[The medical care support of children population by "phthisiology" profile in The Russian Federation: The comparison of normative, factual and estimated rate of hospitalization].

UNLABELLED

In 1960s, the fundamental normative planning research of health care needs differentiated according age, medical care and its resource support depending on various profiles including "phthisiology" has been carried out regularly. After the budget insurance model of medical care was implemented, the attention to renewal of normative base decreased that resulted in significant regional disproportions between planned (normative) and factual volumes of medical care, including its application to children population on profile "phthisiology" in hospital conditions.

THE PURPOSE OF THE STUDY

To compare normative, factual and estimated rate of hospitalization to provide medical care of children population on profile "phthisiology" in hospitals of the subjects of The Russian Federation.

MATERIALS AND METHODS

Such methods as analysis of statistical information, normative and analytic technique, method of ratios and proportions, correlation analysis were applied.

THE RESULTS

The data on number of patients with active tuberculosis were used to estimate need in mentioned medical care by 14 groups of patients that made up to 0.2 cases per 1000 children that is three times less than factual (0.6) and four times less than normative (0,8) indices. In the comparison groups, deficiency of factual vs. normative volumes of medical care increases as group morbidity increases. However, there are no signs of unmet needs in medical care. Thus, as bed occupancy rate is below approved level in all study groups. There is no correlation between bed occupancy rate and factual vs. normative admission rates ratio (Kendall's tau_b=0,178, р=0,101).

CONCLUSION

The mismatch between factual and normative admission rates on profile "phthisiology" demonstrates both uneven provision of medical care in the subjects of The Russian Federation and overestimation of approved (normative) medical care that is four times higher than the estimated rate. To validate the obtained results special study of health care in question is needed with focused on primary data combined with expert assessment of validity of hospitalization.