Authors
Shlyafer S. I.
Doctor of Medicine, Senior Researcher1
1 - Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia
Corresponding Author
Shlyafer Sofia Isaakovna; e-mail: sofy@yandex.ru
Conflict of interest
None declared.
Funding
The study had no sponsorship.
Abstract
The aim is to study the volume of performed diagnostic tests in the day hospitals of the Russian Federation for 2003-2017. Material and methods. To conduct the study the data on the number of patients discharged from day hospitals by classes of disease according to the statistical observation form ¹ 14ds «Information on the activities of day hospitals of medical organizations» were analyzed. Types of the performed diagnostic tests in day hospitals environment were determined according to the form of Federal statistical observation ¹ 30 «Information about the medical organization» for 2003-2017. Statistical and analytical methods were used. Result and discussion. In the Russian Federation the main causes of treatment in day hospitals of medical organizations that provide assistance in outpatient and inpatient settings were diseases of the circulatory system, diseases of the musculoskeletal system and connective tissue, neoplasm, diseases of the nervous system. For 15 years, there has been an increase in the number of discharged patients from day hospitals per 1000 population by 1,8 times, including those undergoing treatment for neoplasms – by 7,0 times, diseases of the endocrine system, eating disorders and metabolic disorders – by 4,1 times, the eyes and its subordinate apparatus – by 2,5 times, diseases of the circulatory system – by 2,4 times. In 2003-2017, the number of diagnostic tests increased in day hospitals (magnetic resonance imaging – 4,2 times, laboratory – 2,8 times, ultrasound – 1,8 times, functional – 1,8 times, x-ray diagnostics – 14,2%, endoscopic – 10,8%). Conclusions. During the study period in the country the increase in the number of discharged patients from day hospitals and the volume of diagnostic studies performed by them was observed.
Key words
day hospital, patient, diagnostic studies
DOI
References
1. Bilalov F.S. Osobennosti organizatsii kliniko-diagnosticheskikh laboratorij meditsinskikh organizatsij ambulatorno-poliklinicheskogo zvena. [Peculiarities of the organization of clinical diagnostic laboratories of outpatient medical organizations] Meditsinskij vestnik Bashkortostana. [Bashkortostan Medical Journal] 2017; 1 (67): 8-12. (In Russ.).
2. Bilalov F.S., Skvirskaya G.P., Sharafatutdinova N.KH. Dostupnost' meditsinskoj diagnosticheskoj pomoshhi na primere meditsinskikh organizatsij Respubliki Bashkortostan. [Availability of the medical diagnostic care on the example of medical organizations of the Republic of Bashkortostan] Menedzher zdravookhraneniya. [Manager of Health Care] 2018; (1): 42-51. (In Russ.).
3. Gosudarstvennyj doklad o realizatsii gosudarstvennoj politiki v sfere okhrany zdorov'ya za 2016 god. [State report on the implementation of the state policy in the sphere of health protection for 2016]. Available at: https://www.rosminzdrav.ru/ministry/programms/gosudarstvennyy-doklad-o-realizatsii-gosudarstvennoy-politiki-v-sfere-ohrany-zdorovya-za-2015-god Cited: 11.06.2018. (In Russ.).
4. Postanovlenie Goskomstata Rossijskoj Federatsii ot 10 sentyabrya 2002 g. ¹ 175 «Ob utverzhdenii form federal'nogo gosudarstvennogo statisticheskogo nablyudeniya za zabolevaemost'yu naseleniya, profilakticheskimi privivkami, deyatel'nost'yu meditsinskikh uchrezhdenij». [Decree of the State Statistics Committee of the Russian Federation of September 10, 2002 ¹ 175 «On the approval of forms of federal state statistical surveillance of the morbidity of the population, preventive vaccinations, the activities of medical institutions»]. Available at: http://old.lawru.info/legal2/se2/pravo2812/index.htm Cited: 7.12.2015. (In Russ.).
5. Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 30 dekabrya 2002 g. ¹ 413 «Ob utverzhdenii uchetnoj i otchetnoj meditsinskoj dokumentatsii». [Order of Ministry of health of the Russian Federation of December 30, 2002 ¹ 413 «On approval of accounting and reporting of medical documentation»]. Available at: http://docs.cntd.ru/document/901838776 Cited: 25.05.2016. (In Russ.).
6. Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 9 dekabrya 1999 g. ¹ 438 «Ob organizatsii deyatel'nosti dnevnykh statsionarov v lechebno-profilakticheskikh uchrezhdeniyakh». [Order of Ministry of health of the Russian Federation of December 9, 1999 ¹ 438 «About the organization of activity of day hospitals in treatment-and-prophylactic establishments»]. Spravochnik zaveduyushhego dnevnym statsionarom (normativnye materialy po organizatsii raboty). [Directory of the head of the day hospital (normative materials on the organization of work]. M.: GRÀNT', 2001. 7-12. (In Russ.).
