scholarly journals Current state of the cardiology bed fund in the Russian Federation and its dynamics during 2010–2018

2020 ◽  
Vol 27 (4) ◽  
pp. 105-118
Author(s):  
I. M. Son ◽  
V. A. Evdakov ◽  
E. M. Manoshkina ◽  
M. N. Bantyeva ◽  
Yu. Yu. Melnikov
Keyword(s):  
Russian Federation ◽  
Outpatient Care ◽  
Average Length ◽  
Absolute Number ◽  
Current State ◽  
Number Of Patients ◽  
Hospital Beds ◽  
Patient Stay ◽  
The Russian Federation ◽  
The Absolute

Aim. To assess the current state of the cardiology bed fund in round-the-clock and day-patient facilities in the Russian Federation and the efficiency of its use in 2010–2018.Materials and methods. Using the method of descriptive statistics, the data from the Federal Statistical Observation Forms (No. 30, 47 and 14DS) were analyzed in order to assess the current state and dynamics of the use of cardiology beds during the 2010–2018 period.Results. The absolute number of cardiology hospital beds in Russia in 2018 amounted to 49,578 beds, which number was lower than in 2010 by 5,899 beds. The absolute number of cardiology beds in day-patient facilities of all hospital types increased by 169 beds and equaled 4,019 beds. The provision of the Russian population with round-the-clock hospital cardiology beds decreased from 3.88 per 10,000 population in 2010 to 3.38 in 2018 (–12.9%). The provision of the population with cardiology beds in day-patient facilities in hospitals providing inpatient care increased by 19.6% (from 0.12 to 0.14 per 10,000 population) in 2010–2018. This indicator decreased by 11.5% (from 0.15 to 0.14 per 10,000 population) in day-patient facilities in medical organizations providing outpatient care in 2014–2018. In Russia, the hospitalization rate in round-the-clock cardiology departments increased from 9.3 per 1000 population in 2010 to 10.8 in 2018 (+16.1%). The average length of patient stay in round-the-clock cardiology departments decreased from 13.1 days to 9.7 days (–26.0%), with the indicator of bed turnover growing by 29.2%. The mortality rate decreased by 3.6% (from 1.96% in 2010 to 1.89% in 2018).Conclusion. The total number of patients treated in cardiology beds of both round-the-clock and day-patient facilities was 266,311 people higher in 2018 compared to 2010, out of which 89.6% (236,004 people) were treated in round-the-clock hospital facilities and 10.4% (27,307 people) — in hospitals providing outpatient care. At the same time, the absolute number of round-the-clock hospital beds decreased. As a result, the rate of substituting treatment at round-the-clock hospital facilities with that at outpatient medical organizations remains insignificant.

Activity of daily stay oncological hospitals in the Russian Federation and its regions for 2010–2019

2021 ◽  
pp. 40-47
Author(s):  
V. A. Evdakov ◽  
◽  
Y. Y. Melnikov ◽  
M. N. Banteva ◽  
E. M. Manoshkina ◽  
...  
Keyword(s):  
Russian Federation ◽  
Health Sector ◽  
Absolute Number ◽  
Duration Of Treatment ◽  
Negative Contribution ◽  
Number Of Patients ◽  
Hospital Beds ◽  
Federal Districts ◽  
The Russian Federation ◽  
Main Activity

Relevance. Oncological diseases both in our country and in other countries of the world make a significant negative contribution to the overall mortality and disability of the population. Moreover, in the last decade, oncopathology is significantly more often affects the younger, employable population. One of the factors improving medical care is the provision of the population with specialists and hospital beds of oncological profile, including day care, where patients with this class of diseases could undergo a full course of pre-treatment, treatment, rehabilitation and recovery. Aim. To identify the dynamics of the main activity indicators of daily stay oncological hospitals of the public health sector in the Russian Federation, federal districts and regions of the Russian Federation for 2010–2019. Materials and methods. Using the data of federal statistical observation (form № 14DS) by the method of descriptive statistics, the main activity indicators of daily stay oncological hospitals in the Russian Federation, federal districts and regions of the Russian Federation in dynamics for 2010–2019 were analyzed. Results and discussion. In General, in the Russian Federation, the absolute number of oncologic hospital beds in daily stay hospitals of medical organizations providing inpatient care for the period from 2010 to 2019 increased by 3,5 times (from 1,448 to 5,013 beds), in daily stay hospitals of medical organizations providing outpatient care for the period from 2014 to 2019 by 67,1% (from 2,465 to 4,120 beds). At the same time the number of patients treated in oncological hospital beds in inpatient daily stay hospitals for the period 2010–2019 increased by 405,245 (from 78,120 to 483,365 people), and in outpatient daily stay hospitals for the period from 2014 to 2017 increased by 93939 (from 218,502 to 312,441 people). The average occupancy of an oncological hospital bed per year and the average duration of treatment in Russia in inpatient daily stay hospitals decreased from 409 days in 2010 to 380 days in 2019 and from 7,7 to 5,6 days, respectively, in outpatient daily stay hospitals from 407 days in 2014 to 386 days in 2017 and from 4,7 to 4,6 days, respectively. Conclusion. The expansion of the bed fund of daily stay hospitals of oncological profile is timely and justified, but its development in different regions of the Russian Federation is characterized by a pronounced disproportion. At present there are all the necessary reserves to continue the active development of the network of daily stay hospitals of this profile.

