|
Bantyeva M.N.
Federal Research Institute for Health Organization and Informatics, Moscow
Abstract. Currently, performance indicators of
obstetrician-gynecologists in outpatient setting are neglected. At the
same time they serve objective characteristic of
obstetrician-gynecologists’ work. Analysis of such indicators
contributes to development of directions to improve organization of
outpatient obstetric and gynecological care.
The purpose of the study was to analyze dynamics of
obstetrician-gynecologists’ performance indicators in outpatient setting
in the Russian Federation and its federal districts in 2007-2012.
Methods and data: analysis of data from the form #30 of the Federal statistical observation “Data on health care facility” for 2007-2012.
Results. The obstetrician-gynecologists’ availability
tends to increase both countrywide and in the majority of its federal
districts. Among the federal districts the most significant growth was
registered in the North Caucasus (by 8.3%) and Siberia (by 7.8%).
The total number of visits to obstetrician-gynaecologists during the
study period increased both countrywide and in some federal distircts.
A tendency towards some decrease in the number of preventive visits
against the background of a light increase in the share of home visits
and visits by rural patients was reported both countrywide and by the
majority federal districts. Against the background of the general trend
towards reduced obstetrician-gynecologists staffing level the rate of
employees holding a second job remains almost unchanged.
Conclusions. The conducted analysis showed quite low
staffing level, high rate of obstetrician-gynecologists holding a second
job in outpatient settings, and low level of preventive visits. The
analysis also identified the following trends in
obstetrician-gynecologists’ performance indicators in outpatient
settings: decrease in staffing level and rather high rate of specialists
holding a second job against the background of sufficient availability
of such specialists; increase in the number of visit and doctors’ scope
of work in the majority of regions, and decrease in the number of
preventive visits.
Keywords. Obstetrician-gynecologist;
availability; doctors’ scope of work; number of visits; staffing level;
rate of employees holding a second job; home visits; preventive visits;
visits by rural dwellers.
References
- Kulakov VI. Rol' okhrany reproduktivnogo zdorov'ya naseleniya
Rossii v reshenii demograficheskikh problem [Role of reproductive health
of the Russian population in the solution of demographic problems]. Vrach 2006;(9):3-4. (In Russian).
- Bushmeleva N.N. Reproduktivnye poteri i puti ikh snizheniya v
regione (na primere Udmurtskoy Respubliki) [Reproductive losses and ways
of their minimization in the region (by an example of Udmurt
Republic)]. Sotsial'nye aspekty zdorov'ya naseleniya [serial
online] 2014 [cited 2014 Dec 02];4(38). Available from:
http://vestnik.mednet.ru/content/view/596/30/lang,ru/. (In Russian).
- Sukhanova LP, Leonov SA. Rodovspomozhenie v Rossii – sostoyanie,
tendentsii razvitiya, puti sovershenstvovaniya [Maternity care in Russia
- current state, development trends, and ways to improve]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2010 [cited 2014 Nov 15];14(2). Available from: http://vestnik.mednet.ru/content/view/201/30/ (In Russian).
- Sukhikh GT, Adamyan LV. Okhrana reproduktivnogo zdorov'ya – vazhnyy
razdel modernizatsii zdravookhraneniya [Reproductive health - an
important section of healthcare modernization]. In: Problemy
reproduktsii [Reproductive problems]. Materialy VI Mezhdunarodnogo
kongressa po reproduktivnoy meditsine. Spetsial'nyy vypusk. 17-20
January 2012, Moscow. Moscow: MediaSfera; 2012. P. 5-10. (In Russian).
- Baranov AA, Velichkovskiy BT, Kuchma VR. Realizatsiya trebovaniy
zakonodatel'stva po predotvrashcheniyu reproduktivnykh poter' - vazhnaya
sostavlyayushchaya demograficheskoy politiki gosudarstva [The
implementation of legislation on preventing reproductive losses is an
important component of the demographic policy]. Rossiyskiy pediatricheskiy zhurnal 2010;(5):4-7. (In Russian).
- Starodubov V.I., Sukhanova L.P., Sychenkov Yu.G. Reproduktivnye
poteri kak mediko-sotsial'naya problema demograficheskogo razvitiya
Rossii [Reproductive losses as a health and social problem of
demographic development of Russia]. Sotsial'nye aspekty zdorov'ya naseleniya
[serial online] 2011 [cited 2014 Nov 15];6(22). Available from:
http://vestnik.mednet.ru/content/view/367/30/lang,ru/. (In Russian).
- Starodubov V.I., Tsybul'skaya I.S., Sukhanova L.P. Okhrana
zdorov'ya materi i rebenka kak prioritetnaya problema sovremennoy Rossii
[Protection of maternal and child health as a priority problem of
present-day Russia]. Sovremennye meditsinskie tekhnologii 2009; (2):11-16. (In Russian).
- Kontseptsiya razvitiya zdravookhraneniya i meditsinskoy nauki v
Rossiyskoy Federatsii [The conception of healthcare and medical science
development in the Russian Federation]. Postanovlenie Pravitel'stva RF
ot 05.11.1997g. N 1387 «O merakh po stabilizatsii i razvitiyu
zdravookhraneniya i meditsinskoy nauki v Rossiyskoy Federatsii» [On the
measures for stabilization and development of healthcare and medical
science in the Russian Federation]. [Online] [cited 2014 Dec 03].
Available from:
http://www.bestpravo.ru/rossijskoje/di-praktika/v7v.htm.(In Russian).
- Bant'eva M.N. Zabolevaemost' vzroslogo naseleniya Rossii v
vozrastnom aspekte [The morbidity of Russia's adult population in the
age aspect]. Spravochnik vracha obshchey praktiki 2014;(2):30-44. (In Russian).
- Son I.M., Bant'eva M.N. Rossiyskie i regional'nye pokazateli
obespechennosti vrachami obshchey praktiki [The Russian and regional
indicators of population provision with general practitioners]. Sovremennye problemy zdravookhraneniya i meditsinskoy statistiki [serial online] 2014 [cited 2014 Oct 14];(1). Available from: http://healthproblem.ru/magazines?text=49. (In Russian).
- Ob otraslevoy programme «Obshchaya vrachebnaya (semeynaya)
praktika» ["General (family) practice", the sectoral program]. Prikaz
Ministerstva zdravookhraneniya RF ot 30.12.1999 g. N 463 [Online] [cited
2014 Dec 03]. Available from:
http://www.bestpravo.ru/rossijskoje/lj-gosudarstvo/z5g.htm (In Russian).
Views: 14099
|
