Routing of patients with maxillofacial pathology in a metropolis: challenges and solutions

PDF (Русский)
Authors
Viktor A. Belchenko, Ivan V. Chantyr
Institutions
State Budgetary Institution of Healthcare “Maxillofacial Hospital for War Veterans of the Department of Health of the City of Moscow”
Issue
Published
2022-09-30
Pages
46-57
Section
Original Researches
Keywords:
patient routing, healthcare organization, specialized medical care, maxillofacial surgery, maxillofacial pathology.

Abstract

Introduction. The high prevalence of dental diseases and their complications, congenital anomalies, traumatic injuries and various neoplasms of the maxillofacial region among children and adults necessitates the improvement of the medical care system.
Purpose. Improvement of specialized medical care by optimizing the routing system for patients with maxillofacial pathology in a metropolis on the example of Moscow.
Materials and methods. The study was conducted on the basis of the GBUZ “Maxillofacial Hospital for War Veterans of the DZM”. A search was made for regulatory documents regulating the routing of patients with maxillofacial pathology. The statistical data of the specialized medical care provided to patients with maxillofacial pathology in institutions subordinate to the Moscow City Health Department for the period from January 2021 to December 2021 were analyzed.
Results and discussion. The article presents a list of regulatory documents governing the routing of patients. The structure of diseases of the maxillofacial region among the children and adults of the city of Moscow was determined. Routing schemes for patients with planned and emergency maxillofacial pathology are given. Problems are identified and solutions are proposed, as well as the continuity of the provision of specialized care in organizations in the field of “maxillofacial surgery”.
Conclusions. A well-functioning routing system will improve the timeliness, availability and quality of specialized medical care. In addition, an optimized routing system will contribute to proper planning and resource allocation in healthcare.

For citation: Belchenko VA, Chantyr IV. Routing of patients with maxillofacial pathology in a metropolis: challenges and solutions. City Healthсare. 2022;3(3):46–57 doi:10.47619/2713-2617.zm.2022.v.3i3;46–57

