Economics of health care
  • 2017 № 8 The Results of a study of financing of TB control activities

    Tuberculosis control in the Russian Federation has a high national priority, confirmed a high level of funding for TB activities. The value of the costs per patient of tuberculosis is the highest in the world. The main economic burden of TB falls on the budgets of the constituent entities of the Russian Federation. The article presents the results of the analysis of volumes of financing on the main financial sources and areas of spending of budget funds for TB care in 2015. Presents cross-country comparative analysis of the financing of TB control in countries with high burdens of tuberculosis and tuberculosis, caused by the pathogen with multidrug resistance. The dynamics of the state of basic funds of TB of the medical organizations and the calculations of the financial requirements for their updating

    Authors: Obukhova O. V. [28] Sterlikov S. A. [8] Nechaeva O. B. [2] Belilovsky E. M. [1]

    Tags: anti-tuberculosis measures1 the basic foundations of healthcare organizations1 tuberculosis4

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  • Financial management
  • 2019 № 1 Methodology for estimating the costs of identifying, diagnosing and treating tuberculosis with multiple and extensive drug resistance

    Estimating the cost of treating patients with extensive drug-resistant Mycobacterium tuberculosis is useful both in planning financial resources for anti-tuberculosis activities and in determining the economic burden of this phenomenon. The article proposed the author’s methodology for estimating the costs of identifying, diagnosing and treating tuberculosis with multiple and extensive drug resistance, calculated estimates of the cost of combating the general drug resistance of mycobacteria tuberculosis.

    Authors: Obukhova O. V. [28] Sterlikov S. A. [8] Rusakova L. I. [1]

    Tags: anti-tuberculosis activity1 direct costs5 dr-tb1 mdr-tb1 multi-drug resistance of mycobacterium tuberculosis1

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  • Management in health care
  • 2015 № 9 The condition and renovation of capital assets of TB-institutions in the Russian Federation (2012–2014)

    The state of capital assets of TB organizations in the Russian Federation: buildings and structures, machinery and equipment, motor vehicles evaluated. Discovered increased depreciation of capital assets, imbalance of wear, imbalances of renovation. The ways of harmonization of state assets offer.

    Authors: Son I. M. [41] Obukhova O. V. [28] Sterlikov S. A. [8]

    Tags: anti-tb institutions1 capital assets1 health economics1 tb care1

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  • 2013 № 11 Methodology of calculating industrial registration indicators, diagnostics and efficiency of medical treatment for patients suffering from tuberculosis (Federal Public Health Institute for Health Care Organization and Information of the Ministry of Public Health of Russian Federation, Moscow, Russia)

    There are announced the principal mechanisms affecting the size of registration indicators, diagnostics and treatment efficiency for patients suffering from tuberculosis. There are presented the consequences of a number of management solutions.

    Authors: Son I. M. [41] Sterlikov S. A. [8] Nechaeva O. B. [2]

    Tags: diagnostics2 industrial indicators1 methodology of calculation1 registration2 treatment efficiency1 tuberculosis4

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  • Management in healthcare
  • 2023 № 7 Theoretical substantiation of the organization of detection of cases of tb and hiv infection in temporary issuers of territories with low population density.

    Detection of cases of tuberculosis in temporary detention facilities (TDF) and police reception centers (PR) makes it possible to identify TB patients among socially vulnerable segments of the population with high efficiency; a similar result is expected for HIV infection. This is especially true for low-density entities where the population is exposed to specific risk factors. However, at present there are no calculations showing the potential effectiveness of implementing the method in them.
    T h e p u r p o s e o f t h e s t u d y : to develop theoretical prerequisites for the introduction of a survey of detainees, suspects and accused in order to detect tuberculosis and HIV infection in PR and TDF.
    M a t e r i a l s a n d m e t h o d s . We used information from official statistical observation to analyze the detection rate of tuberculosis and HIV in pre-trial detention centers. Information about the number of offenders according to the Ministry of Internal Affairs, and estimates of the detection of tuberculosis patients according to statistical materials. 95% confidence limits (95% CI) were used as limits for the 95% uncertainty interval.
    R e s u l t s . From 2018 to 2022 2,512 newly arrested people passed through the pre-trial detention center in Petropavlovsk-Kamchatsky, among whom 94 people living with HIV were identified for the first time (detection rate is 37,4 per 1,000 examined; for comparison, in public health care – 2,1 per 1,000 examined) and 54 patients tuberculosis (detection rate is 21,5 per 1000 examined; for comparison, in public health care – 0,29 per 1000 examined). During this time, the police detained 16,282 people who, one way or another, went through the PR and IVS. Their examination would make it possible to additionally identify from 80 to 108 PLHIV and from 34 to 71 TB patients annually.
    C o n c l u s i o n . Screening for the detection of tuberculosis and HIV infection in TDFs and PRs is a potentially extremely effective tool that can lead to a significant improvement in the detection of patients with socially significant infectious diseases with the potential to interrupt the infection chain among socially vulnerable part of the population.

