title: [The structural and functional changes in therapeutic-preventive services rendered to the population of the Russian Federation in the recent decade].
abstract: The article contains the results of a comprehensive analysis of the functional transformations and of the efficiency of the system of therapeutic-and-preventive aid in the Russian Federation during the 90-ies. It is pointed out that the below parameters in the activity of health care institutions have essentially improved during the recent years: days during which the hospital beds are occupied per year, an average duration of treatment, turn-over of hospital beds, and number of visits to the doctor per one citizen. The number of surgical interventions, made in out-patients' clinics, and the scope of activity of day-time hospitals have increased. At the same time, the reduction of the network and activity of therapeutic-and-preventive institutions (TPI) has been primarily taken place in rural areas; the development of the outpatient surgery has been accompanied by an increasing number of surgeries in hospitals; the quantity of hospitalizations and the absolute number of hospitalized patients have been growing during the recent 4 years (1998-2001). The networks of medical rehabilitation institutions and of nurse care are poorly developed, and the share of beds for such networks is insufficient. The TPI staff, which is not replaced by physical persons, has been increasing; the provision of population with doctors remains high, while the number of paramedical personnel has been decreasing; and the coefficient of jobs-combining has been increasing.
authors.forename: V O
authors.initials: VO
authors.lastname: Shchepin
mesh_terms: D017598:Efficiency, Organizational; D006298:Health Services Administration; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D011314:Preventive Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data / Q000600:supply & distribution; D012426:Russia
vernacular_title: Strukturno-funktsional'nye preobrazovaniia sistemy lechebno-profilakticheskoĭ pomoshchi naseleniiu Rossiĭskoĭ v poslednee desiatiletie.