BED FUND OF THE RUSSIAN FEDERATION: DYNAMICS OF ITS MAIN INDICATORS

2020 ◽  
Vol 5 (4) ◽  
pp. 50-56
Author(s):  
M. Bant'eva ◽  
E. Manoshkina ◽  
Yuriy Mel'nikov
Keyword(s):  
Russian Federation ◽  
Day Care ◽  
Treatment Duration ◽  
Extreme Values ◽  
Bed Occupancy ◽  
Functional Optimization ◽  
Average Treatment ◽  
Hospital Beds ◽  
Hospital Bed ◽  
The Russian Federation

Despite the fact that the process of structural and functional optimization of the hospital bed fund is currently underway, the basis for the provision of medical care remains the assistance provided in around the clock and day time hospitals, which is the most costly because it requires the constant involvement of a large amount of staff, material, technical, financial and other types of resources. The main indicators of the bed fund in around the clock and daily stay hospitals in the Russian Federation, Federal District and regions in dynamics for 2010-2018, as well as mortality in around the clock hospitals, are analyzed using descriptive statistics. In the Russian Federation from 2010 to 2018 the absolute number of hospitals decreased from 5705 to 4323 (by 24.2%), both due to the reduction in the number of hospital beds and in connection with the unification of medical organizations. At the same time, the number of round-the-clock beds decreased from 1250120 to 1044875 (by 16.4%); provision with hospital beds decreased (from 87.5 to 71.1 per 10,000 population - by 18.7%), the average treatment duration (from 12.6 days to 10.7 - by 15.1%) and, unfortunately, average bed occupancy per year (from 325 to 313 days - by 3.7%). In 2018, the extreme values of the indicator of hospitalization rate for 24-hour hospital beds in the regions of the Russian Federation differ 1.8 times, provision with hospital beds - 2.9 times, average bed occupancy per year - 1.2 times, average treatment duration - 1 8 times. The established differences may indicate an imbalance in the ongoing structural transformations. The overall mortality rate in the Russian Federation increased: from 1.5% in 2010 to 1.9% in 2018 (by 28.4%), a similar trend was observed in all regions. The provision of beds in day care hospitals increased from 15.4 per 10,000 in 2010 to 17.0 in 2018 (10.7%). Multidirectional tendencies are noted, both towards increasing and decreasing the number of places in day hospitals, both in the Federal Districts as a whole and in individual regions. The extreme values of the indicator of the provision of places for day care hospitals in the regions of the Russian Federation differ by 30 times, what reflects the disproportionate organization of a network of day care hospitals in the country's regions. During the observation period in the Russian Federation, the level of hospitalization in round-the-clock hospitals decreased from 222.0 to 203.5 per 1000 population (by 8.3%), while the level of hospitalizations in day care hospitals steadily increased from 26.4 to 35.0 per 1,000 (32.8%), what indicates the implementation of the expected hospital-replacing function of day care in the country as a whole. The issue of further structural and functional optimization of the hospital bed fund of the country remains relevant.

scholarly journals ANALYSIS OF STRUCTURE AND FUNCTIONING OF HOSPITAL BEDS OF EMERGENCY DEPARTMENT IN THE RUSSIAN FEDERATION

2019 ◽  
Vol 20 (3) ◽  
pp. 4-9
Author(s):  
S. F. Bagnenko ◽  
A. G. Miroshnichenko ◽  
R. R. Alimov ◽  
N. V. Razumnyj ◽  
I. A. Turov
Keyword(s):  
Emergency Department ◽  
Russian Federation ◽  
Occupancy Rate ◽  
Short Stay ◽  
Bed Occupancy ◽  
Hospital Beds ◽  
Discharged Patients ◽  
Bed Capacity ◽  
The Russian Federation ◽  
Population Ratio

29 emergency departments (ED) with hospital beds were functioning in 2018 in the Russian Federation (RF). Within the period 2014–2018 the bed capacity has been increased from 415 to 737, which portion is increased from 0,036% to 0,071% (in 2018 the portion of daily bed was 27,3%, the portion of the bed of short stay department was 72,7%). The number of discharged patients has been increased from 94545 to 306757. Therewith the portion of patients referred from ED to specialized units has been decreased from 19,0% to 11,1%. The average annual bed occupancy rate is 276,6 and 274,1. The bed turnover has been increased from 262,6 to 447,2. The lethal index is decreased from 0,18% to 0,13%. Bed population ratio keeps at the low level (5.0 bed per 1 million people which is rated as 4,5% from recommended values). Additional introduction of hospital departments of emergency medicine in 56 federal subjects of the RF al­lows quicker to achieve the goals of the National Project «Health care».  

