Dynamics of indicators of bed fund of offices of anesthesiology and resuscitation in the Russian Federation

Abstract

Introduction. Efficient bed fund management is one of the most important conditions for an appropriate management of healthcare provision. The aim of the study is to analyze the trend in anesthesiologic and intensive care unit bed capacity in federal districts (FD) and subjects of the Russian Federation for 2014-2018. Material and methods. We analyzed the indicators of intensive care beds use (availability of beds to population, hospitalization rate, duration of patient’s stay in intensive care bed, occupancy, bed turnover, mortality) according to federal statistical observation - forms No. 14 and No. 30. Results. In Russia, the provision of beds in the health care sector has been decreasing over the last decade. At the same time, resuscitation beds were not affected by such changes, and from 2014 to 2018 the number of resuscitation beds tended to increase by 80.8%, which is associated, among other things, with the changes in the methodology of formation of the annual reporting form №30. The following changes in indicators of intensive care beds use were revealed in the trend in the Russian Federation as a whole for 2014-2018: the hospitalization rate slightly increased by 28.6% (from 0.5 to 0.7); provision of the population with intensive care beds (per 10,000 population) tends to increase by 45.8% population) tends to increase by 45.1% (from 1.1 to 2.0); length of stay of the patient on average increased by 23.9% (from 7.0 to 9.2 days); average occupancy (bed work) tends to decrease from 254 to 247 days; bed turnover tends to decrease from 36.1 to 26.9; mortality rate increases from 30.2 to 46.9%. Limitations. The results of the study of the dynamics of anesthesiologic and intensive care unit bed capacity are only valid for the Federal districts and Federal subjects of the Russian Federation. Conclusions. Additional studies are needed to further objectivize the assessment of ICU bed utilization efficiency.