Methodological approaches to evaluating the efficiency of using assisted reproductive technologies at the regional level

Objective: To analyze the frequency and efficiency of assisted reproductive technologies (ART) used to treat infertility in the Central Federal District (CFD) of the Russian Federation in 2017-2021. Materials and methods: The frequency and efficiency of using ART in 16 areas of the Central Federal District (except for Moscow and the Moscow Region) were analyzed from the data provided by health service authorities, including those in the Federal Statistical Monitoring forms (No. 30 “Information on a health facility”, No. 232 (Insert to Form No. 32 “Information on the regionalization of obstetric and perinatal care in maternity hospitals (units) and perinatal centers”, No. 62 “Information on resource provision and on medical care for the population” over 2017-2021, by using the proposed procedure for evaluating the efficiency of organizing medical care in infertility treatment with ART. Results: In the CFD, the efficiency of organizing medical care in infertility treatment with ART remained the same in 2021 as in 2017. There are substantial differences in the activity of the Russian Federation subjects in using ARTs and their efficiency. Conclusion: The proposed methodological approaches to evaluating the efficiency of organizing medical care for infertility using ART provide a comparative analysis in temporal and territorial aspects. The reserve for enhancing the efficiency of control over the organization and quality of medical care using ART for infertility is to improve statistical reporting, to introduce a monitoring system, including a follow-up.

assisted reproductive technologies, organization of medical care, performance indicators