PMID: 16501714Feb 28, 2006Paper

Health-systems efficiency in the Russian Federation: tuberculosis control

Bulletin of the World Health Organization
Katherine FloydR Atun

Abstract

To conduct a comprehensive assessment of the case-mix of patients admitted to tuberculosis hospitals and the reasons for their admission in four Russian regions: Ivanovo, Orel, Samara and Vladimir. We also sought to quantify the extent to which efficiency could be improved by reducing hospitalization rates and re-profiling hospital beds available in the tuberculosis-control system. We used a standard questionnaire to determine how beds were being used and who was using the beds in tuberculosis facilities in four Russian regions. Data were collected to determine how 4306 tuberculosis beds were utilized as well as on the socioeconomic and demographic indicators, clinical parameters and reasons for hospitalization for 3352 patients. Of the 3352 patients surveyed about 70% were male; the average age was 40; and rates of unemployment, disability and alcohol misuse were high. About one-third of beds were occupied by smear-positive or culture-positive tuberculosis patients; 20% were occupied by tuberculosis patients who were smear-negative and/or culture-negative; 20% were occupied by patients who no longer had tuberculosis; and 20% were unoccupied. If clinical and public health admission criteria were applied then < 50% of admissions...Continue Reading

Citations

Jul 14, 2006·European Journal of Public Health·Florian M MarxRichard J Coker
Jun 10, 2009·International Journal of Electronic Healthcare·Reda M LebcirRichard J Coker
Feb 11, 2010·Health Policy and Planning·Elena Tkatchenko-SchmidtAdrian Renton
Aug 3, 2011·Journal of Public Health Policy·Boika RechelBernd Rechel
Feb 12, 2013·Bulletin of the World Health Organization·Alena SkrahinaMatteo Zignol
Nov 5, 2014·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Grzegorz PrzybylskiDorota Krawiecka
Aug 4, 2018·Expert Review of Pharmacoeconomics & Outcomes Research·Ana-Maria IonescuAdrian Thomas
Sep 10, 2010·The New England Journal of Medicine·Eva NathansonMario Raviglione
May 6, 2021·International Journal of Environmental Research and Public Health·Bakhtiyor IsmatovNargiza Parpieva
Sep 15, 2007·International Journal of Nursing Studies·Wendy Mann Woith, Janet L Larson

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