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.

scholarly journals TB trends in the Russian Federation

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Atajan Ergeshov ◽  
◽  
Larisa Rusakova ◽  
Sergey Sterlikov ◽  
◽  
...  
Keyword(s):  
Russian Federation ◽  
Absolute Number ◽  
The Past ◽  
Mdr Tb ◽  
Soviet Time ◽  
Latent Tb ◽  
The Russian Federation ◽  
The Absolute ◽  
Latent Tb Infection ◽  
Estimate Number

To study the tuberculosis (TB) trends in the Russian Federation for 2010-2019 and 2020. Methods. The main epidemiological TB indicators, including TB-HIV co-infection and multidrugresistant tuberculosis (MDR-TB) for 2010-2019 and 2020 were calculated. Results. The estimate number of TB deaths in 2015-2020 went down by at least 58.7%. The absolute number of incident TB cases (new cases and relapses) decreased by 32.5% in 2015-2020. By quarter’s I-III of 2020, the rates of primary MDR-TB increased up to 33.7%. Since 2016, the incidence of TB and HIV co-infection has been stable. The prevalence of TB has been continuously decreasing, and during the past 2-3 years, a decrease in the prevalence of TB- HIV co-infection and MDR-TB was reported. Conclusion. Russia has achieved the interim results of the End TB Strategy 2020, as well as the level of TB incidence corresponding to the late Soviet time. The growth of MDR-TB rate shows the need to expand the introduction of innovative anti-tuberculosis drugs and to revise the regimens for prevention of latent TB infection.

scholarly journals Murder for Hire: Criminological Analysis of the Current Situation in the Russian Federation

2020 ◽  
Vol 14 (4) ◽  
pp. 541-552
Author(s):  
Anna Repetskaya ◽  
Sergey Gabeev
Keyword(s):  
Russian Federation ◽  
Specific Weight ◽  
Absolute Number ◽  
Criminal Code ◽  
Murder Rate ◽  
The Russian Federation ◽  
The Absolute ◽  
Rate Of Decline ◽  
Criminal Groups ◽  
Criminological Analysis

This article offers a criminological analysis of murders for hire, from the moment of their regulation in the current Criminal Code of the Russian Federation until 2019. Since the procedure of statistical registration of these crimes changed several times during this period, comparable indicators were presented based on these changes. The base period is from 2003 to 2019. In the course of criminological analysis, the authors used official statistical data and calculated the dynamics of absolute and relative indicators (growth rates, specific weight, intensity coefficient) of crimes of the studied type. As a result, the authors came to the following conclusions. In the Russian Federation, murder for hire is not a common crime: its share in the structure of murders over the past decade has not exceeded 0.15 %, although murders account for no more than 0.5 % in the overall structure of crime. The analysis of the dynamics of this crime revealed not only a steady downward trend in its quantitative indicators, but also a faster rate of decline in comparison with the dynamics of murders in general (the absolute number of criminal cases of murder for hire decreased 6 times during the examined period, while the absolute murder rate decreased only 4 times, and the rate of decline for the basic indicator of murder for hire was higher by 8.7 %). The coefficient of intensity of murders of this type during the examined period also decreased 6.5 times. The rate of decline in the indicators of assassinations committed by organized criminal groups and criminal communities was 2 times higher than the rate shown by the entire set of murders of this type. At the same time, the share of murders for hire committed with the use of firearms, explosive devices, and explosives has not actually changed, despite a six-fold decrease in absolute indicators. However, the share of such crimes is not dominant in the structure of homicides for hire. In addition, murder for hire is a crime with a higher degree of latency than manslaughter. At the same time, a complicated system of registering murders for hire under various indicators makes it possible to disguise the real situation with this crime.

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 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.

DYNAMICS OF THE MAIN INDICATORS OF HOSPITAL BEDS CARDIOLOGICAL HOUR AND DAY OF STAY IN THE RUSSIAN FEDERATION

2020 ◽  
Vol 5 (4) ◽  
pp. 43-49
Author(s):  
E. Manoshkina ◽  
M. Bant'eva ◽  
V. Kuznecova
Keyword(s):  
Length Of Stay ◽  
Medical Care ◽  
Russian Federation ◽  
Average Length ◽  
Health Resources ◽  
Average Length Of Stay ◽  
Hospital Beds ◽  
The Russian Federation ◽  
Day Hospitals ◽  
Observation Period

