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Summary. Public demand for the extent of outpatient care is
directly related to the population age structure, morbidity rates and
morbidity structure as well as access to emergency and immediate care,
timely hospitalization and quality of inpatient care. Uptake of
outpatient care is also affected by quality and accessibility of care
and its level of organization (early diagnostics, regular medical
check-ups, prevention, treatment and rehabilitation).
Methods of standardizing and planning outpatient care through direct
qualitative calculation require consideration of many demographic,
economic, organizational and technological factors which is a
challenging and very time-consuming procedure. To simplify and speed up
calculation of standard extent of outpatient care we have suggested a
methodology that ensures reliable and faster calculation of
age-standardized extent of medical care.
For the first time ever a research resulted in a universal methodological tool – age-standardized rates (index) of care uptake,
allowing to calculate age-standardized extent of outpatient care
(primary care) for developing programs of state guaranties of free
medical care at the federal level and, what is of crucial importance,
within the constituent territories of the Russian Federation with due
regard to their specific age structures. Age-standardized extent of
outpatient care for 2012 has been calculated with formulas developed by
the authors, which are presented in five tables.
The proposed method provides for a unified approach to develop
age-standardized extent of outpatient care; the method is clear,
user-friendly and is recommended for the development of regional
programs of state guaranties.
Keywords. Medical care; standardized rates (index) of medical care uptake; differential standards of outpatient care.
References
-
1. Alekseev NA. Analysis of Efficiency of Healthcare Facilities. Zdravookhranenie Rossiyskoy Federatsii 2004;(5):8-11 (in Russian).
-
Vasil'eva RS. Optimization of Financial Planning of Health Care Costs
within the Frames of Realization of the Basic Program of Mandatory
Health Insurance at a Regional Level (by an Example of Republic of Sakha
(Yakutia). Cand.Sci.Med [thesis]. Moscow; 2004. 25 p. (in Russian).
-
Dement'ev AI. Scientific Grounds for Efficiency of Bed Fund Usage in
Central District Hospitals. Cand.Sci.Med [thesis]. Moscow; 2002. 27 p.
(in Russian).
-
Differential Norms of Health Care to Population and Health Care
Resource Provision: Methodical Guide of the Ministry of Health of the RF
¹ 99/180. Moscow: RIO TsNIIOIZ MZ RF; 2000. 28 p. (in Russian).
-
Zlobin AN. Health and Social Grounds for the Needs in Medical and
Social Care in the Elderly and Old Population. Cand.Sci.Med [thesis].
Moscow; 1996. 25 p. (in Russian).
-
Korotkov YuA. Scientific Grounds for Reforms of Primary Health Care on
the Base of General (Family) Practice. Dr.Sci.Med [thesis]. Moscow;
1999. 46 p. (in Russian).
-
Korotkov YuA, Chudnov VP. Organization of Health Care Management in Municipalities. Glavvrach 2010;(3):25-51 (in Russian).
-
Kravchenko NA, Polyakov IV. Scientific Grounds of the Methodology for
Prognosis of Health Care Resource Provision in Russia (the History and
Present). Moscow: Federal'nyy fond OMS; 1998. 392 p. (In Russian)
-
Kravchenko NA, Rozanov VB. To the Methodology of Formation of the
Differential Norms of Needs in Inpatient Medical Care in Different Age
Population Groups. Ekonomika zdravookhraneniya 2011;(9-10):20-31 (In Russian).
-
Êó÷åðåíêî Â.Ç. Health Care Reforming in the World as a Public Process. Problemy upravleniya zdravookhraneniem 2005;(4): 5-10 (in Russian).
-
Leonov SA, Matveev EN. The Problems of the Regulation Base of the
Program of State Guarantees at the Present Stage of Health Care
Development. Zdravookhranenie Rossiyskoy Federatsii 2009;(3):14-16 (In Russian).
-
Methodical Recommendation for Formation and Economical Grounds of the
Regional Programs of the State Guarantees for Delivering Free Medical
Care to Citizens of the Russian Federation in 2000. [Internet]. 2000
[cited 2013 Feb 10]. Available from:
http://law7.ru/legal2/se12/pravo12357/index.htm (in Russian).
-
On Formation and Economical Grounds of the Regional Program of the
State Guarantees for Delivering Free Medical Care to Citizens of the
Russian Federation for 2011: Information Letter of the MoH&SD of
Russia ¹20-2/10/2-12028 of December 17, 2010. [Internet] 2010 [cited
2013 Jan 14]. Available from: http://base.consultant.ru/cons/cgi/
online.cgi?req=doc;base=LAW;n=108103
-
Collection of Methodical Materials on Formation, Economical Grounds and
Realization of MHI Regional Programs. 4 volumes. Taranov AM, Andreeva
OV, eds. Moscow: Federal'nyy fond OMS; 2003. V. 1. P. 74-142 (in
Russian).
-
Collection of Methodical Materials on Formation, Economical Grounds and
Realization of MHI Regional Programs. 4 volumes. Taranov AM, Andreeva
OV, eds. Moscow: Federal'nyy fond OMS; 2003. V. 3. P. 184-216 (in
Russian).
-
Collection of Methodical Materials on Formation, Economical Grounds and
Realization of MHI Regional Programs. 4 volumes. Taranov AM, Andreeva
OV, eds. Moscow: Federal'nyy fond OMS; 2003. V. 4. P. 4-78 (in Russian).
-
Semenov VM, Rugol' LV, Matveev EN. Scientific and Methodical Grounds for Children Population Needs in Inpatient Care. Menedzher zdravookhraneniya 2010;(10):29-40 (in Russian).
-
Starodubov VI, Flek VO, Son IM, Leonov SA, Matveev EN, Bant'eva MN.
Improvement of the Regulation Base of the Program of State Guarantees
for Delivering Free Medical Care to the Population as a Condition for
Successful Solution of Health Care Problems. Menedzher zdravookhraneniya 2010;(1):9-19 (in Russian).
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