Keywords
Abstract
Environmental, demographic, geopolitical features of the North-West Federal District (NWFD) contribute to the high prevalence of respiratory diseases among the population. Currently, the restructuring and reduction of the pulmonological bed capacity in the NWFD subjects continued, which affected the efficiency of its work and required an analysis of its dynamics. Materials and methods. Statistical data of the hospital beds work on the profile of “pulmonology” in the Northwestern Federal District subjects were analyzed. Results. For the period 2015–2018 years, the number of pulmonary hospital beds in the NWFD decreased by 6.1% (in the whole of the Russian Federation it was 0.7%), the reduction in the number of pulmonary beds was mainly due to the Vologda, Kaliningrad and Novgorod regions (19 beds). In the NWFD the following dynamics of the main indicators of the work of the pulmonological hospital beds was noted: the beds provision decreased (from 1.06 to 0.99 per 1000 population — 6.6%), the average length of stay in hospital (from 12.3 to 11.4 days — 7.3%), the number of days of bed work per year increased (from 338 to 352 days — 4.1%), the rate of hospital bed turnover increased (from 27.4 to 31 — 13.1%). A similar trend is observed in most subjects of the NWFD. Conclusion. The main indicators of the hospital pulmonological beds significantly differ in the subjects of the Northwestern Federal District, which indicates the imbalance of its transformations on the basis of initially different levels of morbidity and mortality of the population of the regions, the absence of a scientifically sound regulatory framework for the restructuring of the hospital beds, the dependence of the transformations on the financial capabilities of a particular region, tariffs for medical services.