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Khailova Zh.V.

National Medical Research Radiological Centre;
Russian Medical Academy of Continuous Professional Education

Omelyanovsky V.V.

Russian Medical Academy of Continuous Professional Education;
Center for Healthcare Quality Assessment and Control;
N.A. Semashko National Research Institute of Public Health, 12;
Financial Research Institute of the Ministry of Finance of the Russian Federation

Mikhailov I.A.

Russian Medical Academy of Continuous Professional Education;
Center for Healthcare Quality Assessment and Control;
N.A. Semashko National Research Institute of Public Health, 12

Rumyantseva E.I.

Center for Healthcare Quality Assessment and Control

Komarov Yu.I.

N.N. Petrov National Medical Research Center of Oncology;
ITMO University

Kaprin A.D.

National Medical Research Radiological Centre;
Patrice Lumumba Peoples’ Friendship University

Perfection of cancer patients routing model at the medical care different stages

Authors:

Khailova Zh.V., Omelyanovsky V.V., Mikhailov I.A., Rumyantseva E.I., Komarov Yu.I., Kaprin A.D.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2024;27(12): 7‑15

DOI: 10.17116/profmed2024271217

Read: 1627 times

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Table of contents

PERFECTION OF CANCER PATIENTS ROUTING MODEL AT THE MEDICAL CARE DIFFERENT STAGES
PERFECTION OF CANCER PATIENTS ROUTING MODEL AT THE MEDICAL CARE DIFFERENT STAGES

To cite this article:

Khailova ZhV, Omelyanovsky VV, Mikhailov IA, Rumyantseva EI, Komarov YuI, Kaprin AD. Perfection of cancer patients routing model at the medical care different stages. Russian Journal of Preventive Medicine. 2024;27(12):7‑15. (In Russ.)
https://doi.org/10.17116/profmed2024271217

Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To develop proposals for improvement of the routing effectiveness of patients with malignant neoplasms.

MATERIAL AND METHODS

The results of the questionnaire of the chief freelance specialists oncologists of executive government bodies of the constituent entities of the Russian Federation in the field of health care of citizens and other persons with organizational and methodical work experience on the «oncology» profile were analyzed and summarized. The expert was asked to estimate the minimum and maximum number of waiting days for each component of the routing stage in days, as well as to identify factors in arbitrary form that can increase and complicate the transit time of stage by patient. In total, 26 responses from 19 constituent entities of the Russian Federation were received.

RESULTS

Issue of an appointment card to oncologist from the moment of establishing suspicion of oncological disease took on average at least from 1.6±1.4 to 5.4±3.4 days (W=0.96, p<0.001, α=0.55). Total time for the diagnostic stage (α=0.91): from initial consultation by an oncologist to the creation of report on the case of oncological disease was from 9 to 46 days. The treatment phase from getting an appointment card to oncologist to conducting consultation in the national medical research center took from 13 to 46 days (α=0.82). The time for getting an appointment card and hospitalization for medical rehabilitation was from 6 to 21.5 days (α=0.59). The time taken to receive an appointment card and hospitalization for palliative care was from 2.5 to 9.3 days (α=0.73). The main proposals for improvement of routing are to ameliorate the staffing and basic infrastructure of medical facilities, to create a «green corridor» for the diagnosis of oncological diseases and to increase the bed capacity.

CONCLUSION

The conducted study allowed to determine, based on an expert survey, the timing of health care delivery for patients with oncological diseases as well as to identify the main directions for improvement of the routing of such patients.

Keywords:

routing
healthcare management
oncological diseases
waiting periods
national projects
federal projects

Authors:

Khailova Zh.V.

National Medical Research Radiological Centre;
Russian Medical Academy of Continuous Professional Education

Omelyanovsky V.V.

Russian Medical Academy of Continuous Professional Education;
Center for Healthcare Quality Assessment and Control;
N.A. Semashko National Research Institute of Public Health, 12;
Financial Research Institute of the Ministry of Finance of the Russian Federation

Mikhailov I.A.

