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N.A. Kravchenko, V.B. Rozanov
I.M. Sechenov First Moscow State Medical University, Moscow
Abstract. Background. The work is
rationalized by the fact that the volumes of standard care, annually
approved by the Program of state guarantee, do not reflect the actual
need in inpatient medical care in the majority of constituent entities
of the Russian Federation.
The aim of the study was to develop methodology for
calculating standard needs in inpatient care in respect to individual
regions that differ both in demographic composition and morbidity rates.
Methods. The subject of the study was the Program on State
Guarantees to Deliver Free Medical Care to the Citizens of the Russian
Federation in 2011 and the Information Letter # 20-2/10/2-12028 issued
by the Ministry of Health and Social Development on December 17th,
2010 "On development and economic feasibility of the Territorial
program on state guarantees to deliver free medical care to the citizens
of the Russian Federation in 2011". Federal standards of both inpatient
and outpatient medical care have been adapted using specially designed
formulas.
Results. The authors offered a set of universal methodological
tools - age-standardized coefficients (indexes) of medical care uptake
that allow to calculate age-specific differentiated standard needs in
inpatient care.
Scope of application. The developed technique for adapting
federal standard volumes of inpatient care to individual regions
(constituent entities) of the Russian Federation can be used to develop
programs of state guarantees of free medical care, both at the federal
and regional levels in the Russian Federation with due regard to their
specific age structure.
Conclusions. The proposed method provides a unified approach
to develop differentiated age-specific standard needs in inpatient care,
it is clear and easy to use by potential users from any region of the
Russian Federation and other countries that collect statistics on
seeking medical care and hospitalization in 24-hour hospitals of various
medical specialties (beds’ profiles).
Keywords: medical care, standardized coefficients (indexes) of medical care uptake, differentiated standard needs in inpatient care.
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