MEDICAL CARE TO THE POPULATION OF AN URBAN MUNICIPALITY: IMPROVING ITS ORGANIZATIONAL GROUNDS
Morbidity for 2004-2008 in the population based in an urban municipality in the Moscow Region was surveyed. This morbidity was understood as disease incidence associated with temporary loss of ability for labor, and as rate of hospital admission of adult population. An adjustment of inpatient bed capacity to the proof standards incorporated in plan tasks of the local program of state guarantees was started in the town of Zhukovsky since 2004. This reorganization fulfilled in 2004-2008 resulted in reduced bed capacity of casualty department from 67 to 59 beds (by 25.4%). 25.4% reduction in bed capacity was one side of reorganization, and another side was mean inpatient stay reduced from 17.6 to 15.3 days (by 13.1%). Also, mean annual number of patients per bed increased from 17.7 to 23.1 p/b (by 23.4%). Mean annual occupancy of a bed by patients increased from 312.7 to 347.3 days (by 10.1%). Rate of access of adult population to the clinic's traumatology specialist increased from 49.2 to 70.4 accessed patients per 1000 subjects of based adult population (by 30.1%). Reduced call rate compared to increased access rate here is accounted for by reduced medically groundless reiterative visits which in turn evidenced improved skills of our medical staff supported by introduction of novel efficient medical technique and technologies for the treatment of patients of traumatology and orthopedics profile. It was the wide use of innovative technologies for treating patients with trauma/diseases of the musculoskeletal system during the period of 2004-2008 that really diminished mean temporary incapacity for work due to aforementioned conditions - by 31.9% in days, by 28.2% in rate of followed cases (physical cases per 100 employed subjects of population) Interestingly, primary retirement through disability diminished by 30.9%/ It is most probable that the results of this study could prove useful in other constituent territories of the Russian Federation for monitoring materiel resources in municipal healthcare.