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Список литературы


1. Shvetsov A.N. Urban agglomerations in the urban space transformation. Russian Economic Journal. 2018;(1):45-65 (In Russ.) Available from: http://www.re-j.ru/archive/2018/1/article_489
2. Rostovskaya T.K., Shabunova A.A. et al. Demograficheskoe samochuvstvie regionov Rossii. Nacional'nyj demograficheskij doklad-2021. FNISC RAN. 2021;138 (In Russ.) doi: 10.19181/monogr.978-5-89697-369-0.2021.
3. The population of Moscow by districts and districts. Available from: http://www.statdata.ru/naselenie-moskvy-po-okrugam-i-rajonam. (In Russ).
4. World Health Organization. Urban health. Available from: https://www.who.int/ru/health-topics/urban-health#tab=tab_1. (In Russ).
5. Aksenova E.I., Besschetnova O.V. Pokazateli dostupnosti i kachestva medicinskoj pomoshchi, obespechivayushchie udovletvorennost' naseleniya medicinskoj pomoshch'yu v razlichnyh stranah mira. Ekspertnyj obzor. M.:GBU«NIIOZMM DZM» 2021;40 (In Russ.) Available from: https://niioz.ru/upload/iblock/63d/63d12bf7dd923bd9c2a1870502c07175.pdf
6. Deev I.A., Kobyakova O.S., Shibalkov L.M et al. Optimization of patient flow routing as a basis for improving organizational efficiency of outpatient care (experience of the Tomsk region). The Siberian Journal of Clinical and Experimental Medicine. 2020;35(4):95–102. (In Russ.) doi:10.29001/2073-8552-2020-35-4-95-102.
7. Lebedev M.V., Son I.M., Kerimova K.I., Zaharova I.Yu. Patient routing system in the provision of specialized medical care on the profile of “maxillofacial surgery” in the Penza region and methods for its optimization. Ural Medical Journal. 2020;07(190):145 – 149 (In Russ.) doi: 10.26787/nydha-2686-6838-2021-23-5-241-247.
8. Aksenova E.I., Kamynina N.N., Haraz A.D. Cifrovizaciya zdravoohraneniya: mirovoj opyt. Moskovskaya medicina. 2021;2(42):6-25 (In Russ.) Available from: https://niioz.ru/upload/iblock/2e0/2e059f64d9eb930478398cfd0e1acb5b.pdf
9. Levina YU.V. Marshrutizaciya onkologicheskih pacientov. Sovershenstvovanie gosudarstvennoj sistemy zdravoohraneniya megapolisa: luchshie moskovskie praktiki. Referativnyj sbornik rabot sotrudnikov organizacionno-metodicheskih otdelov GBU «NIIOZMM DZM». 2021:33-37 (In Russ.) Available from: https://niioz.ru/upload/iblock/c13/c13b57c5f0defb1be8eef4076e4bf5c1.pdf
10. Robustova T.G., Drobyshev A.Yu. Chelyustno-licevaya hirurgiya: soderzhanie, svyaz' s drugimi medicinskimi disciplinami i etapy razvitiya. In: red. Drobysheva A.Yu., Yanushevicha O. O. M: GEOTAR-Media 2018:10-22 (In Russ.) Available from: https://www.rosmedlib.ru/book/ISBN9785970440810.html (дата обращения: 12.09.2022)
11. Belchenko V.A., Chantyr I.V. Features of providing specialized medical care to adult patients with neoplasms of the parotid salivary glands. City Healthcare. 2022;3(1):53-64 (In Russ.) doi: 10.47619/2713-2617.zm.2022.v.3i1;53–64.
12. Lebedev M.V., Kerimova K.I. The results of the implementation of an optimized routing system for adult and population with maxillofacial region in the territory of the Penza region in 2020-2021. // Medical & pharmaceutical journal "Pulse". 2021;23(5): 241-247. (In Russ.) doi: 10.26787/nydha-2686-6838-2021-23-5-241-247
13. Sipkin A.M., Kryazhinova I.A., Lapshin V.P. Priorities for Maxillofacial Surgery Improvement in the Moscow Region. Medical Technologies. Assessment and Choice. 2018;3(33):36–41 (In Russ.) doi: 10.31556/2219-0678.2018.33.3.036-041.
14. Order of the Ministry of Health of the Russian Federation №796n of 2 December 2014. «Ob utverzhdenii Polozheniya ob organizacii okazaniya specializirovannoj, v tom chisle vysokotekhnologichnoj, medicinskoj pomoshchi». (In Russ). Available from: https://base.garant.ru/70859232/.
15. Order of the Department of Health of the city of Moscow №832 of 13 September 2019. «O dal'nejshem sovershenstvovanii okazaniya medicinskoj pomoshchi v planovoj, neotlozhnoj i ekstrennoj formah v medicinskih organizaciyah gosudarstvennoj sistemy zdravoohraneniya goroda Moskvy». (In Russ).Available from: https://base.garant.ru/72773312/.
16. Order of the Ministry of Health of the Russian Federation №422n of 14 June
2019. «Ob utverzhdenii Poryadka okazaniya medicinskoj pomoshchi po profilyu «chelyustno-licevaya hirurgiya». (In Russ). Available from: https://base.garant.ru/72668272/.
17. Order of the Ministry of Health of the Russian Federation №824n of 2
October 2019. «Ob utverzhdenii Poryadka organizacii okazaniya vysokotekhnologichnoj medicinskoj pomoshchi s primeneniem edinoj gosudarstvennoj informacionnoj sistemy v sfere zdravoohraneniya». (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/72956290/.
18. Order of the Department of Health of the city of Moscow №16 of 14
January 2022. «Ob okazanii medicinskoj pomoshchi po profilyu «onkologiya» v medicinskih organizaciyah gosudarstvennoj sistemy zdravoohraneniya goroda Moskvy». (In Russ). Available from: https://base.garant.ru/401473839/.
19. Order of the Ministry of Health of the Russian Federation №965n of 30
November 2017. «Ob utverzhdenii poryadka organizacii i okazaniya medicinskoj pomoshchi s primeneniem telemedicinskih tekhnologij». (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/71751294/.
20. Order of the Department of Health of the city of Moscow №249 of 18
March 2021. «O sovershenstvovanii organizacii okazaniya specializirovannoj medicinskoj pomoshchi po profilyu «chelyustno-licevaya hirurgiya» v gorode Moskve». (In Russ). Available from: https://sp60.mos.ru/global_ruffe_tech/docs/249pdzm.pdf.

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