X-ray endovascular treatment management in the hospital

Abstract

Demand for X-ray endovascular treatment continues to grow in the medical services market. The use of X-ray endovascular technology for the treatment of acute and chronic cardiovascular diseases, which are a significant medical, social and economic problem on a global scale, is scientifically justified. Opening of the interventional radiology department in a healthcare organization provides level 3 of health care, increases frequency of hospitalization of patients with cardiovascular diseases and, as practice shows, changes the economic balance of the organization in a positive direction. In the Russian Federation X-ray endovascular treatment for patients is provided mainly in the interventional radiology departments by interventional radiologists, who are not attending physicians of these patients. Separation of duties and legal responsibilities, a conflict of interest between specialists can contribute to reducing the quality of health care. Performing X-ray endovascular surgeries with expensive disposable instruments and their non-rational use can reduce the cost-effectiveness of treatment and lead to unfavourable economic balance of the healthcare organization and receivables. The article presents basics of X-ray endovascular care system management at the local level, based on the analysis of results of its organization in the Moscow Oblast, in order to increase the clinical and economic efficiency of treating patients with cardiovascular diseases and improve public health. The obtained results show that the head of a healthcare organization must possess not only the knowledge and experience in organization of health care, but also be a crisis manager for managing regional vascular center in the structure of the healthcare institution in order to increase the clinical and economic effectiveness of X-ray endovascular treatment.