S.A. Bogachevskaia1, V.Y.Bondar1,2, N. A. Kapitonenko2, A. N. Bogachevskiy1
1 Federal Centre for Cardiovascular Surgery, Khabarovsk, Russia
2 Far Eastern State Medical University, Khabarovsk, Russia
Abstract. The authors follow the major implementation
directions of the healthcare development 2020 Concept exemplified by the
Federal Center for cardiovascular surgery in Khabarovsk.
The Concept envisaged creation and operation of Federal centers for
cardiovascular surgery with the aim of developing an optimal structural
and functional model of healthcare based on active introduction of
modern information and organizational technologies due to inability of
central research institutes and existing regional medical institutions
to meet needs in tertiary medical care.
According to the Concept’s program on quality assurance and care
availability, data on performance indicators of the Federal Center for
cardiovascular surgery in Khabarovsk shows a significant increase in
volumes of medical care as well as improvement in main performance
indicators of the surgery hospital.
During the work of the Federal Center for cardiovascular surgery in
Khabarovsk dozens of specialists were trained to staff new centers, new
(for the Far East institutions) treatment methods were introduced. The
share of primary disability due to cardiovascular diseases in Khabarovsk
territory essentially reduced: in 2012 - by 15% and in 2013 -by 17%.
One of the main Concept’s objectives related to the development of
coordinated staffing policy and provision of continuous medical
education is being addressed.
Thus, through concentration of manpower and resources it was managed
to significantly increase efficiency of tertiary medical care preserving
regional availability of high-tech surgery.
Capacity of the Federal Center for cardiovascular surgery in
Khabarovsk, its technical resources, well-trained personnel and state
financial support (which is very important) allow to develop innovative
directions in healthcare based on achievements of fundamental science,
elaboration and introduction of new effective treatment and diagnostics
technologies into routine medical practice. According to the Concept
this is the priority scenario for improving medical care delivery to
population.
Keywords: healthcare development 2020 Concept;
territorial programs of state guarantees; system of coordinated staffing
policy; model of medical care provision; Center for prevention and
treatment of atrial fibrillation.
References:
- Bokeriya L.A., Gudkova R.G. Cardio-vascular surgery - 2011.
Circulatory diseases and congenital anomalies. Moscow: A.N.Bakulev
Research Center of Cardio-Vascular Surgery of the Russian Academy of
Medical Sciences; 2012. 196 p. (In Russia).
- Bondar' V.Yu., Netbay R.V., Serdyutskaya O.A., Onenko N.V. Analysis
of activity of Federal Center of Cardio-Vascular Surgery (Khabarovsk). Vestnik obshchestvennogo zdorov'ya i zdravookhraneniya Dal'nego Vostoka Rossii [series online] 2013 [cited 2014 Apr 03]; (2):9. Available from: http://www.fesmu.ru/voz/20132/2013204.pdf. (In Russia).
- Galyavich A.S. Current approaches to prevention of stroke in atrial fibrillations, Prakticheskaya meditsina [series online]. 2012 August 30 [cited 2014 Apr 03]. Available from: http://pmarchive.ru/sovremennye-podxody-k-profilaktike-insultov-pri-fibrillyacii-predserdij/ (In Russia).
- D'yachenko V.G. The system analysis of prospects for healthcare
reforms in Russia in the 90s of XX century. Training manual for students
of Faculty of medical postgraduate education. Far East State Medical
University. Khabarovsk. 2001. 16 p. (In Russia).
- Forgotten national projects. Nezavisimaya gazeta. December 29, 2009. (In Russia).
- Health care in Russia 2010: Report of the Formulary committee in
the State Duma. P.A. Vorob'ev, editor. [Internet] 2011 [cited 2014 Oct
09]. Available from: http://www.clinvest.ru/news-det.php?nid=1396 (In Russia).
- Kapitonenko N.A., Kostakova T.A., Kirik Yu.V. Problems of medical
personnel training in conditions of modernization of health care. Vestnik obshchestvennogo zdorov'ya i zdravookhraneniya Dal'nego Vostoka Rossii [series online] 2011 [cited 2014 Oct 09]; (3). Available from: http://www.fesmu.ru/voz/20113/2011305.aspx/ (In Russia).
- Karas'kov A.M. Problems of cardio surgery and the Far East region. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2001; (1): 4-9. (In Russia).
- Concept of health care development in the Russian Federation up to
2020. Presentation. [Internet] [cited 2014 Jun 20]. Available from: http://www.myshared.ru/slide/410946/ (In Russia).
- On establishing the federal centers for high-tech medical care:
Regulation of the Government of the Russian Federation of 2006, March 20
¹139. [Internet] [cited 2014 Oct 09]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=EXP;n=432719 (In Russia).
- On the basis of population health protection in the Russian
Federation (amended and supplemented): the Federal Law of 2011, November
21 N 323-FZ [Internet] [cited 2014 Oct 09]. Available from: http://base.garant.ru/12191967/ (In Russia).
- On approving the order of referral of the citizens of the Russian
Federation to deliver high-tech medical care from budget allocations
provided to the RF Ministry of Health and Social Development from the
federal budget with the use of specialized information system: the Order
of MoH&SD of the RF ¹1689n of 2011 December 28. [Internet] [cited
2014 Oct 09]. Available from: http://www.rosminzdrav.ru/documents/6966-prikaz-minzdravsotsrazvitiya-rossii-1689n-ot-28-dekabrya-2011-g. (In Russia).
- Branch, sectoral and regional features of reforms of budgetary
institutions in Russia. Moscow: Institute for the Economy in Transition;
2005. 581 p. (In Russia).
- The average life expectancy has increased by more than one year in
Russia. AMI-TASS. 2010, February 17. [Internet ] [cited 2014 Apr 07].
Available from: http://archive.is/o8bsN
- The official site of Global Atrial Fibrillation Alliance. [Internet] [cited 2014 Oct 09]. Available from: http://www.stopafib.org/newsitem.cfm/NEWSID/472
- The official site of University of Virginia health system. [Internet] [cited 2014 Oct 09]. Available from: http://uvahealth.com/
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