Issue: 2019, Vol. 24, No. 4

Yu. Yu. Melnikov, E. M. Manoshkina, M. N. Banteva

DYNAMICS OF THE INDICATORS OF THERAPEUTIC BEDS OF TWENTY-FOUR-HOUR AND DAY HOSPITALS IN THE RUSSIAN FEDERATION AND ITS REGIONS IN 2010-2018

Keywords

twenty-four-hour bed, bed fund, reduction of hospital bed fund, therapeutic profile, provision with hospital beds, average duration of treatment, average occupancy of bed per year, daily stay hospitals, mortality rate.

Abstarct

Actuality - the active process of structural and functional development of the hospital bed fund requires the necessity to analyze the main indices of its work. Objective – to analyze the dynamics of the main indicators of the therapeutic hospital beds both in round-the-clock and daily stay in the Russian Federation, federal districts (FD) and regions in 2010-2018 years. Material and methods. On the grounds of the data of federal statistic observation (forms № 30, № 47 and № 14ДС) by descriptive statistic method the main parameters of therapeutic bed fund in twenty-four-hour and day hospitals in the Russian Federation, FD and regions and mortality rate in twenty-four-hour beds were analyzed in dynamics in 2010–2018. Results and discussion. In general in the Russian Federation from 2010 to 2018 the absolute number of therapeutic hospital beds for round-the-clock stay reduced by 32,5 %, when calculating per 10 000 population the provision of beds in this profile in 2018 was decreased to 17,5 % in comparison to 2010. The level of hospitalization for therapeutic hospital beds for this period decreased by 20.3%), the average duration of stay at therapeutic hospital bed decreased by 18.0% and the average occupancy of one therapeutic hospital bed per year decreased by 1,8 %. Mortality rate at therapeutic hospital beds in the Russian Federation increased by 6,01 %. The provision of the population of the Russian Federation with beds in day care hospitals of a therapeutic profile was reduced. Conclusion. The extreme values of the index of hospital beds for the therapeutic profile of twenty-four-hour and day hospitals in the FD and regions of the Russian Federation vary significantly and reflect the disproportionate network organization; insufficient substitution function of day hospital and twenty-hour hospital is revealed.

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