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

封面
  • 作者: 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
  • 隶属关系:
    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
  • 期: 卷 8, 编号 3 (2018)
  • 页面: 6-17
  • 栏目: Editorials
  • ##submission.dateSubmitted##: 17.11.2018
  • ##submission.dateAccepted##: 17.11.2018
  • ##submission.datePublished##: 17.09.2018
  • URL: https://rps-journal.ru/jour/article/view/462
  • DOI: https://doi.org/10.30946/2219-4061-2018-8-3-6-17
  • ID: 462


如何引用文章

全文:

详细

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. 

作者简介

V. Rozinov

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

编辑信件的主要联系方式.
Email: ozinov@inbox.ru

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

29, Shmitovsky proezd, Moscow, Russia, 123317

urgery 

 

俄罗斯联邦

D. 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 

俄罗斯联邦

S. 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 

俄罗斯联邦

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

俄罗斯联邦

D. 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

 

 

俄罗斯联邦

N. 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 

俄罗斯联邦

参考

  1. Розинов В. М., Ваганов Н. Н., Горбачев О. С. Детская хирургия в России – предварительные итоги оптимизации // Российский Вестник детской хирургии, анестезиологии и реаниматологии. – 2016. – № 3. – с. 8–18. http://www.rps-journal.ru/jour/article/view/264/265
  2. Григович И. Н. Неотложная хирургическая помощь детям в стационарах для взрослых // Российский Вестник детской хирургии, анестезиологии и реаниматологии. – 2017. – № 1. – с. 8–16. https://www.rps-journal.ru/jour/article/view/309/310
  3. Баранов А. А. Основы оптимизации стационарной помощи детям // Вопросы современной педиатрии. – 2006. – Том. 5 – № 3. – с. 7–9. http://vsp.spr-journal.ru/jour/article/view/729
  4. Морозов Д. А. Проблемы законодательного регулирования детской хирургии и хирургии плода в Российской Федерации // Российский вестник детской хирургии, анестезиологии и реаниматологии. – 2018 – № 2. – с. 6–16.
  5. Somme S., Bronsert М. Frequency and Variety of Inpatient Pediatric Surgical Procedures in the United States. Pediatrics. 2013;132 (6):1466–72. doi: 10.1542/peds.2013–1243.
  6. Oldham K. T. Optimal resources for children’s surgical care. J. Pediatr. Surg. Elsevier Inc. 2014;49 (5) 667–67. DOI: https://doi.org/10.1016/j.jpedsurg.2014.02.046
  7. Розинов В. М., Гончаров С. Ф. Система организации и оказания неотложной специализированной медицинской помощи детям, пострадавшим в дорожно-транспортных происшествиях // Медицина катастроф. – 2010. – № 2. – с. 58–61. http://www.vcmk.ru/journal/journal/index.php?id=1598.
  8. Суворов С. Г., Езельская Л. В., Розинов В. М., Лекманов А. У., Макаров И. А., Пилютик С. Ф., Чоговадзе Г. А. Организация специализированной медицинской помощи детям, пострадавшим в дорожно-транспортных происшествиях на территории московской области// Анестезиология и реаниматология. – 2009. – № 1. – с. 34–36. http://www.medlib.am/content/anest-2009–1.pdf.
  9. Суворов С. Г., Розинов В. М., Чоговадзе Г. А., Дивилина Ю. В., Езельская Л. В., Махнев В. Г. Использование вертолетной авиации для оказания медицинской помощи детям, пострадавшим в дорожно-транспортных происшествиях // Медицина катастроф. – 2012. – № 2. – с. 12–15. http://www.vcmk.ru/journal/journal/index.php?id=1589.
  10. Розинов В. М., Суворов С. Г. Итоги выполнения федеральной целевой программы «повышение безопасности дорожного движения в 2006–2012 годах» по проблеме детского дорожно-транспортного травматизма // Медицина катастроф – 2012. – № 4. – с. 52–55. http://www.vcmk.ru/journal/journal/index.php?id=159
  11. Mathews A. L., Cheng M. H. Cost Analysis of 48 Burn Patients in a Mass Casualty Explosion Treated at Chang Gung Memorial Hospital. Injury. Elsevier Ltd, 2017;48 (1): 80–6. DOI: https://doi.org/10.1016/j.injury.2016.08.007
