Some aspects of realizing the order for ophtalmologic service as exemplified by Irkutsk oblast

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Abstract


Aim. Evaluation of the state of ophthalmologic service in Irkutsk oblast, as well as its compliance with the requirements of new legislative and regulatory documents of the federal level, development of a draft program for the development of ophthalmic care for the adult population of Irkutsk oblast.

Methods. To achieve the goal, two types of special process chart («Personnel» and «Equipment») were developed, based on the technology of a fact-potential method for assessing the performance of health facilities. Information capabilities of these methods were demonstrated. Assessment of comliance of the human resources and material and technical equipment of the ophthalmologic service of Irkutsk oblast with the order for medical care was performed.

Results. A serious staff shortage was reveled, as well as unsatisfactory material and technical equipment of institutions providing ophthalmologic service to the adult population. This problem is especially acute in the regions of Irkutsk oblast. To bring the material and technical base of the ophthalmologic service of Irkutsk oblast into compliance with the requirements of the Law №323 FZ and the approved Order for medical care to the adult population in case of eye diseases, 169.3 million rubles are required, of which 145 million rubles are required for «priority expenses». Measures aimed at improving the state of the ophthalmologic service in the region were suggested. The need to develop and implement a perspective regional targeted program for the development of ophthalmologic service of the Irkutsk oblast for a long-term period was shown.

Conclusion. Human resources and material and technical equipment of medical institutions providing ophthalmologic service to the population of Irkutsk oblast do not comply with the standards; one of the solutions to the problem is the development and implementation of the regional targeted program for the development of ophthalmologic service.


P V Zapevalin

Author for correspondence.
med_proekt@bk.ru
Irkutsk State Medical Academy for Postgraduate Education Irkutsk, Russia

B V Taevsky

med_proekt@bk.ru
Irkutsk State Medical Academy for Postgraduate Education Irkutsk, Russia

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