Criteria for the availability and quality of medical care
The territorial program of state guarantees of free provision of medical care to citizens in the Lipetsk region for 2020 and for the planning period of 2021 and 2022, Section X, Resolution of the Administration of the Lipetsk Region No. a comprehensive assessment of the level and dynamics of the institution is carried out according to the following indicators:
Target values of criteria for accessibility and quality of medical care provided under the Program
N p / p |
Indicator | unit of measurement | Criterion value | ||
2020 | 2021 | 2022 | |||
I. Criteria for the availability of medical care | |||||
1. | Provision of the population with doctors, including: | per 10 thousand people of the corresponding population | 34.4 | 34.8 | 35.2 |
2. | - urban population | per 10 thousand people of the corresponding population | 44.3 | 44.8 | 44.9 |
3. | - rural population | per 10 thousand people of the corresponding population | 17.4 | 17.4 | 17.4 |
4. | Provision of the population with doctors providing medical care on an outpatient basis, including: | per 10 thousand people of the corresponding population | 19.6 | 19.8 | 19.9 |
5. | - urban population | per 10 thousand people of the corresponding population | 24.0 | 24.3 | 24.3 |
6. | - rural population | per 10 thousand people of the corresponding population | 11.5 | 11.6 | 11.7 |
7. | Provision of the population with doctors providing medical care in inpatient conditions, including: | per 10 thousand people of the corresponding population | 12.5 | 12.5 | 12.5 |
8. | - urban population | per 10 thousand people of the corresponding population | 16.7 | 16.7 | 16.7 |
9. | - rural population | per 10 thousand people of the corresponding population | 4.9 | 4.9 | 4.9 |
10. | Provision of the population with paramedical personnel, including: | per 10 thousand people of the corresponding population | 100.9 | 101.5 | 102.8 |
11. | - urban population | per 10 thousand people of the corresponding population | 119.8 | 120.5 | 120.6 |
12. | - rural population | per 10 thousand people of the corresponding population | 66.7 | 66.7 | 66.7 |
13. | Provision of the population with paramedical personnel providing medical care on an outpatient basis, including: | per 10 thousand people of the corresponding population | 47.2 | 47.5 | 47.5 |
14. | - urban population | per 10 thousand people of the corresponding population | 53.3 | 53.6 | 53.6 |
15. | - rural population | per 10 thousand people of the corresponding population | 36.4 | 36.6 | 36.6 |
16. | Provision of the population with paramedical personnel providing medical care in stationary conditions, including: | per 10 thousand people of the corresponding population | 44.5 | 44.8 | 44.8 |
17. | - urban population | per 10 thousand people of the corresponding population | 55.6 | 55.9 | 55.9 |
18. | - rural population | per 10 thousand people of the corresponding population | 24.6 | 24.8 | 24.8 |
19. | Share of expenditures on the provision of medical care in day hospitals in the total expenditures for the Program | percent | 8.8 | 8.8 | 8.8 |
20. | The share of expenses for the provision of medical care on an outpatient basis in an emergency form in the total expenses for the Program | percent | 1.5 | 1.5 | 1.5 |
21. | Proportion of coverage of the adult population subject to clinical examination | percent | 100.0 | 100.0 | 100.0 |
22. | The proportion of the coverage of preventive medical examinations of the adult population subject to preventive medical examinations, including: | percent | 48.0 | 50.0 | 51.0 |
23. | - city dwellers | percent | 50.0 | 52.0 | 53.0 |
24. | - villager | percent | 46.0 | 48.0 | 49.0 |
25. | Proportion of coverage with preventive medical examinations of children subject to preventive medical examinations, including: | percent | 95.0 | 95.0 | 95.0 |
26. | - city dwellers | percent | 95.0 | 95.0 | 95.0 |
27. | - villager | percent | 95.0 | 95.0 | 95.0 |
28. | The share of appointments to a doctor, made by citizens without full-time access to the registry of a medical organization, in the total number of appointments to a doctor | percent | 28.0 | 38.0 | 47.0 |
29. | The share of patients who received specialized medical care in inpatient conditions in medical organizations subordinated to federal executive bodies, in the total number of patients who received medical care in inpatient conditions within the framework of the territorial compulsory health insurance program | percent | 1,2 | 1,2 | 1,2 |
30. | Number of people living in rural areas who received emergency medical care | per 1000 rural population | 302.0 | 303.0 | 303.5 |
31. | The share of feldsher, feldsher-obstetric points that are in emergency condition and require major repairs, in the total number of feldsher, feldsher-obstetric points | percent | 37.0 | 35.0 | 31.0 |
32. | Percentage of home visits to palliative care services to the adult population in the total number of palliative care visits to the adult population | percent | 9.5 | 10.0 | 11.0 |
33. | Number of patients who received palliative care at their place of residence, including at home | human | 4 475 | 4490 | 4520 |
34. | The number of patients who received palliative care at the place of their actual stay outside the constituent entity of the Russian Federation, on the territory of which these patients are registered at the place of residence | human | 2 | 3 | 3 |
35. | The proportion of women who underwent in vitro fertilization in the total number of women with infertility | percent | 20.0 | 20.0 | 20.0 |
II. Criteria for the quality of medical care | |||||
36. | Satisfaction of the population with medical care, including: | percentage of the number of respondents | 60.0 | 63.0 | 65.0 |
37. | - urban population | percentage of the number of respondents | 60.0 | 63.0 | 65.0 |
38. | - rural population | percentage of the number of respondents | 60.0 | 63.0 | 65.0 |
