Technical condition of buildings of outpatient medical organizations (units) in the Russian Federation

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Abstract

Introduction: The current material and technical conditions of the buildings of the state healthcare system of the Russian Federation (RF) is associated with the availability of medical care to the population. The reduction of this parameter influences the quality of life of the population. To improve the provision of the RF population with outpatient medical care, a profound material and technical restructuring and modernization of primary care setting is necessary.

Aim: To analyze the main parameters of the technical condition of buildings of medical organizations of outpatient care (MOOC) in the RF for 2012–2019.

Materials and methods: The study used data from Federal statistical observation form No. 30 "Information about a Medical Organization" in the RF for 2012–2019. Data were analyzed statistically using descriptive and analytical statistics and analysis of dynamic series. Absolute and relative parameters of the technical condition of MOOC buildings were calculated. Trend analysis was the main methods used.

Results: In 2012–2017, the number of MOOC buildings in disrepair and requiring demolition tended to decrease from 215 to 96 units. In 2012–2019, the number of MOOC buildings requiring reconstruction decreased from 511 to 179. In 2012–2018, the number of MOOC buildings requiring full repair decreased from 4,347 to 2,378. However, in 2019, the number sharply increased to 4,113. In 2014–2019, the number of MOOC buildings located in adapted premises increased from 6,723 to 8,126 units. In 2014–2019, the number of MOOC buildings located in rented areas decreased from 1,443 to 1,414. In 2012–2019, the number of MOOC buildings with hot water supply, central water supply, central heating, central sewer drainage, telephone communication, and autonomous power supply increased.

Conclusion: The total number of MOOC in the study period increased by 7.9%. The number of buildings requiring repair and modernization in 2012–2019 tended to decrease. Not all parameters show a positive tendency, and the modernization of healthcare is structurally incomplete.

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About the authors

Valerian A. Evdakov

Central Research Institute of Healthcare Organization and Informatization

Email: evdakov41@mail.ru
ORCID iD: 0000-0002-5836-4427
SPIN-code: 8294-2939

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Yuri Y. Melnikov

Central Research Institute of Healthcare Organization and Informatization

Email: melnikoff16@mail.ru
ORCID iD: 0000-0002-7393-6964
SPIN-code: 7830-3055

кандидат медицинских наук, ведущий научный сотрудник отделение научных основ организации амбулаторной помощи

Russian Federation, Moscow

Alexey V. Smyshlyaev

Central Research Institute of Healthcare Organization and Informatization

Author for correspondence.
Email: alexeysmishlyaev@yandex.ru
ORCID iD: 0000-0003-3099-2517
SPIN-code: 8505-3745

MD, Сand. Sci. (Med.)

Russian Federation, Moscow

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