Indicators of accessibility and quality of medical care

The availability and quality of medical care are assessed according to the following indicators:

• satisfaction of the population with medical care - 43.1% from the number of respondents;
• the number of people suffering from tuberculosis, diagnosed for the first time in their lives - 166.3 per 100,000 population;
• the number of persons aged 18 years and over who are recognized as disabled for the first time - 95.5 per 10,000 population;
• general mortality of the population - 13.3 per 1000 population;
• mortality of the population - 12.8 per 1000 people. population;
• mortality from circulatory diseases - 813.5 per 100,000 population;
• mortality of the population from neoplasms, including malignant ones - 205.8 per 100,000 population;
• mortality from external causes - 350.0 per 100,000 population;
• mortality of the population as a result of road traffic accidents - 28.3 per 100,000 population;
• mortality from tuberculosis - 12.9 per 100,000 population;
• maternal mortality - 0.0 per 100,000 live births;
• infant mortality - 7.8 per 1000 live births;
• coverage of the population with preventive examinations conducted to detect tuberculosis from the plan - 97%.

The criteria for the effectiveness of the use of health care resources are:

• provision with doctors - 34.7 per 10 thousand people;
• provision with paramedical workers — 92.0;
• the ratio of doctor / paramedical worker - 1 / 2.9;
• provision with beds - 89.0;
• average annual employment of a round-the-clock bed - 322;
• the average duration of the patient's stay in bed was 11.0;

The criteria for the availability of medical care are the waiting times for citizens to receive medical care provided in a planned manner and the standards for the volume of medical care by type:

• the waiting time for an appointment with a local doctor (therapist, pediatrician, general (family) practice doctor) should not exceed two days, narrow specialists - 7 days, children under three years old and pregnant women - on the day of treatment;
• the waiting time for scheduled diagnostic tests should not exceed 10 days;
• waiting periods for planned hospitalization are determined by priority and should not exceed 60 days from the date of issuance of a referral for planned hospitalization by the attending physician, children under three years of age and pregnant women - within 48 hours;
• standards for the volume of medical care for an ambulance, including specialized (sanitary and aviation), medical care - 0.318 calls;
• standards for the volume of medical care for outpatient, including emergency, medical care provided in outpatient clinics - 9.7 visits, including within the framework of the basic program of compulsory medical insurance - 8.962 visits;
• standards for the volume of medical care for outpatient medical care provided in day hospitals - 0.59 patient-days, including 0.49 patient-days under the basic program of compulsory medical insurance;
• standards for the volume of medical care for inpatient medical care provided in hospitals - 2.78 bed-days, including within the framework of the basic compulsory health insurance program - 1.894 bed-days.

Priority for diagnostic types of research:

• X-ray room - from the moment of treatment 1 hour.
• Laboratory research - no queue.
• EKG - no queue.
• Spirography - no queue.
• Holter blood pressure monitoring - no queue.
• RVG - 7 days.
• EEG - 7 days.
• Ultrasound of the abdominal organs - no queue.
• EGDS - 7 days.

Priority for inpatient treatment

• no queue
• hospital capacity: 50 beds;
• hospitalization of patients is carried out without restriction according to epidemic indications;
• for the last 3 years, there was no mortality from infectious diseases in the hospital;
• the laboratory of the clinic performs studies included in the CHI system. For other healthcare facilities and the population without a compulsory medical insurance policy, studies are performed on a paid basis.