Efficiency indicators of the round-the-clock hospital beds of the oncologic profile in the Russian Federation

2020 ◽  
pp. 12-18
Author(s):  
V. A. Evdakov ◽  
◽  
M. N. Banteva ◽  
E. M. Manoshkina ◽  
Y. Y. Melnikov ◽  
...  
Keyword(s):  
Health Care ◽  
Length Of Stay ◽  
Russian Federation ◽  
Average Length ◽  
Hospitalization Rate ◽  
Bed Occupancy ◽  
Average Length Of Stay ◽  
Hospital Beds ◽  
Federal Districts ◽  
The Russian Federation

The steady growth trend of oncological diseases in Russia in recent years requires a response from the health care system: development of prevention aimed at early detection of diseases; improvement of methods of diagnostics and treatment of oncopathology; improving the quality and effectiveness of medical care. A i m : to identify trends in changes of the neoplasms incidence and performance indicators of oncological beds for round-the-clock stay of the state health care system in the Russian Federation, federal districts and regions of the Russian Federation in dynamics for 2010–2019. M a t e r i a l s a n d m e t h o d s . Using the data of federal statistical observation (forms NoNo. 12, 30) by the method of descriptive statistics, the main indicators of the neoplasms incidence in the population are analyzed, as well as the work of round-the-clock oncological beds in the Russian Federation, federal districts and regions of the Russian Federation in dynamics for 2010–2019. R e s u l t s . On the background of an increase in the neoplasms incidence in the population (by 24.9%), including malignant (1.5 times), for the period 2010–2019 in the Russian Federation increased: the absolute number of oncology beds of round-the-clock stay from 30,970 to 36,186 (+ 16.8%), the provision with these beds from 2.17 to 2.47 per 10,000 population (+ 13.8%), hospitalization rate from 6.1 to 9.6 per 1000 population (+ 57.4%), and decreased: the average length of stay in an oncological bed (from 12.1 days to 8.4 – by 30.6%), as well as the average bed occupancy per year (from 345 to 330 days – by 4.3%). The extreme values of the indicators of the hospitalization rate for round-the-clock oncological beds in the regions of the Russian Federation in 2019 differ 12.8 times, the provision of these beds – 9.2 times, the average bed occupancy per year – 1.5 times, the average length of stay in a bed – 2.4 times. Mortality in oncological hospital beds increased from 0.76% in 2010 to 0.95% in 2019 (by 25%). C o n c l u s i o n . The 24-hour oncological bed capacity, against the background of the growth of oncological morbidity, has naturally increased, but at the same time it is characterized by an extreme disproportionality of development in the Federal Districts and the regions of the Russian Federation. Optimization of the bed fund should be carried out based on the objective needs of a particular region, taking into account its characteristics and with the simultaneous development of alternative medical services.

MAIN EFFICIENCY INDICATORS OF THE THERAPEUTIC PROFILE BED FUND OF THE ROUND-THE-CLOCK AND DAILY STAY HOSPITALS IN THE RUSSIAN FEDERATION

2019 ◽  
Vol 5 (3) ◽  
pp. 2-8 ◽  
Author(s):  
Е. Маношкина ◽  
E. Manoshkina ◽  
М. Бантьева ◽  
M. Bant'eva ◽  
В. Кузнецова ◽  
...  
Keyword(s):  
Russian Federation ◽  
Outpatient Care ◽  
Inpatient Care ◽  
Extreme Values ◽  
Hospitalization Rate ◽  
Hospital Beds ◽  
The Russian Federation ◽  
Efficiency Indicators ◽  
Therapeutic Profile ◽  
Average Occupancy

