About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣4 2016 (50) arrow MAJOR RESULTS OF COMPREHENSIVE ASSESSMENT OF URGENT CARE DELIVERY IN THE NOVOSIBIRSK REGION AND THE SIBERIAN FEDERAL DISTRICT
MAJOR RESULTS OF COMPREHENSIVE ASSESSMENT OF URGENT CARE DELIVERY IN THE NOVOSIBIRSK REGION AND THE SIBERIAN FEDERAL DISTRICT Print
Tuesday, 26 July 2016

DOI: 10.21045/2071-5021-2016-50-4-3

Finchenko ┼.└.1,2, Ivaninskiy O.I.2,3, Shalygina L.S.1,2, Sadovoy M.A.1,2
1
Novosibirsk Research Institute of Traumatology and Orthopedics named after Ja. L. Tsyv'jan, Russian Ministry of Health
2Novosibirsk State Medical University, Russian Ministry of Health
3 Ministry of Health of the Novosibirsk Region

Contacts: Evgeny A. Finchenko, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract

Background. Delivery of urgent medical care involves all levels of healthcare. Medical care to patients in urgent conditions is the most expensive and lives of patients depend upon outcomes of its provision. This fact demonstrates relevance of the problem that is not fully recognized in the literature.

Purpose: comprehensive assessment of urgent care delivery in the Novosibirsk region and subjects of the Russian Federation composing the Siberian Federal District.

Methods and Materials: statistical, cartographic (GIMP 2 graphical editor). Official statistics for 2012-2014 of the healthcare authorities of the Russian Federation subjects composing the Siberian Federal District.

Results. The share of expenses on urgent care in the general structure of health expenditures equaled to 35.7% in the Novosibirsk region (in the Siberian Federal District it was in the range of 4.3-36.0%); the Novosibirsk region dynamics is positive (growth), while dynamics in the Altai Territory is negative (reducton).

Resource availability indicators: the Novosibirsk region integral index (standardized by the Siberian Federal District average) added up to 1.83 (in the Siberian Federal District it was in the range of 0.85 to 1.83), dynamics in the Novosibirsk region is not present, while dynamics in the five regions of the Siberian Federal District is negative (reduction); indicators of volumes of urgent care delivery ľ the Novosibirsk region integral index equaled to 1.82 (0.51 - 1.82), the Novosibirsk region dynamics is negative (growth), and dynamics in the five regions of the Siberian Federal District is negative (growht);

Indicators of effectiveness (mortality) ľ the Novosibirsk region integral index added up to 0.98 (0.6 - 1.37), the Novosibirsk region dynamics is negative (growth), dynamics in the seven regions of the Siberian Federal District is negative (growth).

Discussion. Discussing the results it should be noted that the Novosibirsk region has the highest integral indexes of resource availability and volumes of urgent care delivery as well as expenses among the subjects of the Russian Federation composing the Siberian Federal District.

The Novosibirsk region falls within the general Siberian Federal District trend in growth of negative indicators of urgent care effectiveness (inpatient mortality rates).

Conclusions.

1. Results of the study showed that the Novosibirsk region integral index of resource availability for urgent care is the highest - 1.83 (in the Siberian Federal District it is in the range of 0.85 to 1.83), dynamics is not present, while dynamics in the five regions of the Siberian Federal District is negative (reduction).

2. The Novosibirsk region integral index of volumes of urgent care delivery is also the highest - 1.82 (in the Siberian Federal District it is in the range of 0.51 - 1.82), the Novosibirsk region dynamics like dynamics in the five regions of the Siberian Federal District is negative (growth).

3. The Novosibirsk region integral index of urgent care effectiveness (mortality) is within the mean values - 0.98 (in the Siberian Federal District it is in the range of 0.6 - 1.37), the Novosibirsk region dynamics like dynamics in the seven regions of the Siberian Federal District is negative (growth).

4. The study results showed that the Novosibirsk region has the highest integral index of resource availability and volumes of urgent care delivery, as well as indicators of expenses among subjects of the Russian Federation composing the Siberian Federal District.

5. The Novosibirsk region falls within the general Siberian Federal District trend in growth of negative indicators of urgent care effectiveness (inpatient mortality rates).

Keywords. Urgent medical care; resource availability, volumes of urgent care delivery, effectiveness of urgent care delivery, Novosibirsk Region; Siberian Federal District.