  12. Mehra T., Koljonen V. Total inpatient treatment costs in patients with severe burns: Towards a more accurate reimbursement model./ Swiss Med. Wkly. 2015;145 (November):1–13. DOI:https://doi.org/10.4414/smw.2015.14217
  13. American Burn Association. 2016 National burn repository Report of data from 2006–2015. Chicago: American Burn Association 2016;139 http://ameriburn.org/education/publications
  14. Морозов Д. А., Пименова Е. С. Диагностика и лечение болезни Гиршпрунга у детей в Российской Федерации (проект федеральных клинических рекомедаций) // Российский вестник детской хирургии, анестезиологии и реаниматологии. – 2018. – Том. 8. – № 1. – с. 6–12. https://www.rps-journal.ru/jour/article/view/393/386.
  15. Gawel M., Emerson В. A. Qualitative Study of Multidisciplinary Providers Experiences With the Transfer Process for Injured Children and Ideas for Improvement. Pediatr. Emerg. Care. 2018;34 (2):125–31. doi: 10.1097/PEC.0000000000001405.
  16. Областные, краевые, республиканские, окружные детские больницы, специализированные детские центры в 2017 году. Информационно-аналитический обзор № 20. Москва. – 2018. – с. 88. http://rdkb.ru/about/news/soveshchanie-glavnykh-vrachey-detskikh-bolnits/
  17. Joosse P., Saltzherr T-P. Impact of secondary transfer on patients with severe traumatic brain injury J. Trauma Acute Care Surg. February 2012;72 (2):487–90 doi: 10.1097/TA.0b013e318226ed59
  18. Garwe T., Cowan L. D. Directness of Transport of Major Trauma Patients to a Level I Trauma Center: A PropensityAdjusted Survival Analysis of the Impact on Short-Term Mortality J. Trauma Inj. Infect. Crit. Care. 2011;70 (5):1118–27. doi: 10.1097/TA.0b013e3181e243b8
  19. Sampalis J. S., Denis R. Direct transport to tertiary trauma centers versus transfer from lower level facilities: impact on mortality and morbidity among patients with major trauma. J. Trauma. 1997;43 (2):288–96. https://journals.lww.com/jtrauma/pages/articleviewer.aspx?year=1997&issue=08000&article=00014&type=abstract
  20. Mans S., Folmer E. R. Direct transport versus inter hospital transfer of severely injured trauma patients. Injury. 2016;47 (1):26–31. DOI: https://doi.org/10.1016/j.injury.2015.09.020.
  21. Holland Ch. M., McClure E. W. Interhospital Transfer of Neurosurgical Patients to a High-Volume Tertiary Care Center: Opportunities for Improvement. Neurosurgery. 2015 Aug;77 (2):200–6; discussion 206–7. doi: 10.1227/NEU.0000000000000752.
  22. Mueller S. K., Schnipper J. L. Physician Perspectives on Interhospital Transfers. J. Patient Saf • 2016 Number; (2):1–4. doi: 10.1097/PTS.0000000000000312.
  23. Hill A. D., Fowler R. A. Impact of Interhospital Transfer on Outcomes for Trauma Patients: A Systematic Review. J. Trauma. 2011 Dec; 71 (6):1885–900; discussion 1901. doi: 10.1097/TA.0b013e31823ac642.
  24. Newton S. M., Fralic M. Interhospital Transfer Center Model: Components, Themes, and Design Elements. Air Medical Journal July – August 2015;34 (4):207–212. doi: 10.1016/j.amj.2015.03.008.
  25. Gale S. C., Peters J. Impact of transfer distance and time on rural brain injury outcomes. Brain Injury, 2016;30:437–40. doi: 10.3109/02699052.2016.1140808.
  26. Coote P., Wall M., Dinh M. Interhospital Transport of Children With Confirmed or Suspected Intussusception: Experience at the New South Wales Newborn and Paediatric Emergency Transport Service Over 10 Years. Pediatr Emer Care. Oct 2013; 29:1166–9. doi: 10.1097/PEC.0b013e3182a9e78a.
  27. Александрович Ю. С., Пшениснов К. В., Андреев В. В., Паршин Е. В., Череватенко Р. И., Нурмагамбетова Б. К. Исходы критических состояний у новорожденных в зависимости от сроков межгоспитальной транспортировки// Педиатр 2013 том IV № 3 С. 15–23. DOI: http://dx.doi.org/10.17816/PED4315–23.
  28. Юнусов Д. И., Пшениснов К. В., Миронов П. И., Александрович Ю. С. Роль реанимационно-консультативных центров при оказании помощи детям с тяжелой травмой // Скорая медицинская помощь. 2016; (1):15–9. https://doi.org/10.24884/2072-6716-2016-17-1-15-19
