THE FIRST RESULTS OF THE PROGRAM-TARGET PLANNING OF THE DEVELOPMENT OF THE REHABILITATION SERVICE IN THE ASTRAKHAN REGION

Abstract

The relevance of the study is the effectiveness of program-target planning lies in the fact that this process is one of the main instruments of state policy in Russia, including in the field of healthcare. The aim of the study - to analyze the effectiveness of the regional program and develop proposals for the further development of rehabilitation services in the Astrakhan region. Materials and methods – the object of the study is the main indicator indicators of the regional program "Optimal medical rehabilitation for health restoration (Astrakhan region)" (hereinafter referred to as the Program) for the period from 2022-2030, namely, the share of cases of medical care for medical rehabilitation at the expense of CHI funds separately in inpatient and outpatient settings, as well as the share of medical rehabilitation departments, equipped with modern medical rehabilitation equipment, in comparison with the planned indicators for 2022. Results and discussion – the fulfillment of the plan task in the conditions of a round-the–clock hospital in 2022 in the subject amounted to 106.9%, in the conditions of a day hospital – 94.8% (on average 100.9%), which indicates that the first indicator indicator of the Program was exceeded. Planned indicators in outpatient settings were fulfilled in 2022 by only 58.4%. The reason for non-fulfillment of planned volumes was: 1) insufficient number of outpatient departments of medical rehabilitation; 2) the work of outpatient departments during an incomplete calendar year. In the subject in 2022, two departments of medical rehabilitation out of 5 planned until 2025 (i.e., in fact - 40%) are equipped with modern rehabilitation equipment, which indicates the implementation of the third indicator indicator of the Program. Conclusion - the obtained research data indicate the average effectiveness of the considered regional program.