Overview of the existing opportunities and limitations of the state guarantees program for provision of free medical care to citizens

Fedyaev, D. V.; Gostishchev, R. V.; Лемешко, В. А.; Ivakhnenko, O.

doi:10.17749/2070-4909.2019.12.3.221-229

Farmakoèkonomika

2019

DOI: 10.17749/2070-4909.2019.12.3.221-229

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Overview of the existing opportunities and limitations of the state guarantees program for provision of free medical care to citizens

D. V. Fedyaev

R. V. Gostishchev

В. А. Лемешко

et al.

Abstract: Формирование клинико-статистических групп для оплаты лечения злокачественных новообразований в модели 2019 года Доступность и фармакоэкономика инсулиновой терапии в странах с наибольшим количеством больных диабетом Российский опыт использования подходов к расчету потребности во врачебных кадрах

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Features of the organization of coloproctological care to the population taking into account regional indicators of incidence

Lisichkin

Kochubey²

2022

Acta biomedica scientifica

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Rationale. The article provides an analysis of the features of the organization of coloproctological care for the population of the Perm Territory, taking into account regional morbidity rates, which made it possible to identify a number of significant shortcomings. There is no connection between the volume of specialized coloproctological care provided and the real need of the population. It was revealed that 32.0 % of coloproctological patients are being treated by doctors of other specialties. In 2018, 47,172 cases of coloproctological diseases were registered, and only 30,900 specialized outpatient appointments were made in the region (11.7 appointments per 1,000 population). More than half of them (57.4 %) were held in Perm.The aim of the study. Determination of the features of the organization of coloproctological care for the population of the Perm Territory, considering the incidence rates.Materials and methods. An analysis was made of the distribution among the adult population of the Perm Territory of pathologies related to the profile of coloproctology according to official statistical reports and the report of the chief specialist of the region for 2018.Results. In 2018, 3.9 sigmoidoscopies per 1,000 population were performed and 1.7 fibrocolonoscopies per 1,000 population, which led to an insufficient level of diagnosis of coloproctological pathologies. At the same time, identified for the period 2004–2018, a significant increase in the incidence of colorectal cancer (by 48.1 %), with an average annual growth rate over 15 years of 7.8 %, which is 3 times higher than the national figure, requires a change in approaches to the organization of coloproctological care, incl. for early diagnosis.Conclusion. Thus, in order to improve the quality of early diagnosis of coloproctological, and especially onco-coloproctological diseases, it is required to optimize the outpatient specialized coloproctological care in the Perm region. It is proposed to reorganize the service with the aim of organizing a primary link on the basis of an outpatient coloproctology center with a daily stay hospital, separate or at the coloproctology department of the City Clinical Hospital.

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Features of the organization of coloproctological care to the population taking into account regional indicators of incidence

Lisichkin

Kochubey²

2022

Acta biomedica scientifica

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Medical Care for Hemorrhoids in the Federal Subjects of Russia in 2018

et al. 2020

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AIM: to analyze basic medical care characteristics for hemorrhoidal disease (HD) in federal subjects of Russia in 2018.MATERIALS AND METHODS: the study is based on the summary data of the annual statistical observation form «Report of the chief coloproctologist of the subject of the Russian Federation» for 2018, which includes the level of outpatient treatment for HD per 100,000 of the population, the number of outpatient coloproctologists, the number of hospitalized patients for HD, the rate of patients hospitalized for emergency indications and number of coloproctological beds.RESULTS: in 2018 in Russia there were 304.9 outpatient visits per 100,000 thousand of the population for HD (Me=304.9; Q1=236.1; Q3=401.2). Number of coloproctologists was 0.23 per 100,000 (Me=0.23; Q1=0.13; Q3=0.32), and no correlation between these indicators was found (r=0.18; p=0.09). The hospitalization rate for HD was 36.8 (Me=36.8; Q1=30.5; Q3=44.7). There were 2.68 coloproctological beds per 100,000 (Me=2.68; Q1=1.95; Q3=3.35), and the percentage of patients with HD hospitalized in an emergency hospital was 34.0% (Me=34.0; Q1=24.0; Q3=45.0). There was no correlation between the number of patients treated in a hospital and the proportion of emergency hospitalizations in patients with hemorrhoids (r=0.1; p=0.38).CONCLUSION: in 2018, at least half a million patients with HD have got an outpatient consultation of coloproctologist. A significant staff shortage in specialists remains, and unresolved organizational problems require further studies.

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Overview of the existing opportunities and limitations of the state guarantees program for provision of free medical care to citizens

Cited by 2 publications

References 3 publications

Features of the organization of coloproctological care to the population taking into account regional indicators of incidence

Features of the organization of coloproctological care to the population taking into account regional indicators of incidence

Medical Care for Hemorrhoids in the Federal Subjects of Russia in 2018

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