On the Organization of Ophthalmological Care for Patients in the Lipetsk Region

    Abstract

    On the Organization of Ophthalmological Care for Patients in the Lipetsk Region

    E.M. Osmanov, D.V. Efimov

    First Moscow State Medical University named after I.M. Sechenov of the Ministr y of Healthcare of the Russian Federation (Sechenov University), Moscow, Russia
Tambov Regional Children’s Clinical Hospital, Tambov, Russia
Prozrenie, Lipetsk, Russia

    Purpose. To compare the organization of ophthalmological care for patients in medical organizations of the Lipetsk region of state and private ownership.

    Material and methods. The study was conducted at the Department of Public Health and Healthcare of the F.F. Erisman Institute of Public Health of Sechenov University. Statistical information is provided by the territorial fund of compulsory medical insurance of the Lipetsk region (https://www.ofoms48.ru) for 2014–2021.

    Results.  Over the analyzed period, a decrease in the number of state medical organizations (MO) providing primary specialized medical care (MP) to the population of the Lipetsk region in the ophthalmology profile was established with a simultaneous increase in the number of private ophthalmological offices and clinics. In state MO, the relative share of cases of outpatient MP and especially MP within day hospitals (DS) in the ophthalmology profile decreases with an increase in private MO. In 2014, the share of MP cases in DS in private MO was 2.3%, in 2021 already 58.1%, compared to state MO. The most expensive inpatient ophthalmological care is provided in two state and two private MO, and in the latter, only 33 cases during the studied period, due to the high level of possibility of organizing ophthalmological care in DS, which is most preferable for private MO.

    Conclusion. The current situation in the region with MP for the population in the ophthalmology profile is due to the influence of both difficult-to-manage socio-economic determinants and manageable problems in the system of organizing the provision of MP.

    Key words: ophthalmological care, medical care, ophthalmological offices, private medical organizations, Lipetsk region

    For citation: Osmanov E.M., Efimov D.V. On the issue of organizing ophthalmological care for patients in the Lipetsk region. Point of view. East – West. 2024;11(4): 50–55.

    DOI: https://doi.org/10.25276/2410-1257-2024-4-50-55

    Corresponding author: Esedulla M. Osmanov, osmanov@bk.ru