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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v13i3.1022</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-186</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СОЦИАЛЬНАЯ ПЕДИАТРИЯ И ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SOCIAL PEDIATRICS AND HEALTH CARE</subject></subj-group></article-categories><title-group><article-title>ОРГАНИЗАЦИЯ МЕДИЦИНСКОЙ ПОМОЩИ ДЕТЯМ С ИНФЕКЦИОННЫМИ ЗАБОЛЕВАНИЯМИ В УСЛОВИЯХ ТРЕХУРОВНЕВОЙ СИСТЕМЫ</article-title><trans-title-group xml:lang="en"><trans-title>ORGANIZATION OF MEDICAL CARE TO CHILDREN WITH INFECTIOUS DISEASES IN THE CONDITIONS OF THREE-LEVEL SYSTEM</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Серков</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Serkov</surname><given-names>V. F.</given-names></name></name-alternatives><email xlink:type="simple">anv15@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Симаходский</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Simakhodsky</surname><given-names>А. S.</given-names></name></name-alternatives><email xlink:type="simple">anv15@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Парков</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Parkov</surname><given-names>О. V.</given-names></name></name-alternatives><email xlink:type="simple">anv15@list.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Андриянычева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Andriyanycheva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="en"><p>Andriyanycheva Natal’ya Vladimirovna, MD, leading specialist of the Department of Maternal and Child Medical Care of Public Health Committee of St. Petersburg Government</p></bio><email xlink:type="simple">anv15@list.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НИИ детских инфекций, Санкт-Петербург</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Research Institute of Children Infections, St. Petersburg</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Клиническая инфекционная больница им. С.П. Боткина, Санкт-Петербург</institution><country>Россия</country></aff><aff xml:lang="en"><institution>S.P. Botkin Clinical Infectious Hospital, St. Petersburg</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Комитет по здравоохранению Правительства Санкт-Петербурга</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Health Committee of Saint- Petersburg’s Government</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>19</day><month>06</month><year>2014</year></pub-date><volume>13</volume><issue>3</issue><issue-title>Вопросы современной педиатрии</issue-title><fpage>9</fpage><lpage>11</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Серков В.А., Симаходский А.С., Парков О.В., Андриянычева Н.В., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Серков В.А., Симаходский А.С., Парков О.В., Андриянычева Н.В.</copyright-holder><copyright-holder xml:lang="en">Serkov V.F., Simakhodsky А.S., Parkov О.V., Andriyanycheva N.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/186">https://vsp.spr-journal.ru/jour/article/view/186</self-uri><abstract><p>Вступление в силу новых нормативных документов, направленных на совершенствование доступности и качества медицинской помощи, внедрение порядков и стандартов оказания медицинской помощи, предусматривающих этапность и рекомендованный объем, определяют необходимость структурирования системы. Трехуровневая система, действующая в Санкт-Петербурге, определена нормативными документами регионального уровня и предусматривает этапность оказания медицинской помощи детям с инфекционными заболеваниями — одной из наиболее часто встречающихся патологий у детей. Основной целью настоящей статьи было проанализировать деятельность трехуровневой структуры учреждений, оказывающих медицинскую помощь детям с инфекционными заболеваниями, определить основные задачи, выполняемые на каждом уровне. Анализ основных показателей демонстрирует необходимость совершенствования системы за счет рационализации в зависимости от качества и объема оказываемой медицинской помощи.</p></abstract><trans-abstract xml:lang="en"><p>The necessity for system structuring is defined by entry into force of the new normative documents directed on improvement of availability and quality of medical care, introduction of orders and standards of medical care delivery, providing staging and recommended volume. The three-level system operating in Saint-Petersburg is defined by normative documents of regional level and provides staging of medical care delivery to children with infectious diseases — one of the most frequent children pathologies. The main objective of the present article was to analyse the activity of three-level structure of the establishments rendering medical care to children with infectious diseases, to define the main objectives carried out at each level. The analysis of the main indicators shows the necessity for improvement of the system through rationalization depending on quality and volume of rendered medical care.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>трехуровневая система оказания медицинской помощи</kwd><kwd>совершенствование медицинской помощи детям с инфекционными заболеваниями</kwd></kwd-group><kwd-group xml:lang="en"><kwd>three-level system of medical care delivery</kwd><kwd>improvement of medical care to children with infectious diseases</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Prikaz Ministerstva zdravookhraneniya i sotsial'nogo razvitiya Rossiiskoi Federatsii ot 05.05.2012 g. № 521 «Ob utverzhdenii poryadka okazaniya meditsinskoi pomoshchi detyam s infektsionnymi zabolevaniyami» [Directory of the Ministry of Healthcare № 521 “Standards of Medical Care in Children with Infectious Diseases” dated 5 May 2012]. 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