Assessment of criteria influencing the location of healthcare facilities in small and hard-to-reach areas

I. Deev, A. Polikarpov, N. A. Golubev, S. V. Moravskaya, O. Kobyakova
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Abstract

Aim. To identify and systematize the criteria influencing the location of healthcare facilities in small and hard-to-reach areas.Material and methods. Within the study, regulatory legal acts of the Russian Federation and methodological guidelines on territorial planning were analyzed. Content analysis and statistical methods were used.Results. The following criteria for a comprehensive assessment of the location of healthcare facilities should be used: 1. Age structure of the population. 2. Distance to a similar medical organization. 3. Population size within the working radius of the organization. 4. Availability of public roads (criteria and categories of roads). 5. Availability of public transport. 6. Climatic. 7. Availability of medical workers residing in the locality. 8. Availability of mobile medical teams. 9. Dilapidation and breakdown of buildings. Taking into account various criteria affecting the accessibility of primary health care to a patient, it is possible to develop and implement management decisions on the rational placement of healthcare facilities at the regional level with detail for each locality.Conclusion. The use of criteria in territorial planning for a comprehensive assessment of the location of healthcare facilities makes it possible to take into account regional climatic, geographic, infrastructural, social and other features of the Russian constituent entities. This contributes to the implementation of development targets for primary health care in small and hard-to-reach areas.
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评估影响小型和偏远地区医疗设施选址的标准
目的确定影响小型和偏远地区医疗设施选址的标准并使之系统化。研究分析了俄罗斯联邦的规范性法案和领土规划方法指南。研究采用了内容分析和统计方法。应采用以下标准对医疗设施的选址进行综合评估:1.人口年龄结构2.与同类医疗机构的距离3.机构工作半径内的人口数量。4.是否有公共道路(道路的标准和类别)。5.是否有公共交通6.气候7.当地是否有医务人员。8.是否有流动医疗队9.建筑物的失修和损坏。考虑到影响病人获得初级保健服务的各种标准,就有可能在地区一级制定和实施关于合理安排医疗设施的管理决策,并详细说明每个地方的情况。在国土规划中使用标准来综合评估医疗设施的位置,可以考虑到俄罗斯主体的地区气候、地理、 基础设施、社会和其他特点。这有助于在难以到达的小地区实现初级保健的发展目标。
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来源期刊
Cardiovascular Therapy and Prevention
Cardiovascular Therapy and Prevention Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.70
自引率
0.00%
发文量
155
审稿时长
6-12 weeks
期刊介绍: The most important objectives of the journal are: the generalization of scientific and practical achievements in the field of cardiology, increasing scientific and practical skills of cardiologists. The scientific concept of publication does the publication of modern achievements in the field of epidemiology, prevention and treatment of cardiovascular diseases, the results of research, national and international clinical trials. For publication in the journal are invited both domestic and foreign scientists and clinicians working in the field of cardiology, as well as doctors of other specialties. The magazine covers various issues in cardiology and related specialties. Each issue is prepared by Executive editor of the issue, a respected specialist in the field of epidemiology, prevention and treatment of cardiovascular diseases. The main focus of the publication — scientific articles on original research, the pharmacotherapy of cardiovascular disease, new diagnostic methods. All members of the group of authors should meet all four criteria of authorship set forth in the ICMJE recommendations: 1) concept and design development or data analysis and interpretation, and 2) manuscript justification or verification of critical intellectual content, and 3) final approval for publication of the manuscript, and 4) consent to be responsible for all aspects of the work, and assume that issues relating to the thoroughness and diligent execution of any part of the study submitted are duly investigated and resolved. Great importance the editors attached to the preparation of scientific papers by groups of authors at a high level, literacy, authors, and their ownership information, availability of research results not only to colleagues in Russia, but also abroad.
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