The process of structural and functional restructuring of the hospital bed fund has been going on in Russia for more than 20 years. The article analyzes the main efficiency indicators of the therapeutic profile bed fund of both round-the-clock and daily stay hospitals in the Russian Federation, in dynamics for 2010–2018 years. For the period 2010–2018 the number of therapeutic round-the-clock hospital beds in the Russian Federation decreased from 134550 to 90839 (by 32.5%), the following indicators decreased: hospitalization rate for therapeutic hospital beds (from 31.0 to 24.7 per 1000 population —  by 20.3%), the provision with these beds (from 9.42 to 7.77 per 1000 population —  by 17.5%), the average treatment duration in a therapeutic bed (from 12.2 days to 10.0 —  by 18.0%) and the average occupancy of a therapeutic bed in a year (from 331 to 325 days —  by 1.8%). In 2018 the extreme values of the indicator of the hospitalization rate for round-the-clock hospital beds in the some regions of the Russian Federation differ by 11.8 times, provision with hospital beds —  by 16 times, average occupancy of hospital beds in a year —  by 1.5 times, average treatment duration —  by 1.5 times. The revealed differences are significant, what indicates the imbalance of the ongoing structural transformations. Mortality in therapeutic beds in the Russian Federation increased: from 1.83% in 2010 to 1.94% in 2018 (by 6.0%). Provision of the population of the Russian Federation with places in daily stay hospitals of a therapeutic profile has decreased: by 5.1% in medical organizations providing inpatient care (from 1.56 per 10000 population in 2010 to 1.48 in 2018), and in the daily stay hospitals of medical organizations providing outpatient care —  by 7.8% (from 5.12 per 10000 of the population in 2014 to 4.72 in 2018). The extreme values of the provision with therapeutic hospital beds in the regions of the Russian Federation per 10000 of the population vary significantly: in daily stay hospitals of medical organizations providing inpatient care —  from 0 in 7 regions to 4.6 in the Yamalo-Nenets Autonomous District, and in daily stay hospitals of organizations providing medical care on an outpatient basis, from 0 in the YamaloNenets Autonomous district to 13.95 in the Sakhalin, what reflects the disproportionate organization of a network of therapeutic profile daily stay hospitals in the country's regions. In the Russian Federation, during the observation period, the level of hospitalizations in round-the-clock hospitals of the therapeutic profile decreased by 20.3%, while the level of hospitalizations in daily care hospitals of the therapeutic profile of organizations providing inpatient care increased only by 8.8%. At the same time, the level of hospitalizations in daily stay hospitals of the therapeutic profile of medical organizations providing outpatient care even decreased by 1.6% during the same period, indicating a lack of adequate growth the expected substitutional function of daily stay hospitals in the country. The issue of further structural and functional optimization of the bed fund of the country remains relevant.

MAIN INDICATORS OF THE NEUROLOGICAL PROFILE BED FUND OF ROUND-THE-CLOCK AND DAILY STAY HOSPITALS IN THE RUSSIAN FEDERATION AND ITS REGIONS

2020 ◽  
Vol 6 (2) ◽  
pp. 50-56
Author(s):  
Yuriy Mel'nikov ◽  
M. Bant'eva ◽  
E. Manoshkina
Keyword(s):  
Russian Federation ◽  
Extreme Values ◽  
Average Length ◽  
Developed Countries ◽  
Absolute Number ◽  
Average Length Of Stay ◽  
Hospital Beds ◽  
The Russian Federation ◽  
Stay Hospital ◽  
Average Occupancy

