I.V. Sergeyko¹, S.V. Korolev², E.I. Dubynina³, E.I. Nesterenko^4
1 “Derais, Ltd.”, SM-Clinic, Moscow
² Central Clinical Hospital under the Russian Academy of Sciences, Moscow
³ Pirogov Russian National Research Medical University, Moscow
⁴ Russian Research Institute of Railway Hygiene, Moscow

Abstract. Background. Healthcare activity aimed at health promotion and improvement is much dependable upon organization of the in-patient care.

Healthcare reforming and hospital network restructuring call for a rational use of specialized beds including urological ones as high rates of urinogenital morbidity require more hospitalizations, surgery, and use of different diagnostic and treatment methods.

Nowadays, medical and organizational technologies in urology are of great demand; however, efficiency of their use in all-day hospitals remains an under-investigated issue. There were few studies devoted to substantiation of hospital-replacing technologies and other resource-saving types of medical care for urological diseases.

The aim of the study was to assess the efficiency of medical and organizational innovations for diagnostic and treatment care delivery to urological patients in a multi-field hospital.

Objectives of the study included:

1). To describe urological morbidity through analysis of the urological department performance in a multi-field hospital.

2). To analyze effectiveness of implementation of new innovative technologies into urological department practice in a multi-field hospital in Moscow (Hospital #31 was selected as a pilot base).

Results. The results show that volumes of diagnostic and treatment care are closely related to the level of implementation of the abovementioned innovations; this statement was supported by estimation of coefficient of association between indicated properties Q = +0.782; m = ±0.0032, ð<0.001.

The study found a direct, strong and statistically significant correlation between the implementation level of medical and organizational innovations and volumes of diagnostic and treatment care provided to urological patients in a big city hospital.

Practical implication. The authors suggested innovations to improve both performance of the urological departments and health of urological patients.

Keywords: innovations; morbidity; urinogenital system; urology; medical technology.

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