Management in health care
  • 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.

    Authors: Banteva M. N. [6] Melnikov Yu. Yu. [2] Manoshkina E. M. [5]

    Tags: average bed occupancy per year1 average length of stay in a hospital bed1 day time hospitals1 hospital bed2 hospital bed fund1 hospital mortality1 provision with hospital beds1 reduction of hospital bed fund1

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  • 2016 № 7 The activities of day hospitals in the Russian Federation in 2000–2014

    The article analyzes legal documents, which that regulate the work of day hospitals in the Russian Federation since the late 90-ies of XX century to the present. Presents an analysis of the performance of activities of day hospitals in health institutions providing medical care in ambulatory and stationary conditions in the country in 2000–2014. Marked increase in the number of beds in day hospitals 2,3 times, which is mainly due to the increase of beds in day hospitals in health institutions providing medical care in ambulatory conditions. Spend the evaluation of use of hospital beds hospitals for 15 years. During the study period the number of beds in hospitals has decreased by 27,7%, the number of discharged patients has almost not changed, which is associated with the intensity of the work beds. Shows the comparison of the number of persons treated in day hospitals and hospitals round-the-clock stay. The total number of patients treated in day hospitals and round hospitals, the proportion of patients treated at a convenience care hospitals declined from 92,5 to 80,3%, the proportion of patients treated in day hospitals increased from 7,5 to 19,7%.

    Authors: Son I. M. [35] Evdakov V. A. [3] Shlyafer S. I. [2] Senenko A. Sh. [4] Melnikov Yu. Yu. [2]

    Tags: beds3 day hospital2 hospital organizations1 the average bed occupancy in a year1 the average duration of treatment1 the medical organizations giving help in out-patient conditions1 turnover (function) bed1

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