In the Russian Federation the process of reduction of the round-the-clock bed fund with the simultaneous development of hospital-replacing technologies has been going on for more than twenty-five years, as well as, in most developed countries of the world, in recent decades.From 2010 to 2018 the absolute number of neurological round-the-clock hospital beds in the Russian Federation, as well as hospital beds of most other profiles, has significantly decreased: from 73754 to 64116 (by 13.1%), as well decreased the hospitalization rate (from 12.6 to 12.2 per 1000 population —  by 3.2%) and the provision of these beds (from 5.16 to 4.37 per 10,000 population —  by 15.3%), the average length of stay in a neurological bed (from 13.7 to 11.3 days —  by 17.5%) and its average occupancy per year (341 to 328 days —  by 3.8%). In 2018, the extreme values of the indicator of the provision of the population with hospital beds of the neurological profile of round-the-clock stay in the regions of the Russian Federation differed 2.5 times, what indicates the imbalance in the structural transformations of the hospital bed fund in the regions of the Russian Federation. Mortality in neurological hospital beds in the Russian Federation increased from 3.77% in 2010 to 4.17% in 2018 (by 10.6%).Thus, it is possible to conclude that a hospital-replacing function takes place in the country and there has been a redistribution of the volume of neurological care from the round-the-clock hospital beds to daily stay hospital beds, however, the bed fund of both round-the-clock and daily stay hospitals is characterized by extreme disproportionality of development in the regions of the Russian Federation, what may indicate an imbalance in structural-functional transformations, what should be carried out taking into account the characteristics of each particular region.

Novel indicator for the assessment of hospital bed occupancy

2011 ◽  
Vol 152 (20) ◽  
pp. 797-801 ◽  
Author(s):  
Miklós Gresz
Keyword(s):  
Patient Needs ◽  
Bed Occupancy ◽  
The Past ◽  
Hospital Beds ◽  
Hospital Bed ◽  
Bed Capacity ◽  
Statistical Indicators

In the past decades the bed occupancy of hospitals in Hungary has been calculated from the average of in-patient days and the number of beds during a given period of time. This is the only measure being currently looked at when evaluating the performance of hospitals and changing their bed capacity. The author outlines how limited is the use of this indicator and what other statistical indicators may characterize the occupancy of hospital beds. Since adjustment of capacity to patient needs becomes increasingly important, it is essential to find indicator(s) that can be easily applied in practice and can assist medical personal and funders who do not work with statistics. Author recommends the use of daily bed occupancy as a base for all these statistical indicators. Orv. Hetil., 2011, 152, 797–801.

scholarly journals DYNAMIC PERFORMANCE OF EMERGENCY HOSPITAL BEDS USAGE IN THE RUSSIAN FEDERATION

2017 ◽  
Vol 18 (3) ◽  
pp. 4-8 ◽  
Author(s):  
S. F. Bagnenko ◽  
R. R. Alimov ◽  
G. A. Aleksandrova ◽  
A. G. Miroshnichenko ◽  
V. V. Stozharov
Keyword(s):  
Russian Federation ◽  
Dynamic Performance ◽  
Emergency Hospital ◽  
Hospital Beds ◽  
The Russian Federation

scholarly journals Patients with acute stroke are less likely to be admitted directly to a stroke unit when hospital beds are scarce: A Swedish multicenter register study

2017 ◽  
Vol 2 (2) ◽  
pp. 178-186 ◽  
Author(s):  
David Darehed ◽  
Bo Norrving ◽  
Birgitta Stegmayr ◽  
Karin Zingmark ◽  
Mathias C. Blom
Keyword(s):  
Emergency Department ◽  
Confidence Interval ◽  
Acute Stroke ◽  
Odds Ratio ◽  
Stroke Unit ◽  
Register Study ◽  
Bed Occupancy ◽  
Hospital Beds ◽  
Hospital Bed ◽  
Direct Admission

Introduction It is well established that managing patients with acute stroke in dedicated stroke units is associated with improved functioning and survival. The objectives of this study are to investigate whether patients with acute stroke are less likely to be directly admitted to a stroke unit from the Emergency Department when hospital beds are scarce and to measure variation across hospitals in terms of this outcome. Patients and methods This register study comprised data on patients with acute stroke admitted to 14 out of 72 Swedish hospitals in 2011–2014. Data from the Swedish stroke register were linked to administrative daily data on hospital bed occupancy (measured at 6 a.m.). Logistic regression analysis was used to analyse the association between bed occupancy and direct stroke unit admission. Results A total of 13,955 hospital admissions were included; 79.6% were directly admitted to a stroke unit from the Emergency Department. Each percentage increase in hospital bed occupancy was associated with a 1.5% decrease in odds of direct admission to a stroke unit (odds ratio = 0.985, 95% confidence interval = 0.978–0.992). The best-performing hospital exhibited an odds ratio of 3.8 (95% confidence interval = 2.6–5.5) for direct admission to a stroke unit versus the reference hospital. Discussion and conclusion We found an association between hospital crowding and reduced quality of care in acute stroke, portrayed by a lower likelihood of patients being directly admitted to a stroke unit from the Emergency Department. The magnitude of the effect varied considerably across hospitals.

