INTERREGIONAL CENTERS OF HIGH-TECH CHILDREN’S SURGERY – MORTGAGE OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR RUSSIAN CHILDREN

Author:

Rozinov V. M.1,Morozov D. A.2,Rumyantsev S. A.3,Vaganov N. N.4,Azovskiy D. R.5,Afaunov N. V.1

Affiliation:

1. Research institute of pediatric surgery of Pirogov Russian National Research Medical University

2. The Committee on Health Care of The State Duma of the Russian Federation; Sechenov First Moscow State Medical University

3. State Budgetary Educational Institution of Higher Professional Education of Pirogov Russian National Research Medical Universi ty

4. Russian children’s clinical hospital of Pirogov Russian National Research Medica l University; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation

5. G.N. Speransky Municipal Children’s Clinical Hospital No. 9

Abstract

The article starts with a summary of the international experience in making medical care both accessible and high quality for children with surgical conditions and trauma by concentrating patients in specialized trans-regional centers. The authors give results of the retrospective analysis of the reasons for failure when implementing the concept of trans-regional specialized medical care in the Russian healthcare system. The paper lists problems with legislative control over these aspects: supplying the centers with resources, medical evacuation processes, distribution of responsibility by areas, and the information exchange with local medical institutions (hospitals, clinics, etc). The article also illustrates similarities and differences on how the trans-regional centers for pediatric surgical care function inRussiaand in other countries. The authors outline high priority measures for creating trans-regional centers for specialized medical assistance for children inRussia. The systematic review includes 16 domestic and 28 foreign literature sources, 8 references to Russian laws and regulations. 

Publisher

ECO-Vector LLC

Reference44 articles.

1. Rozinov V. M., Vaganov N. N., Gorbachev O. S. Pediatric surgery in Russia – preliminary results of optimization. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2016; (3):8–18. (in Russian). http://www.rps-journal.ru/jour/article/view/264/265

2. Grigovich I. N. Urgent surgical care for children in hospitals for adults. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017; (1):8–16. (in Russian). https://www.rps-journal.ru/jour/article/view/309/310

3. Baranov A. A. Bases of optimization of stationary help to children. Questions of modern pediatrics. 2006;5 (3): 7–9. (in Russian). http://vsp.spr-journal.ru/jour/article/view/729

4. Morozov D. A. Problems of legislative regulation of pediatric surgery and fetal surgery in the Russian Federation // Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2018; (2): 6–16. (in Russian).

5. Somme S., Bronsert М. Frequency and Variety of Inpatient Pediatric Surgical Procedures in the United States. Pediatrics. 2013;132 (6):1466–72. doi:10.1542/peds.2013–1243.

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