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».  

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.

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.

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.

Status and dynamics of parameters of use of bed capacity of oncological profile in Russian Federation

2020 ◽  
Vol 28 (4) ◽  
pp. 462-478
Author(s):  
Valeryan Alekseevich Evdakov ◽  
Marina Nikolaevna Banteva ◽  
Elena Mihailovna Manoshkina ◽  
Yuriy Yurevich Melnikov ◽  
Liudmila Valentinovna Rugol
Keyword(s):  
Russian Federation ◽  
Medical Personnel ◽  
Absolute Number ◽  
Negative Influence ◽  
Malignant Neoplasms ◽  
Federal Districts ◽  
Bed Capacity ◽  
The Russian Federation ◽  
Day Hospitals ◽  
High Level

In the Russian Federation (RF) a steady growth of morbidity with oncologic diseases is observed. An important factor of reduction of negative influence of oncopathology on the parameters of public health is provision of the population with specialists and beds of oncological profile, as well as their effective use. Aim. To determine the status and identify dynamics of the main parameters of use of beds of oncological profile of the state healthcare system of RF, federal districts and constituent entities of RF in comparison with tendencies of parameters of morbidity with malignant neoplasms, and also of provision of the population with medical personnel in the period from 2010 to 2019. Materials and Methods. Using the data of the Federal statistical observation forms (№30, 47, 14LC, 7) based on the calculation of absolute and relative parameters by the descriptive statistics method, the analysis of the main parameters of the use of bed resources of oncology profile was carried out in comparison with the parameters of morbidity with malignant neoplasms and provision of the population with medical personnel in 24-hour and day-stay hospitals in the Russian Federation, federal districts and constituent entities of the Russian Federation in 2010-2019. Results. During the study period, with the underlying increase in the morbidity of the population with diseases of neoplasm class (primarily, malignant) in the Russian Federation, there was found a regular increase in: the absolute number of oncological beds for 24-hour stay by 5.216 beds (+16.8%), 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 a decrease in: average stay in an oncological bed by 3.7 days (-30.6%, from 12.1 to 8.4 days), and the average bed occupancy by 15 days per year (-4.3%, from 345 to 330 days). Mortality in cancer beds increased from 0.76% in 2010 to 0.95% in 2019 (by 25.0%). There was an increase in the provision of the population with oncological beds in day-stay hospitals by 3.4 times, in day-stay hospitals of polyclinics by 63.6%. Conclusion. With the underlying growth of oncological morbidity in the country, the bed capacity of the oncological profile of 24-hour and day hospitals has significantly increased, with a high level of disproportional development of the bed capacity both between federal districts and between the subjects of the Russian Federation.

Medical Care for Children with Cancer in the North-West Federal District of the Russian Federation: An Ecological Study

2018 ◽  
Vol 5 (3) ◽  
pp. 155-163 ◽  
Author(s):  
M. Yu. Rykov ◽  
I. A. Turabov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Care Delivery ◽  
Pediatric Population ◽  
Federal District ◽  
Children With Cancer ◽  
North West ◽  
The North ◽  
Bed Capacity ◽  
The Russian Federation

Background.Analysis of statistical data in the federal districts of the Russian Federation provides opportunities to assess the quality of medical care delivery in children with cancer and plan further development with consideration for the point elimination of existing defects. Objective. Our aim was to analyze the main indicators characterizing medical care for children with cancer in the North-West Federal District.Methods.The study analyzed operative reports for 2017 provided by the executive public health authorities of 11 subjects of the Russian Federation affiliated to the North-West Federal District.Results.The pediatric population was 2 537 133 children (0–17 years), the pediatric oncological bed capacity — 174 (0.7 per 10 000 aged 0–17 years), the annual berth average occupancy — 290.7 days. 6 (54.5%) subjects did not provide pediatric population with departments of pediatric oncology, 4 (36.4%) subjects did not have bed capacity. The number of practitioners providing medical care to children with cancer was 38, 27 among them (71%; 0.1 per 10 thousand 0–17 years) had a certificate of pediatric oncologist. 2 (18.2%) subjects did not have pediatric oncologists in the medical stuff. The incidence of malignant tumors in children aged 0–17 was 15.6 (per 100,000), the prevalence was 92.6 (per 100,000), the mortality rate was 2.6 (per 100,000), one-year mortality rate — 4.5% (18/397). The number of patients identified actively was 11 (2.8%). 160 (40.3%) primary patients were sent to Federal medical facilities, 6 (1.5%) — left the territory of the Russian Federation for the further treatment.Conclusion.The incidence and mortality rates are rather low which indicates the defects in patient detection and lack of reliable follow-up data. The percentage of patients referred for treatment to Federal medical facilities is not very high; however, to interpret this indicator according to patient routing, we have to analyze the medical history of all the patients. We can assert that health care delivery service for children with oncological diseases is at an acceptable standard level but needs to be improved. 

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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