7. Prikaz Rosstata ot 14 yanvarya 2013 g. ¹ 13 «Ob utverzhdenii statisticheskogo instrumentariya dlya organizatsii Ministerstvom zdravookhraneniya Rossijskoj Federatsii federal'nogo statisticheskogo nablyudeniya za deyatel'nost'yu uchrezhdenij sistemy zdravookhraneniya». [Order of Rosstat of January 14, 2013 ¹ 13 «On approval of statistical tools for the organization of the Ministry of health of the Russian Federation of federal statistical observation of activities of healthcare institutions»]. Available at: http://www.consultant.ru/cons/cgi/online.cgi?req=doc &base=LAW &n=141412 &rnd=261745.3218421972 &dst=104339 &fld=134%230#02652618124865956 Cited: 28.01.2013. (In Russ.).
8. Prikaz Rosstata ot 25 dekabrya 2014 g. ¹ 723 «Ob utverzhdenii statisticheskogo instrumentariya dlya organizatsii Ministerstvom zdravookhraneniya Rossijskoj Federatsii federal'nogo statisticheskogo nablyudeniya v sfere zdravookhraneniya». [Order of Rosstat of December 25, 2014 ¹ 723 «On approval of statistical tools for the organization of the Ministry of health of the Russian Federation of federal statistical observation in the sphere of healthcare»]. Available at: http://www.consultant.ru/cons/cgi/online.cgi?n=173929 &from=173929-37974-diff &req=doc &base=LAW &rnd=70A1081860976888AC34A16FC48A4290#06041178974188007 Cited: 24.06.2016. (In Russ.).
9. Prikaz Rosstata ot 27 dekabrya 2016 g. ¹ 866 «Ob utverzhdenii statisticheskogo instrumentariya dlya organizatsii Ministerstvom zdravookhraneniya Rossijskoj Federatsii federal'nogo statisticheskogo nablyudeniya v sfere okhrany zdorov'ya». [Order of Rosstat of December 27, 2016 ¹. 866 «On the approval of statistical tools for the organization of the Ministry of health of the Russian Federation of federal statistical observation in in the sphere of health protection»]. Available at: http://www.consultant.ru/cons/cgi/online.cgi?req=doc &ts=133301866608336662194046642 &cacheid=7F8E282D912CE1F2DBDCE9DEFA2E44B7 &mode=splus &base=LAW &n=213361 &rnd=70A1081860976888AC34A16FC48A4290#01647549326182497 Cited: 11.09.2017. (In Russ.).
10. Prikaz Rosstata ot 28 yanvarya 2009 g. ¹ 12 «Ob utverzhdenii statisticheskogo instrumentariya dlya organizatsii Minzdravsotsrazvitiya Rossii federal'nogo statisticheskogo nablyudeniya v sfere zdravookhraneniya». [Order of Rosstat of January 28, 2009 ¹ 12 «On approval of statistical tools for the organization of the Ministry of health and social development of the Russian Federation of federal statistical observation in the sphere of healthcare»]. Available at: http://www.consultant.ru/cons/cgi/online.cgi?n=85720 &from=85720-5112-diff &req=doc &base=LAW &rnd=70A1081860976888AC34A16FC48A4290#03890128964619192 Cited: 10.11.2017. (In Russ.).
11. Prikaz Rosstata ot 4 sentyabrya 2015 g. ¹ 412 «Ob utverzhdenii statisticheskogo instrumentariya dlya organizatsii Ministerstvom zdravookhraneniya Rossijskoj Federatsii federal'nogo statisticheskogo nablyudeniya v sfere zdravookhraneniya». [Order of Rosstat of September 4, 2015 ¹ 412 «On approval of statistical tools for the organization of the Ministry of health of the Russian Federation of federal statistical observation in the sphere of healthcare»]. Available at: http://www.consultant.ru/cons/cgi/online.cgi?req=doc &ts=133301866608336662194046642 &cacheid=031D42BF8089C9727588EE1D10091D76 &mode=splus &base=LAW &n=186071 &rnd=70A1081860976888AC34A16FC48A4290#07447804794377583 Cited: 3.12.2015. (In Russ.).
12. Federal'nyj zakon Rossijskoj Federatsii ot 21 noyabrya 2011 g. ¹ 323-FZ «Ob osnovakh okhrany zdorov'ya grazhdan v Rossijskoj Federatsii». [Federal Law of the Russian Federation of November 21, 2011 ¹. 323-FZ «On the Basics of health protection in the Russian Federation»]. Available at: http://www.consultant.ru/cons/cgi/online.cgi?req=doc &ts=202687729007388908490266167 &cacheid=60450268F189997CE81C711444B0F1A6 &mode=splus &base=LAW &n=292676 &rnd=70A1081860976888AC34A16FC48A4290#008192776539829205 Cited: 12.03.2018. (In Russ.)