On the financial support of arthroplasty of large joints in changing financial and economic conditions

Abstract

Diseases of various joints among adults in Russia are noted in 33 %. Among them, 10 to 15 % of patients require surgical treatment. Endoprosthesis replacement of large limb joints is a highly demanded high-tech operation that significantly improves the functional motor capabilities and quality of life of the patient. The aim of the study: to highlight the problematic issues of fnancing high-tech medical care in the profle «Traumatology and Orthopedics».Materials and methods. On the example of hip and knee arthroplasty, an analysis was made of the realities of fnancing high-tech medical care in a changing fnancial and economic environment.Results. Proposals are presented to bring the costs closer to the cost standards in the provision of high medical care, adjust tariffs, redistribute the burden on federal institutions in the provision of traumatological and orthopedic care.Conclusion. The forthcoming changes in funding sources for knee and hip arthroplasty will increase the fnancial defcit in the provision of these types of care, especially in revision arthroplasty; will lead to a deterioration in the quality and results of treatment – an increase in the number of complications and repeated revision operations. The proposed measures are focused on the optimal use of budgetary resources.