Сравнительный анализ состава пациентов дневных стационаров и стационаров на дому

Abstract

The aim. To conduct a comparative analysis of the composition of patients in day hospitals and in-home health care by medical organizations providing outpatient care by age groups and classes of diseases in the Russian Federation for 2011-2019, to submit proposals for making additions to the report form. Material and methods. The data from the report form of sectoral statistical observation № 14ds "Information on the activities of day hospitals of medical organizations" on the composition of patients treated in day hospitals and in-home health care by medical organizations providing outpatient care, by age and classes of diseases for 2011-2019 were analyzed. Since 2019, the report form has provided consolidated information on the work of day hospitals and in-home health care. Based on the results of the performed in-depth study, a separate composition of patients in day hospitals and in in-home health care in the Russian Federation is presented, which makes it possible to compare data for 9 years. The methods used: statistical, analytical. Results and discussion. In the process of studying the age structure of patients in day hospitals and in in-home health care in the Russian Federation for 2011-2019, the growth of the proportion of treated persons older than working age was determined: in day hospitals from 33,4 to 49,4%, in in-home health care – from 57,1 to 64,4%. For 9 years, the greatest increase was noted in the proportion of adult patients treated in day hospitals for neoplasms, diseases of the endocrine system, nutritional disorders and metabolic disorders; in in-home health care – for diseases of the nervous system, mental disorders and behavioral disorders; the proportion of children treated in day hospitals – for diseases of the nervous system, musculoskeletal system and connective tissues, in in-home health care – with respiratory diseases. The report documentation combines data on the performance of day hospitals and in-home health care of medical organizations providing outpatient care, which does not allow for their comparative analysis with previous years. Conclusions. In 2019, more than half of the patients treated in day hospitals and in in-home health care were older than working age. There are differences in the distribution of treated adults and children in day hospitals and in in-home health care. The main causes for treatment of adult patients in day hospitals were diseases of the circulatory system (34,4%), musculoskeletal system and connective tissue (12,9%), neoplasms (12,9%); in in-home health care – diseases of the circulatory system (65,4%), musculoskeletal system and connective tissues (11,8%); children in day hospitals – diseases of the nervous system (29,5%), respiratory organs (27,2%), digestion (12,4%), in in-home health care – diseases of the respiratory organs (90,5%). Supplements for inclusion in the reporting documentation concerning the activities of day hospitals and in-home health care of medical organizations that provide treatment on an outpatient basis are proposed.