INTERREGIONAL CENTERS OF HIGH-TECH CHILDREN’S SURGERY – MORTGAGE OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR RUSSIAN CHILDREN

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  • Authors: Rozinov V.M.1, Morozov D.A.2,3, Rumyantsev S.A.4, Vaganov N.N.5,6, Azovskiy D.R.7, Afaunov N.V.1
  • Affiliations:
    1. Research institute of pediatric surgery of Pirogov Russian National Research Medical University
    2. The Committee on Health Care of The State Duma of the Russian Federation
    3. Sechenov First Moscow State Medical University
    4. State Budgetary Educational Institution of Higher Professional Education of Pirogov Russian National Research Medical Universi ty
    5. Russian children’s clinical hospital of Pirogov Russian National Research Medica l University
    6. Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
    7. G.N. Speransky Municipal Children’s Clinical Hospital No. 9
  • Issue: Vol 8, No 3 (2018)
  • Pages: 6-17
  • Section: Editorials
  • URL: https://rps-journal.ru/jour/article/view/462
  • DOI: https://doi.org/10.30946/2219-4061-2018-8-3-6-17
  • ID: 462


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Abstract

The article starts with a summary of the international experience in making medical care both accessible and high quality for children with surgical conditions and trauma by concentrating patients in specialized trans-regional centers. The authors give results of the retrospective analysis of the reasons for failure when implementing the concept of trans-regional specialized medical care in the Russian healthcare system. The paper lists problems with legislative control over these aspects: supplying the centers with resources, medical evacuation processes, distribution of responsibility by areas, and the information exchange with local medical institutions (hospitals, clinics, etc). The article also illustrates similarities and differences on how the trans-regional centers for pediatric surgical care function inRussiaand in other countries. The authors outline high priority measures for creating trans-regional centers for specialized medical assistance for children inRussia. The systematic review includes 16 domestic and 28 foreign literature sources, 8 references to Russian laws and regulations. 

About the authors

V. M. Rozinov

Research institute of pediatric surgery of Pirogov Russian National Research Medical University

Author for correspondence.
Email: ozinov@inbox.ru

Vladimir M. ROZINOV Dr Sci (med), Professor, Director of Pediatric Surgery 

29, Shmitovsky proezd, Moscow, Russia, 123317

urgery 

 

Russian Federation

D. A. Morozov

The Committee on Health Care of The State Duma of the Russian Federation;
Sechenov First Moscow State Medical University

Email: ped.surgery_fmsmu@list.ru

Dmitry A. MOROZOV Dr Sci (med), Professor, Chairman of the Committee on Health Protection of the State Duma of the Russian Federation, Head of the Department of Pediatric Surgery, Urology and Andrology of I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

1, Okhotny Ryad, Moscow, 103265,  

8/2, Trubetskaya st., Moscow, 119991 

Russian Federation

S. A. Rumyantsev

State Budgetary Educational Institution of Higher Professional Education of Pirogov Russian National Research Medical Universi ty

Email: s_roumiantsev@mail.ru

Sergey A. ROUMIANTSEV Dr Sci (med), Professor, Corresponding Member of the Russian Academy of Sciences, Strategic Development Provost of N. I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

1, Ostrovityanova str., Moscow, 117997 

Russian Federation

N. N. Vaganov

Russian children’s clinical hospital of Pirogov Russian National Research Medica l University;
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation

Email: fake@neicon.ru

Nikolay N. VAGANOV Dr Sci (med), Professor, Head of the Information and Analytical Department of the Russian Children’s Clinical Hospital of N. I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Head of the Department of MediсoSocial Issues of Motherhood and Childhood of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation

117, Leninsky prospect., Moscow, 119571,  2/1 b.1, Barricadnaya st., Moscow, 125993

Russian Federation

D. R. Azovskiy

G.N. Speransky Municipal Children’s Clinical Hospital No. 9

Email: fake@neicon.ru

Dmitry K. AZOVSKY Cand. Sci. (Medicine), anesthesiologist and resuscitationist 

29, Shmitovsky proezd, Moscow, Russia, 123317

 

 

Russian Federation

N. V. Afaunov

Research institute of pediatric surgery of Pirogov Russian National Research Medical University

Email: fake@neicon.ru

Murat V. AFAUNOV - Cand. Sci. (Medicine), Senior Staff Scientist of the Pediatric Surgery 

1, Ostrovityanova str., Moscow, 117997 

Russian Federation

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