Diagnostics in the regions: figures, facts and money
The IMEDA report combines the official statistics of the Ministry of Health of the Russian Federation on resource provision and equipment of regional diagnostic services over the past 5 years (2009 – 2013); the authors analyzed these figures for how fast and how efficiently the diagnostic service is developing in the country; whether the installation of modern equipment is the only important factor in improving the quality of services; what place does Russia occupy in world ratings of the effectiveness of diagnostic services.
The speakers tried to find answers to important questions:
At what level of development of diagnostic services is the Russian Federation?
How is resource support changing in the state healthcare system in the country’s regions?
how many people receive various types of diagnostic services?
How much does the performance of diagnostic services in the regions differ?
How do indicators change and change over time?
And most importantly: what specific changes need to be implemented in the country’s diagnostic service to increase its efficiency?
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During his speech, IMEDA co-author Mikhail Sveshchinsky noted: “The latest modernization projects were carried out for absolutely priority reasons – improving the quality and accessibility of medical care. It was important and correct to choose diagnostics as a basic priority for healthcare development, since it is diagnostics that determines the choice of strategy in a particular situation treatment and is a way of assessing the necessary resources for this (where to treat, how to treat, by what methods, etc.).
According to the results of modernization programs, we often see either a low load of equipment, or an incomplete use of the capabilities of modern technologies. This needs and can be corrected: due to deep and continuing education of specialists, due to professional and independent audits, open publication of data on the state of health care and its individual services, due to open discussions in professional circles about the results of implemented projects and the goals of upcoming changes.
A sharp increase in the quality of medical management training is needed. The country has many individual examples of the excellent use of diagnostic capabilities both in private business and in public institutions. This effect is largely due to a thoughtful approach to the introduction of innovations (business planning), their own broad education of managers and their use of modern management technologies aimed at a significant increase in efficiency and quality. ”
Igor Ushakov, Chief Physician of the Irkutsk Diagnostic Center, one of the leading medical institutions in Russia in terms of resource efficiency and work results, shared the main, in his opinion, components of successful construction of the diagnostic service and told how such impressive impressions could be achieved in his medical organization results, such as:
– the proportion of the doctor’s working time spent interacting directly with the patient — 95% (against the average 60% in the country);
– the waiting period for the histological conclusion is 1 day (versus 8 days on average in the country);
– detection of oncopathology of the gastrointestinal tract at stages 0 and 1 – 35% (against 7% on average in the country);
– the patient’s waiting time for studies, consultations, medical and diagnostic manipulations inside the healthcare facility – 15 minutes (against 70 minutes on average in the country).
Igor Ushakov claims that the effectiveness of the diagnostic service directly depends on the effectiveness of its management: “Without quality management, quality medical care is impossible.”
The industry’s point of view during the event was shared by Elena Chirkova, General Director of BD (Becton, Dickinson and Company) in Russia and the CIS: “For the effectiveness of detecting diseases in the early stages, and sometimes predisposition to the disease, it is important to consider not only the availability of advanced diagnostic systems , but also the rationality of their use: special training of personnel is required to work with such equipment, as well as timely maintenance by specialized companies. The health of the patient depends on the outcome of a disease: the doctor will be able to prescribe treatment in a short time and, as a result, reduce the risk of hospitalization and disability, and the state will be able to avoid the additional costs of repeated tests, treating the patient, social benefits, as well as reducing the level of working capacity ”
Moderator of the event, Executive Director of the IMEDA Association, Alexandra Tretyakova summed up the thoughts of colleagues: “Today, with practical examples of Igor Ushakov, we were convinced that it is really possible to build high-quality diagnostic service in our country; you must take this experience into account, use the existing statistics, draw conclusions and make appropriate system decisions.