39. | Mortality of the population, including: | deaths per 1000 population | 14.2 | 14.0 | 13.9 |
40. | - urban population | deaths per 1000 population | 13.2 | 13.1 | 13.0 |
41. | - rural population | deaths per 1000 population | 17.0 | 16.9 | 16.7 |
42. | Mortality of the population of working age | the number of deaths in working age per 100 thousand people of the population | 483.1 | 463.9 | 443.1 |
43. | The share of deaths at working age at home in the total number of deaths at working age | percent | 46.0 | 45.5 | 45.0 |
44. | Maternal mortality | per 100 thousand people born alive | 7.3 | 7.3 | 7.3 |
45. | Infant mortality, including: | per 1,000 live births | 3.15 | 3.1 | 3.05 |
46. | - in urban areas | per 1,000 live births | 2.7 | 2.7 | 2.7 |
47. | - in the countryside | per 1,000 live births | 4.0 | 4.0 | 4.0 |
48. | Share of deaths at home under 1 year of age in the total number of deaths under 1 year of age | percent | 17.7 | 17.6 | 17.6 |
49. | Mortality in children aged 0-4 years | per 1000 live births | 4.75 | 4.7 | 4.7 |
50. | Share of deaths at the age of 0 - 4 years at home in the total number of deaths at the age of 0 - 4 years | percent | 17.1 | 17.0 | 16.9 |
51. | Mortality in children aged 0 - 17 years | per 100 thousand people of the population of the corresponding age | 47.15 | 47.1 | 47.0 |
52. | Share of deaths at the age of 0 - 17 years at home in the total number of deaths at the age of 0 - 17 years | percent | 15.7 | 15.6 | 15.6 |
53. | The share of newly diagnosed diseases during preventive medical examinations, including within the framework of clinical examination, in the total number of registered diseases for the first time in life during the year | percent | 3.5 | 3.7 | 3.9 |
54. | The share of newly diagnosed diseases during preventive medical examinations, including within the framework of clinical examination, of persons over working age in the total number of registered diseases for the first time in their life during the year in persons over working age | percent | 3.0 | 3.2 | 3.4 |
55. | The share of newly diagnosed oncological diseases during preventive medical examinations, including within the framework of clinical examination, in the total number of first-ever registered oncological diseases during the year | percent | 26.2 | 26.3 | 26.4 |
56. | The proportion of patients with malignant neoplasms under dispensary supervision from the date of diagnosis of 5 years or more, in the total number of patients with malignant neoplasms under dispensary supervision | percent | 55.7 | 56.2 | 56.8 |
57. | The share of newly diagnosed cases of oncological diseases in the early stages (stages I and II) in the total number of diagnosed cases of oncological diseases during the year | percent | 59.0 | 60.1 | 61.2 |
58. | The proportion of patients with malignant neoplasms taken under dispensary observation in the total number of patients with malignant neoplasms | percent | 99.6 | 99.6 | 99.6 |
59. | The proportion of patients with malignant neoplasms actively detected in the total number of patients with malignant neoplasms taken under dispensary observation | percent | 26.5 | 27.0 | 27.5 |
60. | Proportion of people infected with human immunodeficiency virus receiving antiretroviral therapy in the total number of people infected with human immunodeficiency virus | percent | 70.0 | 75.0 | 80.0 |
61. | The share of newly diagnosed cases of fibrocavernous tuberculosis in the total number of diagnosed cases of tuberculosis during the year | percent | 1.9 | 1.8 | 1.7 |
62. | Proportion of patients with myocardial infarction hospitalized in the first 12 hours from the onset of the disease in the total number of hospitalized patients with myocardial infarction | percent | 56.9 | 60.0 | 62.0 |
63. | The proportion of patients with acute myocardial infarction who underwent coronary artery stenting in the total number of patients with acute myocardial infarction who have indications for its implementation | percent | 58.0 | 59.0 | 60.0 |
64. | The proportion of patients with acute and recurrent myocardial infarction who underwent thrombolysis by a mobile ambulance team, in the total number of patients with acute and repeated myocardial infarction, who have indications for it, who received medical assistance by mobile ambulance teams | percent | 65.0 | 66.0 | 67.0 |
65. | The proportion of patients with acute myocardial infarction who received thrombolytic therapy in the total number of patients with acute myocardial infarction who have indications for it | percent | 70.0 | 71.0 | 72.0 |
66. | The proportion of patients with acute cerebrovascular diseases hospitalized in the first 6 hours from the onset of the disease, in the total number of patients admitted to primary vascular departments or regional vascular centers of patients with acute cerebrovascular diseases | percent | 48.5 | 49.0 | 50.0 |
67. | The proportion of patients with acute ischemic stroke who received thrombolytic therapy in the total number of patients with acute ischemic stroke hospitalized in primary vascular departments or regional vascular centers in the first 6 hours from the onset of the disease | percent | 53.5 | 54.0 | 54.5 |
68. | Proportion of patients with acute ischemic stroke who received thrombolytic therapy in the total number of patients with acute ischemic stroke hospitalized in primary vascular departments or regional vascular centers | percent | 5.5 | 5.5 | 5.5 |
69. | Proportion of patients receiving palliative care in the total number of patients requiring palliative care | percent | 98.0 | 100.0 | 100.0 |
70. | Proportion of patients receiving pain relief for palliative care in the total number of patients requiring pain relief for palliative care | percent | 100.0 | 100.0 | 100.0 |
71. | The number of substantiated complaints, including the denial of medical care provided under the Program | cases | 90.0 | 85.0 | 80.0 |