[Role of computed tomography in every day practice of municipal health care of the Russian Federation].
The basic idea of the paper is due to its authors' wish to provide a comprehensive objective assessment of the role and place of currently available technologies of radiation diagnosis in municipal health care of the Russian Federation on the basis of the computed tomography (CT) room of the Stupino Central Town Clinical Hospital that performs the function of the leading medical institution of the whole Stupino District, Moscow Region. The paper presents a detailed characterization of the basic lines of CT studies and an analysis of their scope in a great variety of clinical subunits of the multidisciplinary Stupino hospital offering 795 beds. The paper lays a great emphasis on the particularly organizational aspects associated with the CT diagnosis of different diseases at the level of municipal heart care. Moreover, the authors express the idea that the findings may be applied not only to CT, but also to the whole group of new radiation diagnostic technologies. By assessing CT at the level of municipal health care, the authors fix their attention on the technological aspects of this technique. Recommendations are given on the most suitable type of CT units for municipal health care depending on the size of the population under service and on the capacity of health care structures. One of the authors' main conclusions suggests that, in addition to the radiation diagnosis service, the administrators of both regional and municipal organizational entities of practical public health care of the Russian Federation should obligatorily participate in order to obtain the high efficiency of radiation techniques.
Portnoĭ
L M
LM
Semenov
B Iu
BIu
Krushinskiĭ
A G
AG
D001921:Brain / Q000000981:diagnostic imaging; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D006773:Hospitals, Municipal / Q000458:organization & administration*; D006801:Humans; D009141:Musculoskeletal System / Q000000981:diagnostic imaging; D011860:Radiography, Abdominal / Q000379:methods; D013902:Radiography, Thoracic / Q000379:methods; D011872:Radiology Department, Hospital / Q000191:economics / Q000458:organization & administration*; D012426:Russia; D013679:Technology, Radiologic / Q000191:economics; D014057:Tomography, X-Ray Computed / Q000191:economics / Q000295:instrumentation / Q000706:statistics & numerical data