Management in health care
  • 2020 № 10 Efficiency indicators of the round-the-clock hospital beds of the oncologic profile in 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.

    Authors: Evdakov V. A. [4] Banteva M. N. [8] Manoshkina E. M. [6] Melnikov Y. Y. [1]

    Tags: bed fund2 hospital bed3 morbidity9 mortality16 neoplasms2 oncology5 provision with hospital beds3

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