Analysis providing hi-tech medical care by profile "cardiovascular surgery" in medical organizations of Russian Federation in 2012-2013
The article deals with the provision of hi-tech medical care (HTMC) citizens of the Russian Federation in 2012-2013. During this period, the HTMC was provided in 123 medical organizations of the Russian Federation: in 43 federal clinics and in 80 institutions supervised by jurisdiction of the subjects of the Russian Federation. The analysis of the results of HMC rendering the in the Russian Federation has revealed that the greatest number of treated patients - 30.9% of the total number within the profile of the cardiovascular surgery (CVS) undergone surgical procedures related to the form 14.00.001 Coronary revascularization with the use of angioplasty combined with stenting in coronary heart disease". The second largest group, 24.4% were patients treated within species 14.00.004 "Endovascular, surgical correction of cardiac arrhythmias without implantation of cardioverter-defibrillator." Noteworthy is the fact that these types cover more than a half (55.3%) of all patients treated. Endovascular treatments within species HMC 14.00.004 "Endovascular, surgical correction of cardiac arrhythmias without implantation of cardioverter-defibrillator" are used in 96% of the patients versus 4% of patients who underwent open surgery. Methods of surgical treatment with cardiopulmonary bypass are more likely to have been presented in the form of HMC 14.00.007 "Surgical and endovascular treatment of congenital, rheumatic and non-rheumatic valvular disease, cardiac tumors " in 99.9% of cases, but in the form of medical care 14.00.008 " radical and hemodynamic correction of congenital septal defects, heart chambers and major vessels compounds" in 77% of patients treated. Thirty or more of 34 methods of treatments were applied only in four federal clinics; representing 9.3% of the total number of organizations participating in the profile provide HTMC of the CVS profile. 24 (65.9%) clinics used an average of 7.5 methods of treatment.