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
DEVELOPMENT OF HIGH-TECH MEDICAL CARE IN THE SIBERIAN FEDERAL DISTRICT Print
Thursday, 02 November 2017

DOI: 10.21045/2071-5021-2017-57-5-6

Shalygina L.S.1,2, Finchenko E.A.1
1Novosibirsk Research Institute of Traumatology and Orthopaedics
2Novosibirsk State Medical University

Contacts: Shalygina Lada, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Shalygina L.S., http://orcid.org/0000-0001-8802-424X
Finchenko E.A., http://orcid.org/0000-0002-2835-6522
Acknowledgments. The study had no sponsorship.
Conflicts of interests. The authors declare no conflict of interest.

Abstract

Introduction. Currently, the problem of informing the national system of high-tech medical care, which involves higher volumes of its provision, and, as a result, better access to care to population of the Siberian Federal District, is becoming topical.

Purpose of the study: to analyze provision of high-tech medical care in the Siberian Federal District, identify problems and priority areas for its development.

Methods. Statistical, situational analysis.

Results. Within the framework of the conducted research, the volumes of high-tech care provision in the Siberian Federal District in general and in the subjects of the Russian Federation that were included in the District in 2012 - 2016 were analyzed. It was found out that the volumes of high-tech care provision in the Siberian Federal District are steadily growing.

Conclusions

  1. The task to increase volumes of high-tech care provision to the population assigned to the healthcare of the subjects of the Russian Federation included in the Siberian Federal District has been fulfilled and even exceeded (double growth compared to the target growth of 1.5 fold).
  2. Against the background of increasing volumes of high-tech care provision, including via the compulsory health insurance, the volumes of high-tech care provision to residents of the regions of the Siberian Federal District outside their region are decreasing, indicating a significant increase in availability of this type of care to the population.
  3. The most technologically advanced regions in providing high-tech medical care in the Siberian Federal District include the Novosibirsk, Tomsk and Irkutsk regions, where high-tech medical clusters are being formed.
  4. The most demanded profiles of high-tech care in the Siberian Federal District, as well as in the Russian Federation as a whole, are cardiovascular surgery (up to 30% of the total), traumatology and orthopedics (up to 20%), neurosurgery (14%), ophthalmology (14%) and oncology (9%).
  5. Among the most important systemic problems of organization of high-tech care are: the growing need for this type of care; relative deficit of financing from budgets of all levels and compulsory health insurance; lack of unified information and analytical systems that ensures permanent communication with medical organizations that provide high-tech care through all sources of funding, sending out documents and form invitations to treatment, and development of registers of patients in need for high-tech care.
  6. The following activities can serve as proposals for increasing volumes of high-tech care, focused on : increasing the number of medical organizations that are licensed to provide this type of care; organizing maintenance of waiting lists for high-tech care provision in the system of compulsory health insurance; distance counseling of patients through telemedicine technologies; developing national unified information and analytical systems that allow for permanent communication with medical organizations that provide high-tech care through all sources of funding.

Keywords: high-tech health care; healthcare; Siberian Federal District.

