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4 . 2021

Dynamics of key indicators of work of the hospital sector of the health care system of Russia

Abstract

COVID-19 caused crisis in the field of public health care as medical institutions were badly prepared for such incidents. In this regard importance of estimates of opportunities and results of work of hospitals for the purpose of development of suggestions for improvement of the organization of their activity increases.

Aim. The analysis of change of separate indicators of resource providing and results of work of the hospital sector of a health care system of Russia in dynamics in six years.

Material and methods. Methods of the statistical analysis, information and analytical materials of the Russian and foreign news agencies, statistical materials of the Russian Ministry of Health and Federal State Budgetary Institution TSNIIOIZ of the Russian Ministry of Health are used.

Results. For the last 25 years in Russia the bed fund of the state medical organizations was reduced by 705.6 thousand or for 40%. For the end of 2020 the bed fund of the state medical organizations in Russia made 1031.5 thousand beds, or 7.0 beds for 1000 of the population. 259.1 thousand beds, or 25.1% of total capacities of bed fund of the round-the-clock hospitals of the country were used for treatment of COVID-19 in 2020 in Russia. Average annual employment of bed fund in general for the Russian Federation for the same period decreased from 317.7±21.3 in 2015 up to 255.1±20.3 days in 2020 that makes only 77% of an optimum indicator (330 days in a year). Especially Low were indicators of Load of the bed fund (including resuscitation) intended for treatment of COVID-19 (a bed turn on average - 10.5, average annual employment of a bed - 109 days). Level of all-hospital lethality in 2020 was on average in the Russian Federation 3.14% that is 1.8 times more, than in 2015, and on average in territorial subjects of the Russian Federation at treatment of COVID-19 - 7.62±0.33%.

Conclusion. The health care system overload at emergence of a new coronavirus pathogen of SARS-CoV-2 was result of administrative collapse and wrong distribution of resources. The hospital health sector was in the period of a pandemic loaded in general on only three quarters, and specialized capacities for treatment of the infected COVID-19 of patients - no more than on a third. The priorities realized within the last years on reduction of number and capacities of the round-the-clock hospitals have to be replaced with priorities on ensuring stability and efficiency of their work, especially in a case deterioration in an epidemiological situation.

Keywords:public health and the organization of health care, COVID-19 pandemic, a new coronavirus infection, work of a health care system in the period of a pandemic, mobilization readiness of health care, indicators of work of the round-the-clock hospitals, optimization of bed fund

Funding. The study had no sponsor support.

Conflict of interest. The author declares no conflict of interest.

For citation: Korkhmazov V.T. Dynamics of key indicators of work of the hospital sector of the health care system of Russia. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2021; 7 (4): 84-94. DOI: https://doi.org/10.33029/2411-8621-2021-7-4-84-94 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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