INTERREGIONAL CENTERS OF HIGH-TECH CHILDREN’S SURGERY - MORTGAGE OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR RUSSIAN CHILDREN
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 in Russia and in other countries. The authors outline high priority measures for creating trans-regional centers for specialized medical assistance for children in Russia. The systematic review includes 16 domestic and 28 foreign literature sources, 8 references to Russian laws and regulations.