    Authors: Sterlikov S. A. [8] Gromov A. V. [1] Mikhailova Yu. V. [1]

    Tags: detection of hiv cases1 detection of tuberculosis cases1 screening of socially maladjusted population1 temporary detention facilities1

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  • Modeling and forecasting
  • 2023 № 11 A mathematical model for assessing the contribution of viral hepatitis to the formation of infectious penitentiary syndrome.

    P u r p o s e : to study the role of viral hepatitis in the development and course of comorbid infection (disease caused by HIV, tuberculosis and parenteral viral hepatitis) in persons serving the penalty of deprivation of liberty.
    M e t h o d s . The indicators reflecting the epidemic situation of tuberculosis, HIV infection and parenteral viral hepatitis in institutions of the Russian penal system were analyzed. Correlation analysis and multiple regression analysis were conducted, followed by an analysis of the quality of the obtained regression models (calculation of the coefficient of determination).
    R e s u l t s . The following parameters have the maximum correlation between the predictors and the response function in this group of observations, with the subsequent exclusion of factors whose correlation with the variables involved in the calculations was higher than the correlation of these indicators with the response function: the incidence of hepatitis B per 100 thousand people (r = 0,86) [X1], the number of newly diagnosed hepatitis C patients in 2021 (r = 0,85) [X2], the proportion of newly diagnosed HIV-infected people in combination with tuberculosis and viral hepatitis (B, C, B+D), % (r = 0,85) [X3], the number of HIV patients receiving ART (r = 0,85) [X4], the incidence of tuberculosis in Pre-trial detention center (PTDC), per 100 thousand people (r=0,41) [X5], the number of newly arrested tuberculosis patients identified during the initial examination (r = 0,41) [X6]. The model was obtained: simulated mortality from HIV = –6,7 + 0,48 * X1 + 0,39 * X3 – 0,07 * X5 (R2 = 0,86). A similar model was obtained for the absolute values of the number of deaths; it involved the following parameters: the number of newly diagnosed patients with viral hepatitis B [X1], the
    number of newly diagnosed patients with viral hepatitis C [X2], the number of newly diagnosed HIV patients in combination with tuberculosis [X3], the number of patients burdened by premorbid background (injecting drug users) [X4]: The number of deaths from HIV= –0,36 + 0,06 * X1 + 0.02 * X2 + 0.36 * X3 + 0,03 * X4 (R2 = 0.91).
    C o n c l u s i o n . The association of HIV mortality rate with viral hepatitis and tuberculosis incidence is shown and estimated. HIV mortality can be considered as a function of the following factors: 1) the incidence of hepatitis B, 2) the proportion of first-time detected persons with HIV-tuberculosis-viral hepatitis coinfection, and 3) the incidence of tuberculosis in pre-trial detention centers.

    Authors: Sterlikov S. A. [8] Popova N. M. [2] Ponomarev S. B. [3] Mikhaylova Yu. V. [2] Mikhaylov A. Yu. [2] Averyanova E. L. [1] Pankova Ya. Yu. [1]

    Tags: hiv mortality1 infectious prison syndrome1 mathematical modeling1 viral hepatitis2

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  • Modernization of health care
  • 2013 № 5 Evaluation of need in modernization of main health care institutional funds in sub-sovereign entities (with the example of Orlov region) (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow, Federal State Entity «Centre of monitoring and clinic-economic expertise» RosZdravNadzor, Moscow, Russia)

    Annotation: In the article there is presented an example of using data, received as a result of health care entities passportization. There is suggested a methodology of calculating technical-economic indexes for planning events on modernizing regional health care. There is processed an evaluation of building's potential serviceableness for future exploitation, which can be used for long-term investment planning directed on strengthening material-technical base of health care entities.

    Authors: Sterlikov S. A. [8] Pachin M. V. [1] Anuchin P. M. [1]

    Tags: main funds1 modernization of health care2 passportization of health care entities1 technical-economic indexes1

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  • Technology management
  • 2016 № 3 The level provision with diagnostic equipment in medical organisations, offering medical aid in ambulant conditions

    Annotation. Shift to the provision of medical care in the outpatient setting updates the analysis of the provision of medical equipment and the loading it in the outpatient departments. Condition of medical devices for preventive screening equipment for computer and magnetic resonance tomography, ultrasound and endoscopic diagnostics studied using official reporting statistic data. The technical condition of the buildings outpatient departments was analizing too. Identified the shortages of equipment for mammography, the suboptimal using of the equipment for screening of the chest. The expediency of the certification of health care organizations recommended, as well as the revision of standards studies using computed tomography. A path to optimizing the load on the diagnostic equipment proposed.

    Authors: Son I. M. [41] Senenko A. S. [4] Leonov S. A. [14] Skvirskaya G. P. [5] Gazheva A. V. [6] Sterlikov S. A. [8] Bilalov F. S. [3]

    Tags: ct and mri scans1 health organizations providing assistance to the population in an outpatient setting1 medical equipment3 preventive screening1 technical condition of buildings of medical departments1 ultrasound diagnostic equipment1

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