ORGANIZATION OF HIGHLY SPECIALIZED HEMATOLOGICAL CARE AT THE LEVEL OF AGRICULTURAL REGION
DOI:
https://doi.org/10.24144/2077-6594.2.2020.201619Keywords:
Sumy region, highly specialized hematological care, organization, availability, quality, assessmentAbstract
Goal of research: to study and analyze the state of organizing highly specialized hematological care at the level of Sumy region and to establish the level of patients being satisfied with it.
Materials and methods. The data of sectoral statistical reporting in Sumy region for the period 2014-2018 and the results of sociological research among 183 patients of Hematology Department of Sumy Regional Clinical Hospital were used as the materials for research. Medico-statistical, sociological methods and method of structural-and-logical analysis were applied in the course of study.
Results. Highly specialized hematological care is provided to the adult population of Sumy region on the base of Regional Clinical Hospital in the staff of which 5 positions of doctors-hematologists are included. In 2018, 3185 (48.0%) patients residing in cities, 1250 (26.9%) residing in rural areas and 2195 (33.1%) patients treated in health care institutions of the region were consulted. 91.9% of patients who had been guided by staff hematologists were fully prepared for consultation, 36.2% of those who had been guided by freelance doctors and 60.3% of those who had been guided by doctors-specialists were completely unprepared for the consultation. The tendency to the increase of the number of in-patient treated patients and the high level of hospital beds usage (354.6 days per year), with the tendency to decrease the average stay of patients on the bed (12.6 days) and hospital mortality (0.32%) is defined. The article provides the data of sociological research as for assessment of availability and quality of highly specialized hematological care.
Conclusions. The article provides data on the state of highly specialized hematological care organization at the level of Sumy region and the level of satisfaction of patients of the Hematology Department of the Regional Clinical Hospital being satisfied with care. These investigations should be taken into account in the process of optimizing the Hematological service in the region in healthcare reform.
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