Russian Federation
Russian Federation
Russian Federation
In the Russian Federation the process of reduction of the round-the-clock bed fund with the simultaneous development of hospital-replacing technologies has been going on for more than twenty-five years, as well as, in most developed countries of the world, in recent decades.From 2010 to 2018 the absolute number of neurological round-the-clock hospital beds in the Russian Federation, as well as hospital beds of most other profiles, has significantly decreased: from 73754 to 64116 (by 13.1%), as well decreased the hospitalization rate (from 12.6 to 12.2 per 1000 population — by 3.2%) and the provision of these beds (from 5.16 to 4.37 per 10,000 population — by 15.3%), the average length of stay in a neurological bed (from 13.7 to 11.3 days — by 17.5%) and its average occupancy per year (341 to 328 days — by 3.8%). In 2018, the extreme values of the indicator of the provision of the population with hospital beds of the neurological profile of round-the-clock stay in the regions of the Russian Federation differed 2.5 times, what indicates the imbalance in the structural transformations of the hospital bed fund in the regions of the Russian Federation. Mortality in neurological hospital beds in the Russian Federation increased from 3.77% in 2010 to 4.17% in 2018 (by 10.6%).Thus, it is possible to conclude that a hospital-replacing function takes place in the country and there has been a redistribution of the volume of neurological care from the round-the-clock hospital beds to daily stay hospital beds, however, the bed fund of both round-the-clock and daily stay hospitals is characterized by extreme disproportionality of development in the regions of the Russian Federation, what may indicate an imbalance in structural-functional transformations, what should be carried out taking into account the characteristics of each particular region.
neurology, hospital bed, bed fund, reduction of hospital bed fund, neurological bed, provision of hospital beds, average length of stay in a hospital bed, average occupancy of a hospital bed per year, daily stay hospital
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