Current state of the cardiology bed fund in the Russian Federation and its dynamics during 2010–2018

Abstract

Aim. To assess the current state of the cardiology bed fund in round-the-clock and day-patient facilities in the Russian Federation and the efficiency of its use in 2010–2018.Materials and methods. Using the method of descriptive statistics, the data from the Federal Statistical Observation Forms (No. 30, 47 and 14DS) were analyzed in order to assess the current state and dynamics of the use of cardiology beds during the 2010–2018 period.Results. The absolute number of cardiology hospital beds in Russia in 2018 amounted to 49,578 beds, which number was lower than in 2010 by 5,899 beds. The absolute number of cardiology beds in day-patient facilities of all hospital types increased by 169 beds and equaled 4,019 beds. The provision of the Russian population with round-the-clock hospital cardiology beds decreased from 3.88 per 10,000 population in 2010 to 3.38 in 2018 (–12.9%). The provision of the population with cardiology beds in day-patient facilities in hospitals providing inpatient care increased by 19.6% (from 0.12 to 0.14 per 10,000 population) in 2010–2018. This indicator decreased by 11.5% (from 0.15 to 0.14 per 10,000 population) in day-patient facilities in medical organizations providing outpatient care in 2014–2018. In Russia, the hospitalization rate in round-the-clock cardiology departments increased from 9.3 per 1000 population in 2010 to 10.8 in 2018 (+16.1%). The average length of patient stay in round-the-clock cardiology departments decreased from 13.1 days to 9.7 days (–26.0%), with the indicator of bed turnover growing by 29.2%. The mortality rate decreased by 3.6% (from 1.96% in 2010 to 1.89% in 2018).Conclusion. The total number of patients treated in cardiology beds of both round-the-clock and day-patient facilities was 266,311 people higher in 2018 compared to 2010, out of which 89.6% (236,004 people) were treated in round-the-clock hospital facilities and 10.4% (27,307 people) — in hospitals providing outpatient care. At the same time, the absolute number of round-the-clock hospital beds decreased. As a result, the rate of substituting treatment at round-the-clock hospital facilities with that at outpatient medical organizations remains insignificant.

Keywords

• cardiology
• bed fund
• provision of hospital beds
• hospitalization rate
• average length of hospital stay
• average occupancy of a hospital bed per year
• round-the-clock hospital
• day-patient facility