Restructuring of bed fund as a mechanism to improve access to and quality of care ophthalmic profile

S. V. Seraphimov; A. A. Lobzhanidze

Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (1) :163 -165.

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Restructuring of bed fund as a mechanism to improve access to and quality of care ophthalmic profile

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Abstract

The analysis of the results of the restructuring of hospital beds at ophthalmic departments of 7 hospitals of Leningrad region. Evaluating the effectiveness of the use of hospital beds in the region carried out during the 2011–2015 years for most important parameters: provision of population with beds, average bed occupancy, hospital bed turnover, the average length of hospital stay. It is established that the specified number of ophthalmic beds in the region decreased from 1,3 to 1,1 beds per 10 thousand population. However, the optimization processes hospitalization allowed to increase the number of patients treated by 16%. At the same time there was a significant reduction in the average length of stay of patients in hospital with 8,1±1,3 days to 6,2±1,7, as well as increase bed turnover ophthalmologic profile of 19,6%. At the end of the restructuring period the planned expectations specialized eye care decreased from 12,2±3,4 months to 9,1±1,6 months. Satisfaction with availability of health care increased from 62,8 to 75,3%, and the quality of care from 87,4 to 97,8% of the patients. In general, measures for the restructuring of hospital beds of ophthalmic departments in the form of the creation of «interdistrict-ophthalmic hospital», which were carried out in multidisciplinary hospitals of Leningrad region will significantly increase the effectiveness of their work: to increase the number of patients who received specialized ophthalmologic care without decrease the volume of its provision particular patient.

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hospital beds / specialized ophthalmological medical care / eye care accessibility / quality eye care / health / efficiency / satisfaction with medical care

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S. V. Seraphimov, A. A. Lobzhanidze. Restructuring of bed fund as a mechanism to improve access to and quality of care ophthalmic profile. Bulletin of the Russian Military Medical Academy, 2017, 19(1): 163-165 DOI:

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