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.

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