It is necessary to develop a unified procedure for adult patients’ referral to planned hospitalization and formalize the relationship between all participants in the three-level healthcare system, including the unification of diagnostic examination lists and validity to improve the process and scope of the prehospital workup of the patients.

OBJECTIVE

To compare the lists of diagnostic examinations and their validity during the workup of adult patients for planned hospitalization to identify problems that may increase time, clinical, and financial costs during medical care.

MATERIAL AND METHODS

The legal framework for prehospital workup of patients for planned hospitalization at the primary health care stage was analyzed. As an empirical basis for comparative quantitative analysis, the lists of diagnostic examinations and their validity period were used as part of a workup for surgical and medical treatment in 24 cardiology hospitals in Moscow in 2020. As part of the observation, an analysis of the patient’s route for planned hospitalization in a round-the-clock hospital providing specialized cardiology medical care was carried out.

CONCLUSION

The study showed differences in outpatient diagnostic examination lists used for prehospital workup of adult patients for planned treatment in a round-the-clock hospital; also, differences were revealed in the validity of the results of these examinations for similar diseases and the hospitalization types in health care facilities in Moscow. To introduce a systematic approach to unify the workup of a patient for planned hospitalization and optimize the costs of medical care, it is necessary to develop a unified regulation, approved at the level of a constituent entity of the Russian Federation, which should include the hospitalization procedure and a unified basic list of diagnostic examinations (clinical, laboratory, and functional), considering the main profiles — therapeutic and surgical.