Russian Medical Academy of Continuous Professional Education;
Center for Healthcare Quality Assessment and Control;
N.A. Semashko National Research Institute of Public Health, 12

Rumyantseva E.I.

Center for Healthcare Quality Assessment and Control

Komarov Yu.I.

N.N. Petrov National Medical Research Center of Oncology;
ITMO University

Kaprin A.D.

National Medical Research Radiological Centre;
Patrice Lumumba Peoples’ Friendship University

Received:

29.07.2024

Accepted:

06.09.2024

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References:

  1. Kakorina EP, Nikitina SY. Features of the structure of mortality in Russian Federation. Problemy social’noj gigieny, zdravoohranenija i istorii mediciny. 2019;27(5):822-826. (In Russ.). https://doi.org/10.32687/0869-866X-2019-27-5-822-826
  2. Khailova ZhV, Kaprin AD, Omelyanovsky VV, et al. Analysis of years of life lost due to premature cancer mortality in the Russian Federation. Sibirskij onkologicheskij zhurnal. 2023;22(5):14-27. (In Russ.). https://doi.org/10.21294/1814-4861-2023-22-5-14-27
  3. Murashko RA, Alekseenko SN, Koshkarov AA, et al. Patient routing and process approach implementation for regional oncology service. Kubanskij nauchnyj medicinskij vestnik. 2021;28(1):84-102. (In Russ.). https://doi.org/10.25207/1608-6228-2021-28-1-84-102
  4. Duregina OV, Anisiforova EV, Antonova EV, et al. The routing of patients with suspected cancer on the principle of lean production. Medicinskaja nauka i obrazovanie Urala. 2019;(2):78-82. (In Russ.).
  5. Son IM, Laricheva IV, Shamanskiy VB, et al. Cancer patients routing experience of the Sverdlovsk region and the Republic of Tatarstan. Menedzher zdravoohranenija. 2015;(10):6-17. (In Russ.).
  6. Khailova ZhV, Kaprin AD, Karakulina EV, et al. The results of a one-year mortality study in assessing the effectiveness of the implementation of a regional cancer patient routing program in the Central, North Caucasian, Volga federal districts of the Russian Federation. Vestnik Roszdravnadzora. 2023;(6):33-42. (In Russ.).
  7. Khailova ZhV, Ivanov SA, Nevolskikh AA, et al. Evaluation of the effectiveness of the implementation of the regional cancer patient routing program in the Central, North Caucasian, Volga federal districts of the Russian Federation. Vestnik Roszdravnadzora. 2023;(4):59-64. (In Russ.).
  8. Petkau VV, Bessonova EN, Breder VV, et al. Impact of a multidisciplinary approach and patient routing on the outcomes of treatment of patients with hepatocellular cancer. Zlokachestvennye opuholi. 2023;13(2):5-11. (In Russ.). https://doi.org/10.18027/2224-5057-2023-13-2-1
  9. Lebedev MV, Kerimova KI, Zakharova IYu. Improvement of the process approach in the routing of patients with malignant malignances of the maxillofacial region in the territory of the Penza region in 2021. Mediko-farmacevticheskij zhurnal «Pul’s». 2021;23(7):149-155. (In Russ.). https://doi.org/10.26787/nydha-2686-6838-2021-23-7-149-155
  10. Doronina OV, Schmidt SS, Kurmangulov AA. Visualization of routing of patients with suspected oncological pathology in the conditions of primary health care. Universitetskaja medicina Urala. 2021;7(2-25):50-52. (In Russ.).
  11. Parts SA, Reshetov IV, Kuzmina ES, Galkin VN. Organizational models of cancer patient routing at the regional level. Consilium Medicum. 2023;25(6): 384-387. (In Russ.). https://doi.org/10.26442/20751753.2023.6.202322
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