Problems of management for health care of the population of the municipal areas of the Saratov region
- Authors: Sazanova G.Y.1, Ponomarev A.D.1, Mirieva I.D.1, Puzakov K.K.1, Yuranova Y.V.1, Nezhibovskaya N.R.1
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Affiliations:
- Saratov State Medical University named after V.I. Razumovsky
- Issue: Vol 66, No 3 (2022)
- Pages: 208-212
- Section: HEALTH CARE ORGANIZATION
- Submitted: 25.10.2024
- URL: https://vestnik.nvsu.ru/0044-197X/article/view/637978
- DOI: https://doi.org/10.47470/0044-197X-2022-66-3-208-212
- ID: 637978
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Full Text
Abstract
The purpose of the study is to identify the reasons for the low availability of helth care to the population of municipal districts of the Saratov region.
Material and methods. For the study, official data from the Federal State Statistics Service, the Central Research Institute for the Management and Informatization of Healthcare of the Ministry of Health of the Russian Federation and the Unified Interdepartmental Information and Statistical System for 2014–2019 were taken. The optimal volumes of health care in inpatient and outpatient settings were calculated in accordance with the orders of the Ministry of Health of the Russian Federation and the Decrees of the Government of the Russian Federation.
Results. During the study in the region, the reasons for the low availability of health care to residents of municipal districts were identified: lack of human resources in municipal medical organizations, low population density of municipal districts, low recommended staffing standards for specialists in accordance with the Procedures for organizing medical care.
Limitations. The main demographic indicators, indicators of resource provision and performance indicators of medical institutions in the Saratov region for 2014–2019 were studied. A comparative analysis of the cost of training programs for highly qualified personnel in the residency of the Saratov State Medical University named after V.I. Razumovsky of general practitioners and the most demanded specialties in municipal outpatient medical organizations in the region.
Conclusion. As a result of the study, the reasons for the low availability of health care to the population of the municipal districts of the region were identified and possible ways to overcome them were proposed.
Compliance with ethical standards. The study does not require the submission of the opinion of the biomedical ethics committee.
Contribution of the authors:
Sazanova G.Yu. — concept of the study, approval of the final version of the article.
Ponomarev A.D. — concept of the study, work with literary sources, editing of the article.
Mirieva I.D. — editing of the article.
Puzakov K.K. — collection and processing of material, writing text.
Yuranova Yu.V. — writing text.
Nezhibovskaya N.R. — writing text.
The co-authors responsibility for the integrity of all parts of the article.
Acknowledgment. The work was carried out in accordance with the Research and Development Institute of 01.09.2021 No. 121090200094-8 “Creation of conditions for the use of modern organizational technologies in the provision of medical care to patients with socially significant diseases”.
Conflict of interests. The authors declare no conflict of interest.
Received: March 26, 2021
Accepted: April 21, 2021
Published: June 28, 2022
About the authors
Galina Yu. Sazanova
Saratov State Medical University named after V.I. Razumovsky
Author for correspondence.
Email: sazanovagu@yandex.ru
ORCID iD: 0000-0003-3916-8532
MD, PhD, DSci., professor of the Department of public health and health care (with the course of law and the history of medicine) of the Saratov State Medical University named after V.I. Razumovsky, Saratov, 410012, Russian Federation.
e-mail: sazanovagu@yandex.ru
Russian FederationArtem D. Ponomarev
Saratov State Medical University named after V.I. Razumovsky
Email: noemail@neicon.ru
ORCID iD: 0000-0003-1634-6500
Russian Federation
Irana D. Mirieva
Saratov State Medical University named after V.I. Razumovsky
Email: noemail@neicon.ru
ORCID iD: 0000-0002-4510-2188
Russian Federation
Konstantin K. Puzakov
Saratov State Medical University named after V.I. Razumovsky
Email: noemail@neicon.ru
ORCID iD: 0000-0001-8784-895X
Russian Federation
Yulia V. Yuranova
Saratov State Medical University named after V.I. Razumovsky
Email: noemail@neicon.ru
ORCID iD: 0000-0001-7429-3692
Russian Federation
Nataliya R. Nezhibovskaya
Saratov State Medical University named after V.I. Razumovsky
Email: noemail@neicon.ru
ORCID iD: 0000-0002-5442-9465
Russian Federation
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