References

  1. Belostotskiy A.V. Pravovye osnovy okazaniya vysokotekhnologichnoy meditsinskoy pomoshchi [Legal basis for providing high-tech medical care]. Menedzher zdravookhraneniya 2010; (7): 43-46. (In Russian).
  2. Belostotskiy A.V. Osnovnye napravleniya obespecheniya naseleniya vysokotekhnologichnoy meditsinskoy pomoshch'yu [The main directions of providing the population with high-tech medical care]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2011; (2): 25-27. (In Russian).
  3. Verkhovodova O.V. Okazanie vysokotekhnologichnoy meditsinskoy pomoshchi v ramkakh bazovoy programmy OMS [Providing high-tech medical care within the framework of the basic MHI program]. Zdravookhranenie 2015; (12): 3-12. (In Russian).
  4. Nechaev B.C., Krasnov A. V. Sovershenstvovanie strategicheskogo upravleniya vysokotekhnologichnoy khirurgicheskoy pomoshch'yu [Improvement of strategic management of high-tech surgical care]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2013; (4): 30-31. (In Russian).
  5. O merakh po razvitiyu zdravookhraneniya v Rossiyskoy Federatsii [On measures for the development of health care in the Russian Federation]. Ukaz Prezidenta Rossiyskoy Federatsii ot 26.10.1992 ╣ 1137. [Online] [cited 2017 Sep 5]. Available from: http://www.kremlin.ru/acts/bank/2081. (In Russian).
  6. O Programme gosudarstvennykh garantiy besplatnogo okazaniya grazhdanam meditsinskoy pomoshchi na 2015 god i na planovyy period 2016 i 2017 godov [About the Program of state guarantees for providing free medical care to the citizens for 2015 and the planned period of 2016 and 2017]. Postanovlenie Pravitel'stva Rossii ot 28.11.2014 ╣1273. [Online] [cited 2016 Oct 14]. Available from: https://rg.ru/2014/12/05/medpomosch-site-dok.html. (In Russian).
  7. Ob obyazatel'nom meditsinskom strakhovanii v Rossiyskoy Federatsii [On mandatory health insurance in the Russian Federation]. Federal'nyy zakon ot 29 noyabrya 2010 goda ╣ 326-FZ (s izmeneniyami i dopolneniyami). [Online] [cited 2016 Oct 14]. Available from: http://fzrf.su/zakon/obyazatelnoe-medicinskoe-strahovanie-oms-326-fz/. (In Russian).
  8. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii [On the bases of population health protection in the Russian Federation]. Federal'nyy zakon ot 21.11.2011 ╣ 323-FZ (s izmeneniyami i dopolneniyami). [Online] [cited 2016 Oct 14]. Available from: https://www.rosminzdrav.ru/documents/7025. (In Russian).
  9. Perkhov V.I. Analiz novykh tendentsiy i organizatsionnykh meropriyatiy v voprosakh obespecheniya naseleniya Rossiyskoy Federatsii vysokotekhnologichnoy meditsinskoy pomoshch'yu [Analysis of new trends and arrangements in providing high-tech medical care to the population of the Russian Federation]. Menedzher zdravookhraneniya 2008; (11): 21-26. (In Russian).
  10. Perkhov V.I. O problemakh v voprosakh obespecheniya naseleniya Rossiyskoy Federatsii besplatnoy vysokotekhnologichnoy meditsinskoy pomoshch'yu [On the problems in providing the population of the Russian Federation with free high-tech medical care]. Zdravookhranenie 2009; (2): 36-45. (In Russian).
  11. Perkhov V.I., Samorodskaya I.V., Stupakov I.I. K voprosu o kriteriyakh dorogostoyashchey vysokotekhnologichnoy meditsinskoy pomoshchi [On the issue of criteria for costly high-tech medical care]. Menedzher zdravookhraneniya 2007; (5): 22-28. (In Russian).
  12. Poslanie Prezidenta Rossiyskoy Federatsii Federal'nomu Sobraniyu [Message from the President of the Russian Federation to the Federal Assembly]. Moscow, Kreml'. 2016 December 01. [Online] [cited 2017 Sep 5]. Available from: http://www.kremlin.ru/events/president/news/53379. (In Russian).
  13. Rybal'chenko I.E. Planirovanie vysokotekhnologichnoy meditsinskoy pomoshchi [Planning of high-tech medical care]. Menedzher zdravookhraneniya 2008; (4): 6-14. (In Russian).
  14. Rybal'chenko I.E. Standartizatsiya organizatsionnykh skhem pri okazanii vysokotekhnologichnoy meditsinskoy pomoshchi [Standardization of organizational procedures in providing high-tech medical care]. Menedzher zdravookhraneniya 2010; (7): 34-42. (In Russian).
  15. Rybal'chenko I.E. Gosudarstvennye zadaniya po okazaniyu vysokotekhnologichnoy meditsinskoy pomoshchi vedomstvennye i regional'nye aspekty [The government targets in providing high-tech medical care: departmental and regional aspects]. Menedzher zdravookhraneniya 2013; (2): 36-42. (In Russian).
  16. Sadovoy M.A., Bedoreva I.Yu., Kazakov R.A., Shalygina L.S., Mamonova E.V., Gusev A.F. Optimizatsiya nauchnoy deyatel'nosti meditsinskoy organizatsii na osnove printsipov menedzhmenta kachestva [Optimization of the scientific activity of health facility on the basis of quality management]. Vestnik Roszdravnadzora 2014. (6): 24-32. (In Russian).
  17. Sadovoy M.A., Shalygina L.S., Finchenko E.A., Bedoreva I.Yu. Standartizatsiya kak osnova obespecheniya kachestvennoy vysokotekhnologichnoy meditsinskoy pomoshchi dlya ustoychivogo razvitiya meditsinskoy organizatsii [Standardization as a basis for providing high-quality high-tech medical care for the sustainable development of health facility]. Sibirskoe meditsinskoe obozrenie 2013. (6): 87-91. (In Russian).
  18. Sadovoy M.A., Bedoreva I.Yu., Golovko E.A., Shalygina L.S., Komisarova T.V., Gusev A.F. Podkhody k sozdaniyu sistemy ustoychivogo razvitiya v nauchno-issledovatel'skom uchrezhdenii zdravookhraneniya travmatologo-ortopedicheskogo profilya. [Approaches to creating a system of sustainable development in a health research institution of traumatological and orthopedic profile]. Khirurgiya pozvonochnika 2012; (1): 89-97. (In Russian).
  19. Skvortsova V.I. Vystuplenie na "Pravitel'stvennom chase" v Gosudarstvennoy Dume. 07.12.2016 [Report at the "Government Hour" in the State Duma. 2016 December 07]. [Online] [cited 2017 Sep 5]. Available from: https://www.rosminzdrav.ru/news/2016/12/07/3320-vystuplenie-ministra-veroniki-skvortsovoy-na-pravitelstvennom-chase-v-gosudarstvennoy-dume. (In Russian).
  20. Stashevskiy P.S. Modelirovanie protsessa prinyatiya resheniy v sisteme registrov khronicheskikh zabolevaniy [Modeling the decision-making process in the system of chronic disease registers]. Cand. Tech. Sci. [dissertation]. Novosibirsk: 2011. 138­. (In Russian).
  21. Olian J.D., Rynes S.L. Making Total Quality Work: Aligning Organizational Processes, Performance Measures and Stakeholders. Human Resource Management; 1991; 30:303-333.
  22. Powell T.C. Total Quality Management as Competitive Advantage. Strategic Management Journal. 1995; 15-37.

Views: 624

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
I wish to be contacted by email regarding additional comments

Last Updated ( Monday, 13 November 2017 )
< Prev   Next >
home contact search contact search