Saratov JOURNAL of Medical and Scientific Research

Availability of the specialized oncological health care at federal research centre

Year: 2020, volume 16 Issue: №4 Pages: 950-955
Heading: public health Article type: Original article
Authors: Lomakov S.Y., Chernobrovkina А.Е., Vishnyakov N.I., Kochorova L.V., Smirnova N.Yu.
Organization: Pavlov First Saint Petersburg State Medical University

Objective: to assess the availability of specialized medical care for malignant neoplasms of the female genital organs in the Federal research center for residents of various regions of Russia. Material and Methods. A special questionnaire was used to conduct a survey of patients (n=164) at the Federal cancer center on the availability of oncological and gynecological care. The data had a normal distribution, statistically processed with calculation intensive, extensive and mean values (M±m) with the risk of error of 0.05, correlations of Pierson, significance of difference by student f-criterion, scoring (five-point system, where 5 is maximum points). Results. Unsatisfactory availability of oncological and gynecological care for regional patients in the Federal clinic was revealed: 56.3% of patients were not offered to choose a hospital, 41.0% waited 14-30 days for hospitalization, 60.3% were forced to pay for radiation tests before hospitalization due to their low availability at the place of residence. This is reflected in the patients' satisfaction with medical care and its timeliness: when conducting radiation tests before hospitalization, the average waiting time is 15.5±2.7 days, in the absence of it— 18.1±4.2 (f =3.5, p<0.05). Conclusion. Restrictions on the availability of medical care in the Federal clinic for residents of Russian regions are due to the lack of coordination of inter-regional cooperation in the organization of examinations, including radiation, which requires the development of measures to improve it.

1. Bazhenova YuV. Modern aspects of the radiology diagnostics service in the Russian Federation. Siberian Medical Journal (Irkutsk) 2015; (3): 78-81.
2. Morozov SP, Vladzimirsky AV, Vetsheva NN, et al. Reference center for radiation diagnostics: rationale and concept. Manager of Health Care 2019; (8): 25-34.
3. Bazhenova YuV. Problematic issues in the analysis of the activity of the radiation diagnostics service. Siberian Medical Journal (Irkutsk) 2015; 135 (4): 71-3.
4. Zaridze DG, Kaprin AD, Stilidi IS. Dynamics of morbidity and mortality from malignant neoplasms in Russia. Problemsin Onkology 2018; 64 (5): 578-91.
5. Maksimov SYa. Primary multiple tumors of the reproductive system. Practical Onkology 2009; 10 (2): 117-23.
6. Panshin GA. Main stages of development of radiation therapy methods and modern preparation of cancer patients for conformal radiation. Vestnik RSCRR 2012; (12): 10.
7. Piven DV, Dudin РЕ, KuptsevichAS. On the need to provide expensive and high-tech medical care. Manager of Health Care 2007; (1): 20-3.
8. Grebenkina EV, Guryanova AV. Ushakova MS, et al. Work of the reference Cytology center, including early diagnosis of cervical cancer in the Nizhny Novgorod region. Oncology Bulletin of the Volga region 2018; 35 (3): 45-7.
9. Morozov SP, Vladzimirsky AV, Ledikhova NV, et al. Expert telemedicine consulting in the radiology diagnostics service of Moscow. Information technologies for the Physician 2018; (4): 48-57.
10. Charancieu YT, Dudina TV. The Availability and quality of care: components of success. Medicalnews 2009; (12): 6-10.
11. Ogneva EYu, GurovAN, Pirogov MV, et al. Analysis of the availability and direction of improving medical care for patients with malignant neoplasms in the Moscow region. Research and Practical Medicine Journal 2018; 5 (4): 106-17.
12. Serafimov SV. Accessibility and quality of specialized ophthalmic medical care: assessment of patients living in rural areas. The Scientific Notes of the Pavlov University 2016; 23 (4): 28-34.
13. Vishnyakov Nl, Kochorova LV, Tsivyan BL. Raising awareness of patients as an important component of treatment of uterine fibroids. Bulletin of the Russian Military Medical Academy 2017; (1): 28-30.

2020_04_950-955.pdf594.77 KB

No votes yet