. For the period 2010-2018, the number of cardiac macroglobulinov stay in the Russian Federation decreased from 55477 before 49578 (10.6%),polysilazane hospitalizations for cardiac beds (from 9.3 to 10.8 per 1,000 population – 16.1%),decreased provision of cardiological beds (from 3.88 to 3.38 per 1000 population – by 12.9%), the average length of stay for cardiac bed (from 13.1 to 9.1 tnado – by 26.0%) and average employment cardiology bed per year (from 340 to 327 days – 3.8%). Mortality in cardiac beds in the Russian Federation decreased from 1.96% in 2010 to 1.89% in 2018 (by 3.6%).The provision of places for the Russian population in day hospitals of cardiological profile of organizations providing medical care in inpatient conditions increased by 19.6% (from 0.12 per 10,000 population in 2010 to 0.14 in 2018), and in day hospitals of organizations providing medical care in outpatient conditions decreased by 11.5% (from 0.15 per 10,000 population in 2014 up to 0.14 in 2018).In the Russian Federation, during the observation period, the level of hospitalizations in day hospitals of organizations providing medical care in inpatient conditions increased by 43.6%, and the GVA of the cardiological profile of organizations providing medical care in outpatient conditions increased by 5.2%. The dynamics of indicators of the bed Fund of cardiology profile in recent years indicates the process of inpatient replacement, which is undoubtedly one of the ways to improve the efficiency of using health resources.

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.

scholarly journals Infant mortality in Russian Federation and influence on its dynamic factors

2017 ◽  
Vol 8 (3) ◽  
pp. 5-14 ◽  
Author(s):  
Dmitry O. Ivanov ◽  
Vasily I. Oryol ◽  
Yuri S. Alexandrovich ◽  
Dmitriy V. Prometnoy
Keyword(s):  
Infant Mortality ◽  
Russian Federation ◽  
Socioeconomic Development ◽  
Dynamic Factors ◽  
Foreign Countries ◽  
Number Of Patients ◽  
Hospital Beds ◽  
Federal Districts ◽  
Quality Of Medical Care ◽  
The Russian Federation

Minimizing infant mortality (IM) is the primary national objective of the Russian Federation. Aim: This study aimed to analyze IM indicators in the Russian Federation and identify factors that influence the dynamics of IM. The level of leading regional indicators of socioeconomic development and provision by doctors and hospital beds in the Russian Federation was studied and compared with the similar factors in foreign countries. Materials: Official and operative reports of Rosstat for 2011-2016 were assessed. Results. The coefficient of IM was 6.0 per 1000 live births in the Russian Federation, and varied from 4.8-9.2 in federal districts. The indicator increased in 2012 in connection with the transition to a new system of newborn registration. The indicator witnessed a permanent decline in 2016 and revealed a negative correlation between the regional bulk products and the coefficient of IM and a positive correlation with the overall IM. However, the relationship among the indicators of IM and the size of the region, the number of highways, the number of patients per one hospital bed or assigned to one doctor could not be established. Conclusion. In the Russian Federation, IM is higher than that indeveloped countries; has permanent tendency to decline; correlates with regional bulk products; does not depend on transport availability, provision with doctors, and hospital beds; and is determined by the organization and the quality of medical care.

scholarly journals Organization of medical care for children with cancer in the central federal district

2019 ◽  
Vol 18 (2) ◽  
pp. 5-14 ◽  
Author(s):  
M. Yu. Rykov
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Russian Federation ◽  
Pediatric Oncology ◽  
Federal District ◽  
Children With Cancer ◽  
Central Federal District ◽  
Number Of Patients ◽  
Hospital Beds ◽  
The Russian Federation

Background. Planning the organization of medical care for children diagnosed with cancer as well as assessing the quality of care is based on the statistical data analysis.The purpose of the study was to analyze the main parameters characterizing medical care for children with cancer in the central Federal district.Material and methods. The reports of the executive authorities in the sphere of health protection of 18 subjects of the Russian Federation included into the central Federal district were analyzed for 2017.Results. The number of children aged 0–17 years was 6 824 049, the number of pediatric oncology departments was 9, the number of hospital beds for children with cancer was 464, the number of bed-days per year was 319.3. the number of physicians providing pediatric cancer care was 91, of them 64 (70.3 %) had a certificate of a pediatric oncologist. in 11 subjects of the Russian Federation, there were no departments of pediatric oncology, and in 1of them, there were no hospital beds for children with cancer. the number of patients newly diagnosed with cancer was 821. the number of patients who died of cancer was 156, of them 66 were diagnosed with cancer in 2017. the cancer incidence rate was 12 per 100,000 children aged 017 years; the mortality rate was 2.3 per 100,000 children aged 017 years. the one-year mortality rate was 8 %. the mean time taken to establish the diagnosis and the time interval between diagnosis and initiation of treatment was unknown, since the reports did not contain precise information. twelve (1.5 %) patients left the territory of the Russian Federation for receiving treatment outside the Russian Federation.Conclusion. The information provided in most reports was not statistically reliable. the cancer incidence rates were significantly lower than those in countries with high statistical reliability. For reliable estimation of the number of inpatient beds for children with cancer and the percentage of children referred for the treatment to the federal medical centers, it is necessary to implement a unified database for pediatric oncology in the Russian Federation.

Sign in / Sign up

Export Citation Format

Share Document