The Federal Project "Fighting Cardiovascular Diseases": Dynamics of quantitative indices during the COVID-19 pandemic

Abstract

Aim to analyze the dynamics of indicators of the Federal Project "Fighting Cardiovascular Diseases" and to suggest improving the project management methods in healthcare.
 Material and methods. The data was collected from Federal statistical observation form No. 14 "Data on activity of divisions of the medical organizations providing in-hospital medical care", form No. 30 "Data on the medical organization". The target indicators were selected from the Passport of Federal Project "Fighting Cardiovascular Diseases". The data on mortality rate was collected from the Rosstat reports on the number of population and the number of deaths by different diseases.
 Results. In Russia, the frequency of endovascular interventions in acute coronary syndrome is growing essentially exceeding the target values of the Federal Project. Several regions are leading in the intensity of performing these operations (taking into account the population size) leaving behind many developed countries. At the same time, the death rate from cardiovascular diseases in Russia remains one of the highest in the world. The problem of medical care quality is still acute. The in-hospital lethality rates from cerebrovascular accident and acute myocardial infarction have significantly exceeded the target values during the entire period of observation.
 Conclusion. During the infectious pandemics, the actions and target indicators of federal projects in healthcare should be revised. The healthcare model focusing on disease prevention, conservative treatment and telemedicine is preferable.