33.3; p less then 0.001). The implementation of innovation program allowed to improve percentage of females who refused abortion from 3.3% to 17.5percent (p less then 0.01), to lessen amount of non-medical abortions from 37.9 to 16.9 per 100 births, and from 17,5 to 10.5 per 1000 ladies of fertile age (p less then 0.01). The utilization of revolutionary program increases effectiveness of standard treatments to prevent abortions.The analysis of various needs in health laboratory services among physicians associated with the Samara oblast is aiimed at further improvement of laboratory service at oblast level.
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