Management in healthcare
  • 2020 № 5 Dermatovenerologic service resources in the Republic of Bashkortostan

    The article presents the analysis of accessibility parameters related to medical care in the area of dermatovenerology in
    the Republic of Bashkortostan. We studied the dynamics of such provision parameters as the number of dermatovenerologists and
    the number of in-patient and day-patient beds for the period from 2013 to 2018. In the Republic of Bashkortostan the number of
    dermatovenerologists has decreased from 0.68 specialists/10,000 people to 0.59 specialists/10,000 people (decrease rate 13.2%);
    the amount of dermatovenerologic offices has decreased by 9.3% (from 107 to 96). We noticed the decrease in the bed capacity
    due to the decrease of in-patient beds from 1.31/10,000 people to 0.94 beds/10,000 people (decrease rate 28.2%). At the same
    time we shall point out the increase in the time of bed occupation: from 320 days/year to 344 days/year. Patient turnover per one
    bed (further referred as bed turnover) has increased from 16.1 to 24.9 patients per year (increase rate 54.7%). The average time of
    bed stay for one patient has decreased from 20.0 days to 13.8 days (decrease rate 31.0%). In the Republic of Bashkortostan (RB),
    the number of day-patient beds has increased. For outpatient medical institutions the number has increased by 12.2 times (from 10
    to 122 beds); for in-patient medical institutions it has increased by 13.8% (from 81 to 94 beds). For in-patient medical institutions,
    the accessibility of day-patient beds has increased from 0.2 beds/10,000 people to 0.23 beds/10,000 people and for outpatient
    medical institutions it has increased from 0.2 beds/10,000 people to 0.3 beds/10,000 people. By 2018, the average day-patient
    bed occupation amounted to 314 days, regardless of institution type. Further study of medical care accessibility in the sphere of
    dermatovenerology in the Republic of Bashkortostan is important; measures on its improvement shall be scientifically proven.

    Authors: Mukhamadeeva O. R. [2] N. Kh. Sharafutdinova [1] Sharafutdinov М. А. [1] M. Yu. Pavlova [1]

    Tags: accessibility of dermatovenerologic care1 dermatologic hospital bed1 estimation of medical care accessibility1 parameters of hospital bed accessibility1 s pecialized dermatovenerologic care1 venereology hospital bed1

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  • POPULATION HEALTH
  • 2022 № 10 Assessment of the economic burden of psoriasis in the republic of Bashkortostan

    Psoriasis is one of the most common chronic dermatoses, leading to disability of patients. The damage from it is comparable to the damage from atrial fibrillation, lung cancer, breast cancer.
    P u r p o s e of our study was to determine the economic burden of psoriasis in the Republic of Bashkortostan, depending on the volume of costs for different treatment options.
    M a t e r i a l s a n d m e t h o d s . The paper calculates the economic burden of psoriasis in the Republic of Bashkortostan based on official data from the Medical Information and Analytical Center of the Republic of Belarus, the Territorial Compulsory Medical Insurance Fund of the Republic of Belarus and Bashkortostanstat for the period 2020-2021.
    R e s u l t s . There is increase in the number of patients with psoriasis in the Republic of Bashkortostan for the period 2012-2021. The total economic burden of psoriasis in the Republic of Bashkortostan is 896970909,00 rubles in year (66055,7 rubles per patient), including: for all types of treatment, taking into account the funds of the patients themselves, 559028692,5 rubles are spent, for temporary disability benefits 300293897,6 rubles, disability benefits 37648318,9 rubles. The largest proportion of patients regularly treated for psoriasis are patients receiving therapy both in a hospital and in a polyclinic (42,1%). The allocated volumes of high-tech medical care, as well as genetically engineered biological therapy in the Republic of Bashkortostan are insufficient to provide all patients in need with these types of assistance. One third of patients with psoriasis (33,6%) do not seek treatment from dermatovenereologists.
    C o n c l u s i o n . The results obtained indicate the need for further detailed study of the issue of economic costs associated with the prevalence of psoriasis in the Republic of Bashkortostan, the development of measures to reduce the incidence of the population, risk factors and relevant policy documents for the resource provision of medical care for patients. The medical, social and economic efficiency of the measures will be expressed by improving the quality of life of patients, reducing the economic damage from temporary disability and disability.

    Authors: Sharafutdinova N. Kh. [2] Mukhamadeeva O. R. [2] Enikeeva D. R. [2] Kamalov E. S. [1] Kurbatov S. S. [1] Khammatova A. A. [1] Perminova V. A. [1]

    Tags: economic burden1 incidence4 psoriasis1 treatment costs1

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