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Russian journal of neurosurgery

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Report concerning the condition of neurosurgical service of Moscow Public Health Department in 2014-2015 years (adult population)

Abstract

Introduction. There are 20 neurosurgical departments for medical care administering for patients with trauma and diseases of central nervous system in Moscow Public Health Department. Material and methods. This article presents the analysis of Moscow neurosurgical departments’ activity during 2014 and 2015 years. The analyzed materials were annual reports of heads of neurosurgical departments as well as results of annual personal visit to all departments. Results. The number of neurosurgical departments will decrease from 22 till 20 within 2 analyzed years and the decrease of neurosurgical beds also was detected from 981 till 689 (on 30%). The number of patients receiving neurosurgical treatment was increased from 25 563 to 28 468 as well as the number of neurosurgical operations was increased on 18%. The total and postoperative mortality was decline. Total number of died patients in 2014 counted to 1279 and in 2015 -1408 (total mortality - 5,1% and 4,9% consequently). Total number of patients who died after operation was 941 in 2014 and 962 - in 2015 (postoperative mortality - 12 and 10,5% consequently). The head injury has the predominant position (51-52%) among all neurosurgical pathology in Moscow with the following trauma and spinal diseases (27-29%). The analysis of neurosurgical departments’ equipment, patients’ forwarding and working conditions of physicians and nursing stuff as well as conformance of departments’ and hospitals’ activity to valid warrants of Ministry of Health of the Russian Federation and Moscow public health department was conducted. Conclusion. The significant changes due to reorganizations in health care occurred during 2014-2015 in Moscow service. The revealed weaknesses in organization of every day work in neurosurgical departments will allow optimizing the activity of departments as well as improving the quality of health care received by population.

About the Authors

A. A. Grin’
ГБУЗ Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы; Департамент здравоохранения г. Москвы
Russian Federation


A. E. Talypov
ГБУЗ Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы
Russian Federation


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For citations:


Grin’ A.A., Talypov A.E. Report concerning the condition of neurosurgical service of Moscow Public Health Department in 2014-2015 years (adult population). Russian journal of neurosurgery. 2016;(4):96-103. (In Russ.)

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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