A.N.Zlobin1, S.V.Antipenkov1, A.G.Mashin2
1Municipal Hospital, town of Zhukovsky, Moscow Region
2Outpatient clinic No.2 of the Agency of Presidential Affairs, Moscow
Summary. Morbidity for 2004-2008 in the population
based in an urban municipality in the Moscow Region was surveyed. This
morbidity was understood as disease incidence associated with temporary
loss of ability for labor, and as rate of hospital admission of adult
population.
An adjustment of inpatient bed capacity to the proof standards
incorporated in plan tasks of the local program of state guarantees was
started in the town of Zhukovsky since 2004.
This reorganization fulfilled in 2004-2008 resulted in reduced bed
capacity of casualty department from 67 to 59 beds (by 25.4%).
25.4% reduction in bed capacity was one side of reorganization, and
another side was mean inpatient stay reduced from 17.6 to 15.3 days (by
13.1%). Also, mean annual number of patients per bed increased from 17.7
to 23.1 p/b (by 23.4%). Mean annual occupancy of a bed by patients
increased from 312.7 to 347.3 days (by 10.1%).
Rate of access of adult population to the clinic’s traumatology
specialist increased from 49.2 to 70.4 accessed patients per 1000
subjects of based adult population (by 30.1%). Reduced call rate
compared to increased access rate here is accounted for by reduced
medically groundless reiterative visits which in turn evidenced improved
skills of our medical staff supported by introduction of novel
efficient medical technique and technologies for the treatment of
patients of traumatology and orthopedics profile.
It was the wide use of innovative technologies for treating patients
with trauma/diseases of the musculoskeletal system during the period of
2004-2008 that really diminished mean temporary incapacity for work due
to aforementioned conditions - by 31.9% in days, by 28.2% in rate of
followed cases (physical cases per 100 employed subjects of population)
Interestingly, primary retirement through disability diminished by
30.9%/
It is most probable that the results of this study could prove useful
in other constituent territories of the Russian Federation for
monitoring materiel resources in municipal healthcare.
Keywords. Morbidity; hospital admission; municipality; musculoskeletal system; traumatology/orthopedics care.
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