[The accessibility of oncologic medical care in the Russian Federation in context of radiotherapy: The last years analysis].

G A Garyaev, D A Balaeva, S A Ryzhkin, A V Golanov, E N Mingazova
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Abstract

The accessibility of medical care plays important role in ensuring basic human needs and means unimpeded access to all services in national health care system. It is conditioned by: balance of necessary volumes of medical care of population, national medical and financial resources, availability and qualification of medical personnel, rendering of necessary types of medical care in territories, possibility of patient free choice of physician in charge and medical organization, available transport possibilities, level of public education on health promotion and diseases prevention. The availability of radiotherapy, as an integral part of oncological care, is determined by possibility of its timely delivery to all patients and is conditioned by total number of oncological centers equipped with radiotherapy equipment and qualified specialists. In this regard, availability of radiotherapy treatment is gradually introduced into priority state programs of health care modernization. The timely delivery of radiotherapy associated with increasing of numbers of oncology centers, improvement of their equipment and medical personnel staffing is crucial part of development strategy of state oncological care programs.

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[俄罗斯联邦肿瘤医疗放射治疗的可及性:最近几年的分析]。
医疗服务的可获得性在确保人类基本需求方面发挥着重要作用,意味着可以不受阻碍地获得国家医疗系统的所有服务。它取决于:人口必要医疗量的平衡、国家医疗和财政资源、医务人员的可用性和资质、在各地提供必要类型的医疗服务、病人自由选择主治医生和医疗机构的可能性、可用的交通可能性、关于促进健康和预防疾病的公共教育水平。放射治疗是肿瘤治疗的一个组成部分,能否及时为所有病人提供放射治疗,取决于配备有放射治疗设备和合格专家的肿瘤中心的总数。在这方面,放射治疗的提供已逐步纳入国家医疗现代化优先计划。及时提供放射治疗与增加肿瘤中心数量、改善其设备和医务人员配置有关,是国家肿瘤治疗计划发展战略的重要组成部分。
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