Email this article The Federal Project "Fighting Cardiovascular Diseases": Dynamics of quantitative indices during the COVID-19 pandemic
- Authors: Perkhov V.I.1,2, Korkhmazov V.T.3
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Affiliations:
- Federal Research Institute for Health Organization and Informatics
- Pirogov Russian National Research Medical University
- Kuban State Medical University
- Issue: Vol 8, No 4 (2023)
- Pages: 287-293
- Section: Public health, organization and sociology of health
- URL: https://journals.rcsi.science/2500-1388/article/view/232068
- DOI: https://doi.org/10.35693/2500-1388-2023-8-4-287-293
- ID: 232068
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Abstract
Aim – to analyze the dynamics of indicators of the Federal Project "Fighting Cardiovascular Diseases" and to suggest improving the project management methods in healthcare.
Material and methods. The data was collected from Federal statistical observation form No. 14 "Data on activity of divisions of the medical organizations providing in-hospital medical care", form No. 30 "Data on the medical organization". The target indicators were selected from the Passport of Federal Project "Fighting Cardiovascular Diseases". The data on mortality rate was collected from the Rosstat reports on the number of population and the number of deaths by different diseases.
Results. In Russia, the frequency of endovascular interventions in acute coronary syndrome is growing essentially exceeding the target values of the Federal Project. Several regions are leading in the intensity of performing these operations (taking into account the population size) leaving behind many developed countries. At the same time, the death rate from cardiovascular diseases in Russia remains one of the highest in the world. The problem of medical care quality is still acute. The in-hospital lethality rates from cerebrovascular accident and acute myocardial infarction have significantly exceeded the target values during the entire period of observation.
Conclusion. During the infectious pandemics, the actions and target indicators of federal projects in healthcare should be revised. The healthcare model focusing on disease prevention, conservative treatment and telemedicine is preferable.
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##article.viewOnOriginalSite##About the authors
Vladimir I. Perkhov
Federal Research Institute for Health Organization and Informatics; Pirogov Russian National Research Medical University
Author for correspondence.
Email: perkhov@mednet.ru
ORCID iD: 0000-0002-4134-3371
PhD, Professor, Senior researcher, Department of Management, Healthcare Economy and Medical Insurance
Russian Federation, 11 Dobrolyubov st., Moscow, 127254; MoscowValerii T. Korkhmazov
Kuban State Medical University
Email: Korxmazov@mail.ru
ORCID iD: 0000-0002-3281-3909
PhD, assistant of the Department of Public Health and Healthcare, Faculty of Professional Development and Professional Retraining
Russian Federation, KrasnodarReferences
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Supplementary files
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Figure 1. Actual and target values of an indicator "Number of endovascular interventions in treatment purposes, k.
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Figure 2. Number of endovascular interventions in treatment purposes per 100,000 of population, k.
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Figure 3. The actual and target values of an indicator "The ratio between the number of endovascular interventions in treatment purposes and the total number of the discharged patients with acute coronary syndrome", %.
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Figure 4. The actual and target values of indicator "Share of hospital admissions of patients with cerebrovascular accident delivered by emergency medical services vehicles", %.
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Figure 6. Actual and target values of an indicator "In-hospital lethality rate from acute myocardial infarction", %.
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Figure 7. Actual and target values of an indicator "In-hospital lethality rate from cerebrovascular accident", %.
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Figure 8. In-hospital lethality rate from acute myocardial infarction on average for 2017-2021 in several regions of the Russian Federation, %.
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Figure 9. Dynamics of mortality rate from circulatory system diseases (per 100,000 of population) in the regions of the Russian Federation leading in effective execution of Federal Program "Fighting Cardiovascular Diseases".
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Figure 10. Dynamics of mortality rate from circulatory system diseases (per 100,000 of population) in the regions of the Russian Federation lacking effective execution of Federal Program "Fighting Cardiovascular Diseases".
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Figure 5. The ratio between the number of endovascular interventions in treatment purposes and the total number of the discharged patients with acute coronary syndrome, on average for 2017-2021 in several regions of the Russian Federation, %.
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Figure 11. The number of coronary angioplasties with stenting interventions by 100,000 of population in 2021.
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