ANALYSIS OF STRUCTURE AND FUNCTIONING OF HOSPITAL BEDS OF EMERGENCY DEPARTMENT IN THE RUSSIAN FEDERATION

29 emergency departments (ED) with hospital beds were functioning in 2018 in the Russian Federation (RF). Within the period 2014–2018 the bed capacity has been increased from 415 to 737, which portion is increased from 0,036% to 0,071% (in 2018 the portion of daily bed was 27,3%, the portion of the bed of short stay department was 72,7%). The number of discharged patients has been increased from 94545 to 306757. Therewith the portion of patients referred from ED to specialized units has been decreased from 19,0% to 11,1%. The average annual bed occupancy rate is 276,6 and 274,1. The bed turnover has been increased from 262,6 to 447,2. The lethal index is decreased from 0,18% to 0,13%. Bed population ratio keeps at the low level (5.0 bed per 1 million people which is rated as 4,5% from recommended values). Additional introduction of hospital departments of emergency medicine in 56 federal subjects of the RF al­lows quicker to achieve the goals of the National Project «Health care».  

1. Bagnenko S. F. Osnovnye polozhenija koncepcii razvitija skoroj medicinskoj pomoshhi v Rossijskoj Federacii. Skoraja medicinskaja pomoshh’, 2009, No 2, рр. 50–54. (in Russ.)

2. Bagnenko S. F., Kuzhel`A.M., Miroshnichenko A. G., Stozharov V. V., Alimov R. R., Yurkov I. V., Butina L. V., Bogorad I. V. Pervy`e rezul`taty` realizacii pilotnogo proekta «Stacionarnoe otdelenie skoroj medicinskoj pomoshhi» v mnogoprofil`nom stacionare. Skoraya medicinskaya pomoshh`, 2016, No 3, рр. 71–76. (in Russ.)

3. Alimov R. R. Nauchnoe obosnovanie sovershenstvovaniya okazaniya skoroj medicinskoj pomoshhi v usloviyax mnogoprofil`nogo stacionara: dis. … d-ra med. nauk: 14.02.03 / Alimov Ruslan Ryashidovich. Saint Petersburg, 2018, 414 р. (in Russ.)

4. Bagnenko S. F., Alimov R. R., Aleksandrova G. A., Miroshnichenko A. G., Stozharov V. V. Dinamika raboty` koek skoroj medicinskoj pomoshhi v Rossijskoj Federacii. Skoraya medicinskaya pomoshh`, 2017, No 3, рр. 4–8. (in Russ.)

5. Bagnenko S. F., Polushin Yu.S., Miroshnichenko A. G., Minnullin I. P., Teplov V. M., Alimov R. R., Razumny`j N.V., Afonchikov V. S., Minnullin R. I., Komedev S. S., Cebrovskaya E. A. Organizaciya raboty` stacionarnogo otdeleniya skoroj medicinskoj pomoshhi: metodicheskie rekomendacii. 2-e izd., pererab. i dop. Moscow: Izdatel’stvo GEOTAR-Media, 2018, 64 р. (in Russ.)

6. Minyaev V. A. Obshchestvennoe zdorov’e i zdravoohranenie / pod red. V. A. Minyaeva, N. I. Vishnyakova. 6-e izd. Moscow: Izdatel’stvo MEDpressinform, 2012, 656 р. (in Russ.)