scholarly journals Medical care for children with cancer in the Siberian Federal District

2019 ◽  
Vol 18 (1) ◽  
pp. 5-12
Author(s):  
M. Yu. Rykov
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Russian Federation ◽  
Federal District ◽  
Siberian Federal District ◽  
Children With Cancer ◽  
Aim Analysis ◽  
Incidence And Mortality ◽  
Hospital Beds ◽  
The Russian Federation

background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results obtained is also the basis of the strategy for the development of medical care for this category of patients. aim: analysis of the main parameters characterizing medical care for children with cancer in the Siberian Federal District. material and methods. The reports for 2017 on the health protection of 11/12 (91.6 %) constituent entities of the Russian Federation belonging to the Siberian Federal District were analyzed (Irkutsk Region did not provide data). results. In 2017 the number of children aged 0–17 years was 3 722 470, the number of pediatric hospital beds for children with cancer (ages 0–17 years) was 260 (0,7 per 10,000), and the average number of bed-days per year was 342.2. In 3 (25 %) constituent entities of the Russian Federation, there were no departments of pediatric oncology and in 1 (8,3 %) there were no hospital beds for children with cancer. The number of physicians, who specialized in children’s cancer was 49, of them 32 (65,3 %, 0,08 per 10,000, ages 0–17 years) had a certificate of a pediatric oncologist. In 1 (8,3 %) constituent entity of the Russian Federation, there were no pediatric oncologists. For children aged 0–17 years, the cancer incidence rate was 11.7 per 100,000 children, the cancer mortality rate was 2,2 per 100,000, and one-year mortality rate was 7,4 %. 188 (43,2 %) primary cancer patients were referred to medical institutions of the Federal District, and 17 (3,9 %) primary patients left the territory of the Russian Federation. conclusion. The low incidence and mortality rates can be explained by the lost of reliable follow-up data. It is advisable to introduce electronic health record systems. For reliable estimation of hospital bed supply for children with cancer and percent of patients referred to medical centers for treatment, it is necessary to carry out a clinical audit. Deficiency of pediatric oncologists should be eliminated by reforming the training of medical personnel.

MAIN INDICATORS OF SURGICAL PROFILE BED FUND OF THE ROUND-THE-CLOCK AND DAILY STAY HOSPITALS IN THE RUSSIAN FEDERATION AND ITS REGIONS

2020 ◽  
Vol 6 (1) ◽  
pp. 16-23
Author(s):  
Yuriy Mel'nikov ◽  
M. Bant'eva ◽  
E. Manoshkina ◽  
V. Kuznecova
Keyword(s):  
Russian Federation ◽  
Outpatient Care ◽  
Inpatient Care ◽  
Surgical Care ◽  
Hospital Beds ◽  
Its Regions ◽  
The Russian Federation ◽  
Functional Transformations ◽  
Stay Hospital

From 2010 to 2018 the level of hospitalization in surgical beds in round-the-clock hospitals decreased (by 19.9%), while in the daily hospitals of medical organizations providing inpatient care increased (by 36.4%). At the same time, the level of hospitalization in daily stay hospitals of medical organizations providing outpatient care in 2014 - 2108 virtually unchanged (0.2% increase). Thus, it is possible to conclude, that the hospital-replacing function has realized in the country and there has been a redistribution of the volume of surgical care from round-the-clock hospital beds to daily stay hospital beds, however, the bed fund of both round-the-clock and daily stay is characterized by extreme disproportionality in different regions of the Russian Federation, what may indicate an imbalance in structural and functional transformations that should be carried out taking into account the characteristics of each particular region.

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