在多元卫生体系条件下,优化现代区域人群眼科保健服务体系

V. Dufynets, T. S. Hruzeva
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引用次数: 0

摘要

介绍。在当今非传染性疾病流行的情况下,眼病及其附件、包括失明在内的眼病造成的残疾的发病率显著增加,向人民提供负担得起的高质量医疗保健是任何国家的优先事项。这就要求在多种形式的卫生系统中引入现代组织模式来提供眼科保健。研究的目的。在多种形式的卫生系统条件下,为人口提供眼科护理的现代区域系统的基本原理。材料和方法。在研究过程中,采用了文献、流行病学、医学统计学、社会学等方法。该研究指出,在组织和向该地区人口提供眼科服务方面存在缺陷,缺乏资源以确保人口在眼科护理方面的真正需要,公共和私营保健机构之间的合作程度较低。鉴于2000-2015年期间该地区人口中眼病的发病率(增加41.7%)和流行率(47.1%)增加,以及眼科服务工作超负荷,全年大量床位占用(360.7天)、治疗期短(6.8天)和床位周转率高(53.1天),确定了对眼科服务的高度需求。低于眼科专家提供人口的平均水平(19.6%)。这与其他因素一起对医疗服务的提供和质量产生了不利影响,社会学调查的结果证实了这一点。相比之下,每100名受访者中有69.7至92.2人高度评价私立机构的服务质量,每100名受访者中有54.3人认为私立机构的服务质量是完全可用的。在研究结果的基础上,结合国内卫生保健体系发展的战略方向和国际组织的建议,论证了在多种形式卫生保健条件下,现代区域眼科保健体系及其行政、规范-法律、信息分析、教育-方法、研究、交流等功能。在多种形式的卫生体制条件下,为人口提供眼科保健的现代区域体系将提高该地区人口获得眼科服务的可及性和质量,优化卫生保健资源的形成和分配,创造竞争环境,提高以患者为导向的各种所有制卫生保健机构之间的合作水平。在医疗机构工作中引入现代医疗组织技术和医疗预防技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimized modern regional system of provision of ophthalmic care to the population in the conditions of multiform health system
Introduction. In today's conditions of the epidemic of non-infectious diseases, the significant increase in the incidence of diseases of the eye and its adnexa, disability due to eye diseases, including blindness, providing the population with affordable and quality medical care is a priority of any country. This requires the introduction of modern organizational models for providing ophthalmic care in terms of multiform health system. The Aim of the Study. the rationale for a modern regional system of provision of ophthalmic care to the population in conditions of multiform health system. Material and Methods. In the course of the study bibliographic, epidemiological, medical-statistical, sociological methods were used. Results. The study identified shortcomings in the organization and provision of ophthalmic services to the population of the region, lack of resources to ensure the real needs of the population in ophthalmic care, low level of cooperation between communal and private health care institutions. A high need for ophthalmic services was identified in view of the increase in incidence (by 41.7 %) and prevalence (47.1 %) of eye diseases among the population of the region during 2000–2015 and overload in the work of the ophthalmic service, as evidenced by the significant occupancy of profile beds throughout the year (360.7 days), short treatment terms (6.8 days) and high rates of bed turnover (53.1), with lower than the average in the country of provision population by specialists of the ophthalmologic profile (by 19.6 %). This, along with other factors, negatively affected the availability and quality of medical services, which is confirmed by the results of a sociological survey. In contrast, from 69.7 to 92.2 per 100 respondents highly estimated the quality of service in private institutions, with their full availability for 54.3 per 100 respondents. Based on the results of the research and taking into account the strategic directions of the development of the domestic health care system, recommendations of international organizations, the author justified the modern regional system of providing ophthalmic care to the population in the conditions of multiform health care and its administrative, normative-legal, information-analytical, educational-methodological, research, communicative functions. Conclusions. The modern regional system of provision of ophthalmic care to the population in the conditions of multiform health system will increase the accessibility and quality of ophthalmic services to the population of the region, optimize the formation and distribution of resources for health care, create a competitive environment, increase the level of cooperation between health care institutions of various forms of ownership with positions of the patient-oriented approach, to introduce modern medical-organizational and medical-preventive technologies into the work of medical institutions.
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