References

  1. Vtorushin D.V. O vliyanii mer, realizuemykh v ramkakh natsional'nogo proekta "Zdorov'e" na izmenenie kadrovykh resursov regional'noy sluzhby skoroy meditsinskoy pomoshchi [The impact of the measures implemented within the frameworks of "Health" national project on the changes in the human resources of the regional emergency medical services]. Byulleten' Natsional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya 2009; (1): 24-26. (In Russian).
  2. Kalininskaya A.A. Mekhanizmy povysheniya effektivnosti deyatel'nosti sluzhb skoroy i neotlozhnoy meditsinskoy pomoshchi [Mechanisms to enhance the efficiency of the emergency services and emergency care]. Zdravookhranenie Rossiyskoy Federatsii 2009; (4): 10-14. (In Russian).
  3. Kravchuk D.A. Voprosy organizatsii skoroy meditsinskoy pomoshchi v usloviyakh razgranicheniya polnomochiy na urovne sub"ekta i munitsipal'nogo obrazovaniya [The organization of emergency medical care in the conditions of division of competencies at subject and municipality levels]. Saratovskiy nauchno-meditsinskiy zhurnal 2011; 7(1): 30-33. (In Russian).
  4. Miroshnichenko A.G., Stozharov V.V., Barsukova I.M., Linets Yu.P. Skoraya meditsinskaya pomoshch' v svete gosudarstvennoy programmy razvitiya zdravookhraneniya Rossiyskoy Federatsii do 2020 goda. [Emergency medical services in the light of the government program of healthcare development in the Russian Federation up to 2020]. Skoraya meditsinskaya pomoshch' 2013; 14(2): 004-009. (In Russian).
  5. Murav'ev K.A. Nauchnoe obosnovanie i razrabotka mekhanizma ekstrennoy meditsinskoy pomoshchi bol'nym khirurgicheskogo profilya na regional'nom urovne [Scientific grounds and development of the mechanism of emergency medical care to surgical patients at a regional level]. Dr.Med.Sci [thesis]. Moscow. 2012. 48 p. (In Russian).
  6. Popov V.P. Sovershenstvovanie sistemy organizatsii ekstrennoy meditsinskoy pomoshchi v sub"ekte Rossiyskoy Federatsii [Improving the organization of emergency medical services in a region of the Russian Federation] Dr.Med.Sci [thesis]. Ekaterinburg. 2014. 48 p. (In Russian).
  7. Ulumbekova, G.E. Zdravookhranenie Rossii. Chto nado delat': nauchnoe obosnovanie "Strategii razvitiya zdravookhraneniya RF do 2020 goda" [Russian healthcare. What should be done? The scientific basis of "the Strategy of Russian healthcare development up to 2020"]. Moscow: GEOTAR-Media; 2010. 592 p. (In Russian).
  8. Shchepin V.O. Strukturno-funktsional'nyy analiz deyatel'nosti sluzhby skoroy meditsinskoy pomoshchi Rossiyskoy Federatsii [Structural and functional analysis of the activities of emergency medical care in the Russian Federation]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2012; (1): 29-32. (In Russian).
  9. Yurikova I.G., Kadyrov F.N. O nekotorykh problemakh perevoda skoroy meditsinskoy pomoshchi v sistemu obyazatel'nogo meditsinskogo strakhovaniya [On some problems of transferring emergency medical service to the mandatory health insurance system]. Menedzher zdravookhraneniya 2012; (12): 6-14. (In Russian).
  10. 10. Kalininskaya A.A., Malikova L.M. Problemy i puti reformirovaniya zdravookhraneniya sela [Problems and ways of reforming rural public health]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2016 May 27]; (4). Available from: http://vestnik.mednet.ru/content/view/693/30/lang,ru/ (In Russian).
  11. 11. Tsybul'skiy, V.B. Nekotorye prichiny ukhudsheniya pokazateley deyatel'nosti sistemy okhrany zdorov'ya v strane. [Some causes of health system performance deterioration in the country]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2016 May 27]; (2). Available from: http://vestnik.mednet.ru/content/view/675/30/lang,ru (In Russian).

Views: 3241

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Thursday, 28 July 2016 )
< Prev   Next >
home contact search contact search