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.
2020 № 7 Productivity indicators of the daily stay bed fund in the Russian Federation
The process of reducing round-the-clock bed fund with simultaneous development of hospital-replacing technologies, namely
daily stay hospitals, has been going on in the Russian Federation, for more than twenty-five years, a similar trend has been observed in recent decades in most developed countries of the world. From 2010 to 2018 provision of the population with beds of daily stay hospitals in the Russian Federation moderately increased from 15.4 per 10,000 to 17.0 (an increase of 10.7%). Hospitalization rate of the population in daily stay hospitals in the country increased from 41.9 per 1,000 population in 2010 to 56.3 in 2018 (an increase of 34.5%). At the same time, the average bed occupancy per year in daily stay hospitals for the study period decreased from 311 days to 301 days (the decrease was 3.1%). The average length of stay in daily hospitals bed decreased from 11.4 to 10.1 days (the decrease was 11.7%). The positive dynamics of most of the studied indicators testifies to the development of the network of daily stay hospitals in the Russian Federation, the negative point is the reduction of average bed occupancy per year, what may indicate a decrease of the intensity of use of the bed fund of daily stay hospitals in the country.
2020 № 2 Dynamics of indicators of the hospital bed fund of round-the-clock and daily stay in the Russian Federation
For the period 2010–2018 the number of hospitals in the Russian Federation decreased from 5705 to 4323
(by 24.2%), both due to the reduction in the number of beds and in connection with the unification of medical organizations.
The number of beds of round-the-clock stay decreased from 1250120 to 1044875 (by 16.4%); the following
indicators decreased: provision with these beds (from 87.5 to 71.1 per 1000 population – by 18.7%), the average treatment
duration (from 12.6 days to 10.7 – by 15.1%) and, unfortunately, average bed occupancy per year (from 325 to
313 days – by 3.7%). In 2018, the extreme values of the indicator of hospitalization rate for 24-hour hospital beds in
the regions of the Russian Federation differ 1.8 times, provision with hospital beds – 2.9 times, average bed occupancy
per year – 1.2 times, average treatment duration – 1.8 times. The revealed differences are significant, what indicates
the imbalance of the ongoing structural transformations. The overall hospital mortality rate in the Russian Federation increased:
from 1.5% in 2010 to 1.9% in 2018 (by 28.4%), similar dynamics – in all Federal Districts. The provision of the
population of the Russian Federation with places in day time hospitals increased from 15.4 per 10 000 in 2010 to 17.0
in 2018 (by 10.7%). Multidirectional tendencies are noted, both toward increasing and decreasing the number of places
in day hospitals both in the Federal Districts and in the regions of the country; the extreme values of the indicator of the
provision of places for day hospitals in the constituent regions of the Russian Federation differ by 30 times, what reflects the
disproportionate organization of the network of day time hospitals in the country’s regions. During the observation period
in the Russian Federation the level of hospitalization in round-the-clock hospitals decreased from 222.0 to 203.5 per 1000
population (–8.3%), while the level of hospitalization in day time hospitals steadily increased from 26.4 to 35.0 per 1000
population (by 32.8%), what indicates the implementation of the expected hospital-replacing function of day time hospitals
in the country. The issue of further structural and functional optimization of the bed fund of the country remains relevant.