2016 № 6 High-tech medical care for patients with rare diseases problems of organization and financing
The article analyzes the problem of providing high-tech medical care for patients with rare (orphan) diseases. The authors propose recommendations for improving organizational and financial mechanisms of the organization of medical care for patients with rare (orphan) diseases.
2020 № 5 Analysis of the activities of a multidisciplinary day hospital in a city
In the article, based on literature sources, analysis of reporting data on the activities of medical organizations providing inpatient care (MOSU) and medical organizations providing outpatient care (MOAU), as well as studying work experience in a number of territories of the Russian Federation, the tasks are shown, organizational forms of work, medical and economic feasibility of organizing day hospitals. The experience and performance indicators of the patient care center based on the outpatient department of the city clinical hospital are presented. The medical and social efficiency of the work of the homestead and the possible economic effect of the organization of the homestead are estimated.
2019 № 7 Hospital replacement technologies in dermatovenereology
The Program of State Guarantees provided for a decrease of almost 20% in the volume of inpatient care due to the development of hospital-substituting forms. The efficiency of day hospitals is higher than hospitals by 1.5–3 times, which is associated with work in 2 shifts. The economic effect of the activity of DS according to the results of research works of a number of authors reaches 70%.
At the same time, the rate of introduction of day hospitals (DS) remains unreasonably low, and core day hospitals are not sufficiently developed, including in dermatology.
The disadvantage of the healthcare system in Russia and dermatovenerologic care in particular is the lack of economic incentives in favor of choosing less expensive technologies, their parameters are shifted towards hospital provision. Over the past decade, the numberof research papers on the activities of CPs has significantly decreased, an economic financing mechanismhas not been developed that stimulates the development of these forms of work.