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Main arrow Archive of previous Issues arrow ╣3 2011 (19) arrow Certain issues of optimization of obstetrician gynecological outpatient service
Certain issues of optimization of obstetrician gynecological outpatient service Print
Friday, 30 September 2011

Summary. Analysis into gynecological morbidity and pathologic developments in pregnancy in the RF, Central Federal District, and Moscow Region was performed. More detailed analysis into prevalence and structure of incidence of gynecologic morbidity in Moscow Region alone was also carried out.

Calls from adult population (older than 18 yr) were for inflammatory lesions of female genital organs (35% of cases), non-inflammatory genital pathologic developments (21%), benign neoplasm in the genital and congenital block (17%), menstrual function disturbances (7%).

Calls from infantile, puerile, and adolescent population (0-17 yr) were for inflammatory lesions of female genital organs (47% of cases), non-inflammatory genital pathologic developments (14%), menstrual function/cycle disturbances (28%).

Calls from adult population (older than 18 yr) were for pregnancy in 15 % of cases, and for postnatal complications in 3% of cases.

One of the main drawbacks in organization of obstetrician gynecological outpatient service was a low rate of subsequent visits per an initial call which can be accounted for by obviously insufficient diagnostic and therapeutic care to the females withá gynecological pathology.

Analysis of the annual rates of population-based visits to obstetrician/gynecologist (supported lately by expertise evaluation) was performed, and real requirements of population of the RF in obstetrician gynecological outpatient services were substantiated: 831.2 visits per 1000 adult subjects, 209.4 visits per 1000 infantile, puerile, adolescent subjects, mean 715.6á visits per 1000 general population subjects. More age-detailed requirements of visits per 1000 subjects were substantiated as follows: 86.4 for 0-14 yr of age, 668.0 for 15-17 yr of age, 1309.8 for 18-29 yr of age, 1021.3 for 30-39 yr, 688.2 for 40-49 yr, 673.9 for 50-59 yr, 368 for older than 60 yr.

Other Regionsĺ normative programs of providing state guarantees for obstetrician gynecological outpatient services could readily use these schemes for accurate estimatesá of local requirements of such services, only that an adjustment to regional peculiarities of age groups composition of the populationá should be made.

Key words. Gynecological morbidity, obstetrician gynecological service, outpatient health care, annual rates of visits, healthcare services, normative requirements, local adjustment of requirements.

References

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