Preview

Medical alphabet

Advanced search

Method for calculating the amount of equipment for polyclinics on the example of ECG Holter monitors

https://doi.org/10.33667/2078-5631-2022-33-34-39

Abstract

   The article proposes a method for calculating the required amount of equipment that allows an organization to correctly purchase a sufficient number of Holter ECG monitoring devices for functional diagnostics departments in order to meet the standards of medical care for patients with cardiac pathology in an outpatient setting. The method takes into account the volume of diagnostic studies performed and compares their number with the requirements of the standards. Holter ECG monitors are considered to be essential material expenditures of medical institutions to maintain proper medical and diagnostic process at the proper level. The functional features of the medical information system at the regional level in the Russian Federation are highlighted. Emphasis is placed on Holter monitoring of the electrocardiogram as one of methods for examining patients with cardiac pathology in relation to the standards of medical care for specific diseases.The essence and significance of the standards of medical care for the healthcare system in general and for the cardiological service, in particular, have been revealed. The article is intended for healthcare organizers and heads of structural divisions, services and departments of functional diagnostics.

About the Authors

A. K. Prom
Volgograd State Medical University (VSMU); Volgograd Regional Clinical Cardiology Center (VRCCC)
Russian Federation

Albert K. Prom, PhD Med., associate professor, head of the Department

Dept of Radiation

Functional Diagnostics Department

Volgograd



V. V. Ivanenko
Volgograd State Medical University (VSMU); Volgograd Regional Clinical Cardiology Center (VRCCC)
Russian Federation

Vitaliy V. Ivanenko, PhD Med., associate professor, physician-in-chief

Dept of Radiation

Volgograd



O. V. Ilyukhin
Volgograd State Medical University (VSMU); Volgograd Regional Clinical Cardiology Center (VRCCC)
Russian Federation

Oleg V. Ilyukhin, PhD Med., associate professor, cardiologist

Dept of Radiation

Volgograd



References

1. Demographic Yearbook of Russia, official publication. Statistical handbook. Moscow. Rosstat, 2019. Р. 118. https://rosstat.gov.ru/storage/mediabank/Dem_ejegod-2019.pdf

2. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study.The Lancet. London, England: Elsevier, 2013. Vol. 386, iss. 9995, 743–800. doi: 10.1016/S0140–6736(15)60692-4

3. Seiffge D. J., Werring D. J., Paciaroni M. et al. Timing of anticoagulation after recent ischaemic stroke in patients with atrial fibrillation. Lancet Neurol. 2019 Jan; 18 (1), 117–26. doi: 10.1016/S1474–4422(18)30356-9

4. Kamaev D., Shubina D., Gritsenko P. The Elephant in the Vessel Shop: How Russian Health Care Copes with Stroke Prevention. Vademecum, 2021, No. 6. https://vademec.ru/article/slon_v_sosudnoy_lavke-_kak_rossiyskoe_zdravookhranenie_spravlyaetsya_s_profilaktikoy_insultov/

5. Kułach A., Dewerenda M., Majewski M. et al. 72-hour Holter monitoring, 7-day Holter monitoring, and 30-day intermittent patient-activated heart rhythm recording in detecting arrhythmias in cryptogenic stroke patients free from arrhythmia in a screening 24 h Holter. Open Medicine, 2020, 15: 697–701 doi: 10.1515/med-2020–0203

6. Federal Law of the Russian Federation of April 05 2013 No 44 'On the contract system in state and municipal procurement of goods, works and services.'

7. Decree of the Governor of the Volgograd Region of December 29, 2012 No 1447 'Regional information system in the field of healthcare of the Volgograd region.'

8. Order of the Ministry of Health of the Russian Federation of October 13 2017. No 804n 'On approval of the Nomenclature of medical services' (as amended on September 24, 2020)

9. Order of the Ministry of Health of the Russian Federation of 02. 11. 2020 No. 1193n 'Standard of medical care for adults with arterial hypertension (diagnosis and treatment).'

10. Order of the Ministry of Health of the Russian Federation of 28. 04. 2021 No. 410n 'Standard of medical care for adults with stable coronary heart disease (diagnosis, treatment and follow-up).'

11. Order of the Ministry of Health of the Russian Federation of March 2, 2021 No. 159n 'On approval of the standard of medical care for adults with hypertrophic cardiomyopathy (diagnosis, treatment and dispensary observation).'

12. Order of the Ministry of Health of the Russian Federation dated October 05, 2006 No. 698 'On approval of the standard of medical care for patients with atrial fibrillation.'

13. Order of the Ministry of Health of the Russian Federation dated November 22, 2004 No. 254 'Standard of medical care for patients with arterial hypertension.'

14. Smirnova T. A. Computer program for optimizing the costs of a medical institution Registration number (certificate): 2020660241. Registration date: 08/31/2020. Copyright holder(s): Federal State Budgetary Educational Institution of Higher Education 'Tver State Medical University' of the Ministry of Health of the Russian Federation (RU).

15. Zarubin A. S. Efficiency of pricing for medical equipment in procurement for state and municipal needs (on the example of computer tomographs). Perm financial magazine. 2021. No. 1 (24), 4–31.


Review

For citations:


Prom A.K., Ivanenko V.V., Ilyukhin O.V. Method for calculating the amount of equipment for polyclinics on the example of ECG Holter monitors. Medical alphabet. 2022;(33):33-39. (In Russ.) https://doi.org/10.33667/2078-5631-2022-33-34-39

Views: 582


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)