Year 2011 Vol. 19 No 6

ORGANIZATION OF THE SURGICAL CARE

S.V. SHAKHRAY, A.YU. SOKOLOV, M.YU. GAIN

ECONOMIC EFFICACY ESTIMATION OF ACTIVITY OF MINSK CITY CENTRE OF OUT-PATIENT AND MINIMALLY INVASIVE SURGERY

Objectives. To perform the calculation of economic benefits and economic efficiency of medical activity of Minsk city centre of the out-patient and minimally invasive surgery of the medical establishment “The 11 clinical hospital”.
Methods. Calculation of economic benefits and economic efficiency of the medical activity of Minsk city centre of the out-patient and minimally invasive surgery of the medical establishment “The 11 clinical hospital” is performed on the basis of determination of specific cost savings from the prevented losses on hospitalization, payment of temporary disablement allowances and the prevented losses of the total intrinsic product as a result of reduction of average duration of treatment of patients in the conditions of short-term hospitalization. Economic efficiency is presented by the calculated quotient of utility of expenses.
Results. Within the limits of research work on analysis of economic benefits and economic efficiency of medical activity of Minsk city centre of the out-patient and minimally invasive surgery of the medical establishment “The 11 clinical hospital”, the introduction volume made up 1212 operations in the patients with surgical (1157) and proctologic (55) pathologies. The general economic benefit has thus made up 912460,2 thousand of Belarusian rubles (for 01.01.2011). Pure economic benefit composed 537460,2 thousand of Belarusian rubles (for 01.01.2011). The quotient of economic efficiency of expenses for research work composed 2,43 or profitability of investments only within the limits of research work made up 243 %.
Conclusions. Analysis of activity results Minsk city centre of the out-patient and minimally invasive surgery allows estimating the quality of the organizational-medical model as an effective structure in the system of the public health services, permitting to minimize hospitalization terms of patients and to obtain significant economic benefit.

Keywords: out-patient surgery, «one day surgery», «short-term stay in-patient department», economic efficiency, economic benefit
p. 76 – 81 of the original issue
References
  1. Стационарзамещающие технологии в поликлинических условиях – реальность и перспективы / Н. Н. Лебедев, А. Н. Шихметов, С. И. Воротницкий // Амбулатор. хирургия. Стационарозамещающие технологии. – 2007. – № 2. – С. 3-4.
  2. Мосиенко, Н. И. Медицинская и экономическая эффективность pаботы центpа амбулатоpной хиpуpгии / Н. И. Мосиенко, А. А. Кутин, P. Х. Магомадов // Рос. мед. журн. – 2001. – № 5. – С. 9-11.
  3. Абдулжалилов, М. К. Недостатки в организации амбулаторно-поликлинической хирургической службы / М. К. Абдулжалилов, М. Н. Азизов // Амбулатор. хирургия. Стационарозамещающие технологии. – 2009. – № 3-4. – С. 8-9.
  4. Адамян, А. А., Особенности хирургического лечения в центре амбулаторной хирургии / А. А. Адамян, Р. Х. Магомадов, А. А. Кутин // Анналы. реконструкт. и эстет. хирургии. – 2007. – № 1. – С. 80-83.
  5. Воробьев, В. В. Стационарзамещающая медицинская помощь в хирургии / В. В. Воробьев // Амбулатор. хирургия. Стационарозамещающие технологии. – 2009. – № 3-4. – С. 6-8.
  6. Day surgery: operational guide. – London: Department of Health, 2002. – 40 p.
  7. Extended day surgery / D. Phillips [et al.] // J. One Day Surgery. – 1999. – Vol. 8. – P. 5-6.
Contacts | ©Vitebsk State Medical University, 2007-2023