Hospital substitute forms of medical assistance during COVID-19
https://doi.org/10.20340/vmi-rvz.2023.3.COVID.1
Abstract
Primary health care in modern socio-economic conditions is given special attention. This type of medical care makes up a large part of the volume of the entire healthcare system in our country, but the least expensive compared to inpatient care. Practically up to 80 % of all available domestic healthcare resources are annually distributed to provide medical care to citizens in stationary conditions. While in modern conditions it is possible to use the available resources more economically and more efficiently. The introduction of hospital-replacing technologies into the practice of medical organizations, both outpatient and inpatient types, is an undoubted advantage of the development of domestic healthcare. During the COVID-19 pandemic, when most of the hospitals are being converted into infectious diseases hospitals, day hospital treatment has become of paramount importance as the main form of hospital-replacing technologies. At the same time, the day hospital is an intermediate link between the outpatient and inpatient networks. Day hospitals in our country appeared relatively recently, but they have received significant development from the standpoint of the greatest medical, social and economic efficiency of treating patients compared to round-the-clock hospitals under the same conditions. During the pandemic, this circumstance was undeniably proven.
About the Authors
M. G. KaraylanovRussian Federation
Mikhail G. Karaylanov, Dr. Sci. (Med.), Docent, Associate Professor of the Department of Health Organization and Public Health
6j Academician Lebedev str., St. Petersburg, 194044
A. V. Mikheev
Russian Federation
Aleksey V. Mikheev, Cand. Sci. (Med.), Docent, Associate Professor of the Department of Health Organization and Public Health
6j Academician Lebedev str., St. Petersburg, 194044
I. G. Prokin
Russian Federation
Igor' G. Prokin, Cand. Sci. (Med.), Docent, Associate Professor of the Department of Health Organization and Public Health
6j Academician Lebedev str., St. Petersburg, 194044
References
1. Karailanov M.G., Rusev I.T., Fedotkina S.A., Prokin I.G. Hospital-replacing technologies and forms of medical care (literature review). Social aspects of population health (electronic scientific journal). 2016;4(50). http://vestnik.mednet.ru/content/view/763/30/lang.ru. (In Russ)
2. Zasimova L.S. Introduction of new technologies in medical institutions: foreign experience and Russian practice. 2013:271. (In Russ)
3. Drapkina O.M., Samorodskaya I.V., Sivtseva M.G., Kakorina E.P., Briko N.I., Cherkasov S.N. et al. Methodological aspects of assessing the incidence, prevalence, mortality and mortality in COVID-19. Cardiovascular therapy and prevention. 2020;19(3): 302–309. (In Russ)
4. Karailanov M.G., Rusev I.T., Stepushkina G.A., Borisov D.N., Bakanev O.Yu. Rational use of hospital-replacing technologies in the provision of primary health care. Medicine and healthcare organization. 2018;3(2):31–38. (In Russ).
5. Fedotkina S.A., Karailanov M.G., Rusev I.T. Rational use of inpatient replacement technologies and forms of medical care. Bulletin of St. Petersburg University. Medicine. 2017;12(2):179–189. (In Russ).
6. Rusev I.T., Karailanov M.G., Fedotkina S.A., Prokin I.G, Borisov D.N. Evaluation of the effectiveness of military medical organizations providing primary health care. Military Medical Journal. 2018;2:4–10. (In Russ).
7. Kontsevaya A.V., Kalinina A.M. Assessment of the economic efficiency of medical technologies. Deputy Chief Physician. 2008;2:90–94. (In Russ).
8. Starodubov V.I., Kalininskaya A.A., Matveev E.N. Development of hospital-replacing forms of organization of medical care in the Russian Federation and the need for their bed fund of day hospitals. Chief physician. 2002;2:2–5. (In Russ).
9. Yaremin B.I., Nazarov P.K., Parabina E.V., Konstantinov D.Yu., Maslikova U.V., Novruzbekov M.S. A patient Вестник медицинского института «РЕАВИЗ». 2023. Том 13. № 3 Новая коронавирусная инфекция COVID-19 receiving immunosuppressive therapy in coronavirus pandemic (Sars-CoV-2). Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2020;(2):76-84. (In Russ).
10. Rusev I.T., Scriabina N.V., Mikheev A.V. The history of the term "sister" in domestic medicine. Bulletin of the Russian Military Medical Academy. 2015;3(51):309–313. (In Russ)
Supplementary files
Review
For citations:
Karaylanov M.G., Mikheev A.V., Prokin I.G. Hospital substitute forms of medical assistance during COVID-19. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2023;13(3):13-17. (In Russ.) https://doi.org/10.20340/vmi-rvz.2023.3.COVID.1