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Sazhin V.P.

Kafedra khirurgii i OVP s kursom éndokhirurgii fakul'teta poslediplomnogo obrazovaniia Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. akad. I.P. Pavlova, Novomoskovskaia gorodskaia klinicheskaia bol'nitsa

Fedorov A.V.

Almasov National Medical Research Centre, 197341, St. Petersburg, Russia

Malchikov A.Ya.

Izhevsk State Medical Academy of Ministry of Health of the Russia, Izhevsk, Russia

Yudin V.A.

Chair of Surgery with the course of Endosurgery, Faculty of additional post-graduate education of acad. I.P. Pavlov Ryazan State Medical University, Ryazan, Russia

Large outpatient surgery. Are there prospects?

Authors:

Sazhin V.P., Fedorov A.V., Malchikov A.Ya., Yudin V.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(5): 18‑24

DOI: 10.17116/hirurgia201905118

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To cite this article:

Sazhin VP, Fedorov AV, Malchikov AYa, Yudin VA. Large outpatient surgery. Are there prospects?. Pirogov Russian Journal of Surgery. 2019;(5):18‑24. (In Russ.)
https://doi.org/10.17116/hirurgia201905118

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Aim — to study frequency of «hospital registry» operations in the polyclinics of the Central Federal district, to analyze previous experience of outpatient surgical care and to assess perspective directions of its development. Material and methods. Over 48 million people who referred to polyclinics for medical care in 17 regions of Central Federal district for 6 years (2011—2016) were studied. Results. Mean surgical activity in the polyclinics of Central Federal district is 4.5%. The annual number of «hospital registry» operations does not exceed 150—200 (0.01%) for the entire district. Large outpatient surgery in Russia has evolved from active development to complete apathy and was almost always associated with health care reforming and attempts to reduce the volume of 24-hour in-patient surgical care. Conclusion. Advanced outpatient surgery is able to compensate routine in-hospital operations and to focus resources of these hospitals on the development of high-tech surgical care. It is necessary to change the insurance share of financing of patients operated in day surgical hospitals for successful development of «large outpatient surgery».

Keywords:

outpatient surgery
hospital-substituting surgical technologies
day surgical hospital

Authors:

Sazhin V.P.

Kafedra khirurgii i OVP s kursom éndokhirurgii fakul'teta poslediplomnogo obrazovaniia Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. akad. I.P. Pavlova, Novomoskovskaia gorodskaia klinicheskaia bol'nitsa

Fedorov A.V.

Almasov National Medical Research Centre, 197341, St. Petersburg, Russia

Malchikov A.Ya.

Izhevsk State Medical Academy of Ministry of Health of the Russia, Izhevsk, Russia

Yudin V.A.

Chair of Surgery with the course of Endosurgery, Faculty of additional post-graduate education of acad. I.P. Pavlov Ryazan State Medical University, Ryazan, Russia

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