2018 № 1 Experience of use of medico-economic standards for the endovascular treatment of diseases
Endovascular surgery and interventional radiology is the most modern technologies in interventional medicine. The standardization of endovascular methods is the main condition for application in practice.
Materials: Reports of the main specialists on X-ray and endovascular diagnostics and treatment of MZRF and MZ of the Moscow region. Regional medico-economic standards (MES) for endovascular treatment of diseases are developed and implemented by the Ministry of Health of the Moscow Region in 2012-2014. The results of the work showed a significant increase (6,4 times) of the performed endovascular procedures for various diseases in medical organizations involved in the implementation of the Moscow region Medical Insurance Program. This made it possible to increase the efficiency of the work of cardiology, surgery, oncology and gynecology departments, to reduce hospital mortality from acute myocardial infarction in vascular centers from 22 in 2012 to 7-8% in 2015, and mortality from cardiovascular dis¬eases in the Moscow Region from 878.5 in 2012 to 680.5 in 2015 per 100 thousand of the population. The opening of 10 catheterization centers in the Moscow region, the introduction of MES treatment of patients with acute coronary syndrome according to routing, ensured the effective hospitalization of patients in "invasive" centers from 2% in 2012 to 82.8% in 2015. The standardization of the endovascular methods of treatment leads to an increase in the use of hospital beds, improved routing of patients' flows, provision of endovascular care of patients.