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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.
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