ABOUT THE NEED OF PATIENTS WITH MALIGNANT TUMORS IN HOSPITAL PALLIATIVE CARE DURING LAST YEAR OF LIFE
https://doi.org/10.18027/2224-5057-2014-3-155-159
Abstract
In 2012, the State program of development of health care in the Russian Federation included a program of palliative care (PC), the result of the implementation of which should be a creation of a full infrastructure in the regions to provide PC to patients requiring active symptomatic treatment and psychosocial support in the later stages of incurable progressive disease. The aim of this study was to investigate the volume and location of inpatient medical care to patients who died from malignant neoplasms during the last year of life to determine their needs in the PC on the actual use of health services. Patients who died from cancer at home, in the last year of life received inpatient care at different levels of the health system (69.5 admissions per 100 patients per year), mostly in the MO Ministry of Healthcare (79.77 of all hospitalizations (CI 78, 9% -80.6%)), and 20,23 ± 3,0% in the regional oncologic center. Two hundred and twenty beds, which are used today to provide medical care for cancer patients during the last year of life, can be regarded as the minimum volume requirements in the palliative care for cancer patients, including a specialized hospitals (33.54 beds) at the existing levels of morbidity and mortality from cancer in the region, as well as the functioning and effectiveness of the health care system, primarily of outpatient care. The number of beds used by cancer patients for palliative care during the last year of life, made up 80.12% of the total number of beds for palliative care, calculated according to the standard recommended by the State Program of Health of the Russian Federation until 2020. We must bear in mind that in accordance with the standard of palliative care 80% of the number deployed beds should be used for cancer patients, and only 20% - for patients with other nosological forms of diseases. This underscores the relevance of developing and using practical criteria for the selection of patients with chronic progressive disease, and non-cancer diseases to provide specialized palliative care.
About the Author
E. S. VvedenskayaRussian Federation
References
1. Распоряжение Правительства РФ № 2511-p от 24 декабря 2012 года об утверждении «Государственной программы развития здравоохранения Российской Федерации» [Интернет]. 2012 [cited 2013 Feb 28]. Available from: http://www.rosminzdrav.ru/health/72
2. Приказ министерства здравоохранения Российской Федерации от 21 декабря 2012 г. N 1343н «Об утверждении Порядка оказания паллиативной медицинской помощи взрослому населению» [Интернет]. 2012 [cited 2013 June 17]. Available from: http://www.rosminzdrav.ru/docs/mzsr/oders/1401.
3. Федеральный закон Российской Федерации от 21 ноября 2011 г. N 323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации» [Интернет]. 2012 [cited 2013 Feb 28]. Available from: http://www.minzdravsoc.ru/docs/laws/104.
4. Эккерт Н. В., Новиков Г. А., Хетагурова А. К., Шарафутдинов М. Г. Методические рекомендации по организации паллиативной помощи. Москва: ММА им. И. М. Сеченова; 2008. 58 с.
5. Введенская Е. С. О важности принятия рабочего определения паллиативной помощи и ее содержания в преддверии становления служб в регионах. Проблемы стандартизации в здравоохранении. 2013; 1: 24–29.
6. Основные показатели здоровья населения и деятельности учреждений здравоохранения Нижегородской области за 2012 год: Статистический сборник. Нижний Новгород: Министерство здравоохранения Нижегородской области. ГУЗ НО «МИАЦ». 2011. С. 59–62.
7. Состояние онкологической помощи населению России в 2011году. Сборник под ред. В. И. Чиссова, В. В. Старинского, Г. В. Петровой. М.: ФГБУ «МНИОИ им. П. А. Герцена» Минздравсоцразвития России. 2012. 240 с.
8. Гланц С. Медико-биологическая статистика: пер. с англ. М.: «Практика». 1999. 459 с.
9. The Russian Federation Government Decree No 2511-p of 24 December 2012 «On the approval of the «State Program of Health of the Russian Federation». 2012. Available at: http://www.rosminzdrav.ru/health/72 (accessed 28 February 2013) (in Russian).
10. The order of the Health Ministry of the Russian Federation of 21 December 2012 N 1343n «On the approval of the Order on palliative medical care providing for adults». 2012 Available at: http://www.rosminzdrav.ru/docs/mzsr/oders/1401 (accessed 28 February 2013) (in Russian).
11. On the basic principles of population health protection in the Russian Federation. The Federal Law of the Russian Federation of 2011 November 21 N 323-FZ. 2011. Available at: http://www.minzdravsoc.ru/docs/laws/104 (accessed 13 April 2013) (in Russian).
12. Ekkert NV, Novikov GA, Khetagurova AK, Sharafutdinov MG. Methodic recommendation on palliative health care. Moscow: I. M. Sechenov Moscow Medical Academy; 2008. 58 p. (in Russian).
13. Vvedenskaya E. S. On the importance of adopting a working definition of palliative care and its content in anticipation of the palliative care services establishment in the regions. Problemy standartizacii v zdravoohranenii. 2013; 1: 24–29. (in Russian).
14. The key indicators of public health and health-care institutions activity in the Nizhny Novgorod region in 2012: Statistical Yearbook. Nizhny Novgorod: The Ministry of Health of the Nizhny Novgorod region. GUZ NO «MIAC». 2011. P. 59–62. (in Russian).
15. State of the art of the oncology care in Russia in 2011. Sbornik pod red. V. I. Chissova, V. V. Starinskogo, G. V. Petrovoj. Moscow.: FGBU «MNIOI after P. A. Gercen» Minzdravsocrazvitija Rossii. 2012. 240 p. (in Russian).
16. Glantz S. Biomedical Statistics: transl. from English. Moscow: «Praktika». 1999. 459 p.
Review
For citations:
Vvedenskaya E.S. ABOUT THE NEED OF PATIENTS WITH MALIGNANT TUMORS IN HOSPITAL PALLIATIVE CARE DURING LAST YEAR OF LIFE. Malignant tumours. 2014;(3):155-159. (In Russ.) https://doi.org/10.18027/2224-5057-2014-3-155-159