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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.
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