Analysis of Indicators of in Patient Surgical Care at the Health Care Facilities in Ivano-Frankivsk Region for 2005-2015

Abstract

Surgical inpatient care is one of the most capital-intensive types of care. Therefore, the health care system task is to ensure public access to this type of care, to guarantee the safety and quality of its provision on the background of resources rational use.The objective of the research was to analyze the basic parameters of inpatient surgical care quality provided at Ivano-Frankivsk region health care facilities. Materials and methods. The data of statistical reports (17 and 20) of health care facilities in Ivano-Frankivsk region for 2005-2015 were analyzed. Sociological survey of 530 patients treated at the surgical units of inpatient facilities was conducted. Results of the research. Resources for surgical inpatient care in terms of quantity in Ivano-Frankivsk region including beds and staff were determined to be higher than the average national level. However, the quality of staffing of the regional health care facilities (secondary employment coefficient is less than one point, one third of surgeons is with the second qualifying category or is not certified) does not meet modern requirements. Low-duty health care facilities were detected to be characterized by low operational activity (60.6%, 114.0 operations per surgeon per year on average), insufficient relevance of hospitalization (40% of operations may be performed on an outpatient basis), low attractiveness for a significant per cent of patients (46.2%).Conclusions. Regional program for optimization of surgical care provision should be developed.