  29. Шмаков А. Н., Касымов В. А., Александрович Ю. С. Реанимационно-консультативный центр. Итоги, проблемы, перспективы.// Скорая медицинская помощь. – 2009. – № 3. – с. 10–9. http://www.fesmu.ru/elib/Article.aspx?id=213824
  30. Delorenzo A. J., Abetz J. W. Characteristics of Fixed Wing Air Ambulance Transports in Victoria, Australia. Air Medical Journal. 2017;36 (4):173–8. DOI: https://doi.org/10.1016/j.amj.2017.02.008
  31. Gillman L., Fatovich D. Mortality of interhospital transfers originating from an Emergency Department in Perth, Western Australia. Australasian Emergency Nursing Journal. November 2013;16 (4):144–51. DOI: https://doi.org/10.1016/j.aenj.2013.07.001
  32. Wilhelm W., Wiegratz A. (2011) Transport kritisch kranker Patienten. In: Burchardi, H., Larsen, R., Marx, G., Muhl, E., Schölmerich, J. (Hrsg) Klinikmanual Intensivmedizin. Springer, Berlin 2011. doi: 10.1007/978‑3‑642‑54953‑3
  33. Гармаш О. А., Банин И. Н., Попов В. П., Баранова Н. Н., Попов А. В., Шилкин И. П. при участии Буянова В. М., Громута А. А., Иванчина Д. В., Олесова И. И., Попова А. С., Филиппова А. Ю., Ярмолича В. А. Организация оказания экстренной консультативной медицинской помощи и проведения медицинской эвакуации. //Методические рекомендации. – М.: ФГБУ ВЦМК «Защита», – 2014. – с. 174 (Библиотека Всероссийской службы медицины катастроф). http://www.vcmk.ru/docs/metod_recomen/mr_rek_2016.pdf
  34. Vogel L. D., Vongsachang H. Variations in Pediatric Trauma Transfer Patterns in Northern California Pediatric Trauma Centers (2001–2009). © 2014 by the Society for Academic Emergency Medicine. р 1023–1030. doi: 10.1111/acem.12463.
  35. Ando M., Takahashi Y. Aircraft Transfer of Pediatric Patients With Intractable Cardiac or Airway Problems. Circulation Journal January 2015;79:180–4. DOI:https://doi.org/10.1253/circj.CJ-14–0597.
  36. Григорьев Ю. И., Истомина Л. Б., Кочетова Е. Ю., Сафронов С. Н. Организационные основы совершенствования деятельности областной службы медицинских катастроф в чрезвычайных ситуациях. //Вестник новых медицинских технологий. – 1999. – № 1. – с. 119–23. http://medtsu.tula.ru/VNMT/Archive/1999/n2/razd_4/57423.htm.
  37. Delorenzo A. J., Abetz J. W. Characteristics of Fixed Wing Air Ambulance Transports in Victoria, Australia. Air Medical Journal 2017;36 (4):173–8. DOI: https://doi.org/10.1016/j.amj.2017.02.008.
  38. Gillman L., Jacobs I. Challenges in arranging interhospital transfer from a non-tertiary hospital emergency department in the Perth metropolitan area. Emergency Medicine Australasia 2014; 26:567–72. doi: 10.1111/1742–6723.12299.
  39. Hernandez-Boussard T., Davies Sh. Interhospital Facility Transfers in the United States: A Nationwide Outcomes Study. J. Patient Saf. December 2017;13 (4):187–91. doi: 10.1097/PTS.0000000000000148
  40. Reinke C. E., Thomason M. Emergency general surgery transfers in the United. States: a 10‑year analysis. Journal of surgical research. November 2017; (219):128–35. DOI: https://doi.org/10.1016/j.jss.2017.05.058
  41. Feazel L., Schlichting A. B. Achieving regionalization through rural interhospital transfer. American Journal of Emergency Medicine. 2015;33:1288–96. DOI: https://doi.org/10.1016/j.ajem.2015.05.032
  42. Gattu R. K., Teshome G. Interhospital Pediatric Patient TransfersVFactors Influencing Rapid Disposition After Transfer. Pediatric Emergency Care & Volume, January 2014; 30 (1):26–30. doi: 10.1097/PEC.0000000000000061
  43. Gupta K., Mueller S. K. Interhospital Transfers: The Need for Standards. Journal of Hospital Medicine. June 2015;10 (6):415–7. doi: 10.1002/jhm.2320
  44. Vedantam A., Hansen D. Interhospital transfer of pediatric neurosurgical patients. J. Neurosurg Pediatr. July 2016;22:1–6. doi: 10.3171/2016.5. PEDS16155.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Rozinov V.M., Morozov D.A., Rumyantsev S.A., Vaganov N.N., Azovskiy D.R., Afaunov N.V., 2018

Creative Commons License
此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.


##common.cookie##