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E.Ya. Nemstsveridze, K.I. Kasapov, S.Kh. Bisekov
SM-Clinic – Limited liability company “DERAIS”
Abstract. Background. Fundamental restructuring of the
healthcare system is linked to introduction of new principles of care
delivery. Deteriorated health status of the Russian population against
the background of long-lasting socio-political and economic crisis leads
to devastating socio-economic losses. Health indicators as well as
increasing share of the elderly and old ages along with decreased
fertility not only determine volumes and types of activities of health
care facilities, budget and medical insurance expenditures on treatment,
diagnostics, prevention, etc., but also necessitate organizational,
structural and functional changes for both all types of medical care
delivery as well as its individual components like surgical care.
One of the directions for further development of polyclinic surgical
care is the use of hospital replacing technologies that have been
actively developed in recent years. Over 15% of services previously
provided by 24-hour hospitals are currently provided by day hospitals,
one-day hospitals and home care.
The aim of the study is to substantiate demand for
hospital replacing technologies in organizing outpatient surgical care
on the base of opinion of out-patient patients with surgical
pathologies.
Objectives:
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To study opinion of patients of health care facilities of different types about organization of outpatient surgical care;
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To determine medical and social performance and conditional economic benefits of a day hospital;
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To calculate demand for surgical beds for a day hospital.
Results and scope of application. Substantiated demand
of surgical patients in treatment in day hospitals, and calculated
conditional economic benefits of introduction of the suggested
organizational approach to surgical care delivery in outpatient
facilities can be implemented within the context of current healthcare
restructuring and produce positive medical and socio-economic outcomes.
Keywords. Outpatient surgical care; day hospital; efficiency; demand; performance.
References:
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Gaydarov GM, Kitsul IS, Alekseevskaya TI, Kulesh DV. Optimization of
planning inpatient medical care to population of municipal units in
current social and economic conditions. Menedzher zdravookhraneniya 2004; (4): 13-21. (In Russian).
-
Golukhov GN, Cherepanova IS, Isaeva DM. Complex study of quality of hospital bed fund usage in multi-field hospitals. Vestnik meditsinskogo stomatologicheskogo instituta 2009; 3(4): 27-28. (In Russian).
-
Zakharov IA. Scientific grounds for optimization of planning and
financial provision of regional health care system. Dr.Med.Sci
[thesis].Moscow; 1997. 42 p. (In Russian).
-
Lindenbraten AL, Shipova VM, Ushakova EN, Dar'in AV. Improving planning
of activity of regional health care facility network. Methodical
manual. Moscow: National research institute for public health of RAMS;
2008. 72 p. (In Russian).
-
Matveev EN, Leonov SA, Son IM. Ground and ways of complex restructuring of health care facilities at a regional level. Sotsial'nye aspekty zdorov'ya naseleniya [Online
Scientific Journal].2008 [cited 2013 Oct 02]; 5(1). Available from:
http://vestnik.mednet.ru/content/view/57/30/lang,ru/ (In Russian).
-
Pakus IA. Organization of day hospitals on the base of health care
faculties in a large city. Cand.Med.Sci [thesis]. Moscow; 1997. 24 p.
(In Russian).
-
Pakus IA. Problems of restructuring of inpatient medical care to
population of a large city and quality management. Moscow: Meditsina;
2002. 174 p. (In Russian).
-
Piven' DB. Specific features of crisis management in health care. Menedzher zdravookhraneniya 2009; (5): 9-12. (In Russian).
-
Rogalev KK. The role of a regional hospital in organization of
specialized and high technology care in a large region of the North-West
Federal District of the RF (by an example of Archangelsk regional
clinical hospital). Dr.Med.Sci [thesis]. St. Petersburg; 2009. 46 p. (In
Russian).
-
Safonov AG, Loginova EA, Golovteev VV, Kravchenko NA, Kant VI, et al.
Inpatient medical care (organizational basis). Moscow: Meditsina; 1989.
351 p. (In Russian).
-
Trifonova NYu, Nemstsveridze EYa. Ways to reduce disability of
working-age population at a regional level. Moscow: Sam-Poligrafist;
2012. 135 p. (In Russian).
-
Trifonova NYu. Adaptation of health care facilities in conditions of market economy in health care. Zdravookhranenie 2008;(9): 35-38. (In Russian).
-
Trifonova NYu, Veselov AV. High technological medical care in
conditions of modernization of Russian health care: the current state
and principles of provision. Vestnik vserossiyskogo obshchestva spetsialistov po mediko-sotsial'noy ekspertize, reabilitatsii i reabilitatsionnoy industrii 2011; (3): 14-17. (In Russian).
-
Ushakova YeI. Organizational and economic grounds for improving the
network of health care facilities of the RF subject. Cand.Med.Sci
[thesis]. Moscow; 2010. 132 p. (In Russian).
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