1. Current Status of Public-Private Partnership in Mongolian Health Sector
Mendjargal N ; Erdenekhuu N ; Munkh-Erdene L
Innovation 2016;10(1):34-37
State that the private sector partnership is a general concept that encompasses formal legal relationships between government entities and the private sector to use private sector resources and expertise to ensure delivery of public services and property. This is because public services to improve the capacity for sustainable use of private sector skills and modernization of technology andfinancial resources, capacity building and increased capacity necessary to wait for the budget cost ofthe current economic situation of our country. Public-private partnership noted that the assessment made by international organizations to take place very effectively in our country. Therefore, the evaluation of the current public-private partnership in the health sector in order toimprove these conditions and to improve the quality and accessibility of care and identify ways of involvement in the implementation of a basis for the work of the study. The purpose of the study is to assess the state of public-private partnership conditions in the Mongolian health sector.We conducted overall 20 focus group interviews with 180 participants, including doctors and health care professionals. 17 out of 20 were from Ulaanbaatar and 3 were out of 20. From them, six interviews in the Aimag’s and district’s Complex Hospital represented for the secondary health care organizations, 8 interviews in the Family Clinic represented for primary health care organizations.3 interviews in the third health care organizations. Also 3 interviews in the private health care organizations.Is not known the advantages of public and private medical practitioners and medical specialists partners and do not have experience in working partner. But running has partnered with medical doctors, specialists increased support service types currently provided as a partnership between the hospital and doctor finds that your experience is improving and increasing the quality of service.For flip side is that partners can expand partnership working poor accountability. Future doctors and medical experts believe is necessary to strengthen the increasing awareness of the Partnership through the provision of secondary education, advocacy and policy.Doctors and medical experts believe that public-private partnerships Mongolian international health industry groups have developed expanding significantly. It believes that the lack of knowledge about the partnership, due to be implemented in a realistic policy document.
2.Outcomes of Long-term Video EEG monitoring for epilepsy presurgical evaluation
Gansuvd O ; Battamir E ; Budlkham J ; Mendjargal N ; Solongo Ts ; Pagmadulam Ts ; Tovuudorj A
Mongolian Journal of Health Sciences 2025;87(3):16-20
Background:
One-third of people with epilepsy have drug-resistant epilepsy,
making surgical treatment necessary. Comprehensive pre-surgical evaluations,
including long-term video-electroencephalographic (VEEG) monitoring,
magnetic resonance imaging (MRI), and neuropsychological testing, are essential
components of epilepsy presurgical evaluation. The Epilepsy Center
at the Mongolian-Japanese Hospital of MNUMS was established in September
2022 and introduced long-term video-EEG monitoring in May 2023. This
marked the first time in Mongolia that comprehensive evaluation for epilepsy
surgery became available.
Aim:
To evaluate the role and outcomes of long-term video-EEG monitoring in
the pre-surgical assessment of epilepsy patients
Materials and Methods:
A prospective cohort study was conducted at the
Epilepsy Center of the Mongolian-Japanese Hospital from May 2023 to March
2025. Patients who underwent VEEG and comprehensive pre-surgical evaluation
were included. Data included demographic information, seizure history, imaging
findings, and neurophysiological assessments (routine, sleep-deprived,
and long-term video EEG). Patients were divided into two groups based on
whether they met criteria for epilepsy surgery, and surgical outcomes were
compared between these groups.
Results:
A total of 297 patients (104 children and 193 adults) participated in
the study. Of these, 96 (32%) were diagnosed with temporal lobe epilepsy and
underwent pre-surgical evaluation. The mean age of this group was 33±9.2
years; male-to-female ratio was 1:1. Age of seizure onset was 20±10.9 years,
and the mean duration of epilepsy was 14.8±10.3 years. Etiologies included
meningitis (21.7%), febrile seizures (15.2%), birth complications (12.5%), and
traumatic brain injury (12.5%). The average duration of VEEG monitoring was
1.45±0.68 days, during which 161 seizures were recorded (average 2.64 per
patient). No seizures were captured in 35 patients.
Among the 96 patients, 29 met the criteria for surgical intervention, and
11 underwent temporal lobe epilepsy surgery. Surgical outcomes were significantly
better compared to the non-surgical group (p<0.05).
Conclusion
Long-term video-EEG monitoring plays a critical role in precisely
localizing the epileptogenic zone, identifying seizure types, establishing differential
diagnoses, and optimizing surgical candidacy. It is confirmed as an
essential diagnostic tool in the pre-surgical evaluation for epilepsy surgery.