Analysis of development and functioning of diagnostic units in Russian Federation

Abstract

The introduction of the newest medical technologies, the re-equipment of medical organizations and the informatization of public health services in recent years have contributed to the rapid growth of volumes of diagnostic studies. A study was made of the resource availability and activities of diagnostic services in the Russian Federation by analyzing the reports of federal statistical forms. It is shown that in 2005-2016 years the network of medical organizations in the Russian Federation and the number of diagnostic units in them was considerably reduced, most significantly in the laboratory diagnostics (-53.25 %), functional diagnostics (-37.95 %), and radiology (-27.73 %). The number of medical personnel in the same period decreased only in the service of laboratory diagnostics, while in other sections growth was observed. An increase in the volume of diagnostic studies has been ascertained, which indicates an increased consumption of diagnostic resources. The existing system for recording the activities of diagnostic units does not allow differentiating the workload for personnel and equipment, which requires improvement of organizational and methodological approaches when collecting reporting data at the level of the federal center.