The structural functional analysis of beds stock of curative preventive organizations of the state public health system of the Russian Federation

• Published in: Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny no. 1; p. 15
• Main Author: Schepin, V O
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01.01.2014
• Subjects: Bed Occupancy - statistics & numerical data; Delivery of Health Care - organization & administration; Delivery of Health Care - statistics & numerical data; Health Services Accessibility; Hospital Bed Capacity - statistics & numerical data; Hospital Mortality; Humans; Public Health - statistics & numerical data; Public Health Practice; Russia; Time Factors; Russia
• ISSN: 0869-866X

The article presents the results of comprehensive scientific analysis of size and structure of beds stock of medical curative preventive organizations of state and municipal health care systems of the Russian Federation. The issues of beds support of population on national, federal okrugs and federation subjects' levels including differentiation on different medical specialties are considered. The main indicators of functioning of hospitals, per capita consumption of hospital medical care and territorial characteristics and differences of these indicators are analyzed In conditions of on-going decrease of size of beds stock and amount of medical care in hospitals and against the background of stability of main indicators of beds use the expressed but not always objectively conditioned differences continue to be present concerning both population support with beds stock and indicators of consumption of medical care in hospitals. All these occurrences undoubtedly impact accessibility of this type of medical care to population and its resource capacity for the government. In 2012, beds support of population decreased from 85.7 to 84.1 beds per 10 000 of population. The value of indicator in federal subjects differs up to 2.9 times. In the structure of beds stock are prevailing specialized beds or groups of beds on such medical specialties as psychiatry, surgery, obstetrics and gynecology and therapy. The per capita use of medical care in hospitals decreased up to 2.609 beds-per-day that is 6.2% lower than standard value from the program of state guarantees of free-of-charge medical care support of citizen. The end values of indicator in federal subjects differ in 2.7 times. In federal subjects indicators of mean number of work of bed per year differ up to 1.2 times, of mean duration of treatment--up to 1.6 times, turn-over of bed--up to 1.6 times, hospital lethality--up to 5.9 times. The results of study confirm necessity of structural functional optimization of national beds stock and development of interaction between hospitals and out-patient services.