http://repository.usmf.md:80/handle/20.500.12710/15798 Fri, 10 Apr 2026 07:18:28 GMT 2026-04-10T07:18:28Z http://repository.usmf.md:80/handle/20.500.12710/16385 Title: Sănătate Publică, Economie şi Management în Medicină. 2009, Nr. 3(30) Abstract: Revista ”Sănătate Publică, Economie și Management în Medicină” prezintă ediția periodică fondată de Asociația Obștească din Republica Moldova ”Economie, Management și Psihologie în Medicină” în anul 2003. Asociația Obștească ”Economie, Management și Psihologie în Medicină” a unit un grup de profesioniști din sistemul de sănătate care promovează valorile, principiile, modelele și tehnologiile relevante ale sistemului de sănătate prin editarea revistei periodice, manualelor, monografiilor și altor cărți. Scopul revistei: Difuzarea informației și publicarea rezultatelor științifice și realizărilor practice în domeniul economiei ocrotirii sănătății, managementului sanitar, psihologiei, medicinei sociale și altor discipline, precum și informații cu caracter medico-social. Propagarea și implementarea noilor tehnologii în domeniul dat. Contribuirea, prin mijloace accesibile la realizarea scopurilor de prim plan a Asociației ”Economie, Management și Psihologie în Medicină”. Revista științifico-practică „Sănătate Publică, Economie și Management în Medicină” publică rezultatele cercetărilor autohtone în diferite domenii ale medicinei și implementarea practică a acestora. Description: Fondator: Asociația Obștească din Republica Moldova ”Economie, Management și Psihologie în Medicină”. Cofondatori: Centrul Ştiinţifico-Practic Sănătate Publică şi Management Sanitar al Ministerului Sănătăţii, Centrul Naţional Ştiinţifico-Practic de Medicină Preventivă. Thu, 01 Jan 2009 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/16385 2009-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/15986 Title: Организация паллиативной помощи неизлечимым пациентам в различных странах Authors: Карафизи, Наталья Abstract: Îngrijirea paliativă este o abordare medicosocială relativ nouă care, fiind implementată cu succes în mai multe ţări ale lumii, şi-a demonstrat viabilitatea pe parcursul anilor. R. Moldova este una dintre ţările europene care fac primii paşi în dezvoltarea îngrijirii paliative. Fiecare ţară trebuie să-şi aleagă calea proprie de implementare a îngrijirilor paliative, folosind resursele interne. Articolul descrie diferite forme de organizare a acestor servicii şi modelele posibile de implementare a lor, reieşind din evaluarea necesităţilor ţării în domeniul dat. Conform datelor oficiale, în jur de 23 567 de pacienţi din Moldova necesită îngrijiri paliative (a. 2004), care actualmente se acordă la nivel neguvernamental.; Palliative care is a relatively new medico-social approach, which, being successfully implemented in a number of countries across the world, has proved its sustainability through the years. Moldova is one of European countries that takes its first steps in palliative care development. Each country should find its own way of palliative care development based on internal resources. The article describes different types of palliative care service organisation and possible models of their implementation derived from the palliative care needs assessment for the country. The estimated data show there are about 23,567 of patients in Moldova, who require palliative care (y. 2004), which actually is provided by non-governmental organisations. Thu, 01 Jan 2009 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/15986 2009-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/15985 Title: Substratul sociopsihologic de formare a alcoolismului Authors: Şapovalova, Iulia Abstract: Multiple social-economic, psychological, financial factors, unemployment and social stress with contribution to the majority of persons affected by chronic alcoholism. According to the statistics, one European person of four consumes a perilous quantity of alcoholic drinks that provoke grave problems with health. In the Republic of Moldova the consumption of alcoholic drinks is one of the widespread phenomenon in population, including women. In evolution of disease a great importance belongs to micro-sociological, biological factors, personality problems, individual-psychological peculiarities, abnormal behaviour in proportion to micro-social environment, all these determine characteristically pathological development. Irrespective of the educational level, age, sex, ethnic group, they encounter the same problems, to they were effaced all individual differences in mode of life, activity motives, forms of emotional answer. According to the data of clinical - psychopathological research, in alcoholism are taking place some modifications in the sphere of motivational need, in emotional – volitional, intellectual and communicative spheres. In consequence of disturbances in emotional – volitional sphere are standing up and are forming the different pathological reactions of defence and even behavioural models, which inevitably lead to social alienation of personality. Abuse of alcohol creates premises for interpersonal conflict worsening that lead to failure of ordinary methods of psychological protection and search of its new forms, frequently much regressive than previous. Alcohol besides the fact that promotes distortion and reconstruction of duty hierarchy, is coming one more way of escape from reality.; Росту заболеваемости хроническим алкоголизмом способствуют множество факторов социальноэкономического, психологического, финансового характера, безработица, социальный стресс. Согласно данным статистики, один из четырех европейцев употребляет алкоголь в количествах, провоцирующих серьезный вред здоровью. В Республике Молдова употребление спиртных напитков широко распространенное в обществе явление, в том числе и среди женщин. В развитии заболевания имеют значения микросоциальные, биологические факторы, личностные проблемы, индивидуально-психологические особенности, девиантное поведение в связи с микросоциальным окружением, приводящие к патохарактерологическому развитию. Независимо от уровня образования, возраста, пола, этнической принадлежности, больные сталкиваются с одними и теми же проблемами, у них стираются индивидуальные различия в образе жизни, мотивах деятельности, формах эмоционального реагирования. По данным клинико-психопатологических исследований, при алкоголизме происходят изменения в мотивационно-потребностной, эмоциональноволевой, интеллектуальной, коммуникативной сферах. Вследствие расстройств эмоционально-волевой сферы возникают и формируются различные защитные патологические реакции и даже системы поведения – некритичный юмор, лживость, отмалчивание, стремление избегать нормальную микросреду, которые неуклонно ведут к социальному отчуждению личности. Алкоголь, извращая и перестраивая иерархию потребностей, в то же время становится средством ухода от реальности. Thu, 01 Jan 2009 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/15985 2009-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/15984 Title: Determinanţii psihosociali ai sănătăţii la etapa îngrijirilor perinatale Authors: Şişcanu, Dumitru Abstract: Based on the experience accumulated in the frame of Perinatological Consultative Section of the Municipal Clinical Hospital nr. 1, and on the analysis of bibliographical sources, it was made a synthesis of the information regarding health psycho-social determinants at the stage of perinatal care, intended for health experts and social assistants, that offer services for families during pregnancy and after birth. Being proposed as a work tool in medical and psycho-social assistence given to women being in difficulty during pregnancy and after birth. The systematized framework includes psycho-social determinants of pregnant women health, mothers and new born children. They are important, in the author’s vision, for the specific of Republic of Moldova. The up named determinants are: the attitude towards pregnant women, the access to medical services of quality, social statute, behavior, nutrition, attitude of pregnant women towards perinatal care initiation, perinatal care quality, life conditions, psycho-emotional statute, labor, attitude of close persons/community towards pregnant women’s needs. The knowledge of psycho-social health determinants of pregnant women and new born children, can offer adequate solutions to problems regarding access to perinatal care and its quality, as well as reduction of social and health risks for mother and child.; На основании накопленного опыта в Консультативном Отделении I-ой Городской Клинической Больницы г. Кишинэу, а также анализа литературных источников удалось осуществить синтез информации о психосоциальных детерминантах здоровья на этапе перинатального ухода в помощь специалистам из области здравоохранения и социальной защиты населения, вовлеченных в оказание услуг семьям во время беременности и после рождения ребенка. Систематизированная таблица, предложенная как рабочий инструмент в выявлении основных немедицинских факторов, как благоприятствующихб так и с риском для здоровья матери и ребенка, включает основные психо-социальные детерминанты здоровья беременных женщин, рожениц и новорожденных, важных с точки зрения автора для специфики Республики Молдова: отношение к беременности, доступ к качественным медицинским услугам, социальный статус, поведение, питание, отношение беременной к инициированию перинатального ухода, качество перинатальных услуг, жилищные условия, психо-эмоциональный статус, работа, отношение близких/общества к нуждам беременной женщины. Знание психо-социальных детерминантов здоровья беременных женщин и новорожденных может предложить адекватное решение проблем, касающихся доступа к перинатальным услугам и их качества, а также снижения социальных и медицинских рисков для матери и ребенка. Thu, 01 Jan 2009 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/15984 2009-01-01T00:00:00Z