Psychiatric care for the population of the Russian Federation: resource provision and dynamics of indicators

Psychiatric care for the population of the Russian Federation: resource provision and dynamics of indicators

 

Authors

 

S.V. Shport

FSBI “V.P. Serbsky National Medical Research Center of Psychiatry and Narcology” of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

O.A. Makushkina

FSBI “V.P. Serbsky National Medical Research Center of Psychiatry and Narcology” of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

 

https://doi.org/10.26617/1810-3111-2024-4(125)-82-96

 

Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2024; 4 (125):  82-96.

 

Abstract

Background.Mental health protection of the population is one of the priority tasks of the state policy. Its solution involves determining the degree of priority of the development and implementation of various technologies, treatment methods, and prevention strategies. At the same time, effective provision of medical care, which is designed to ensure a satisfactory level of diagnosis of mental disorders, treatment and rehabilitation of patients, is impossible without monitoring and assessing the quality of work of medical organizations and their divisions. Objective: analysis of the organizational characteristics and activities of the psychiatric service of the Russian Federation for the period 2019-2023. Materials: data from state statistical reports were used (industry reporting forms: No. 36, 10, 30, 47). The analysis of incidence rates of mental disorders, taking into account the nosological affiliation, was carried out in accordance with the parameters of the adopted state statistical reporting. Methods: epidemiological, statistical. Results. The characteristics of the system of providing medical care to persons with mental disorders and behavioral disorders are given. The data on the dynamics of resource provision of the country's psychiatric service, patient contingents, and the volume of medical services rendered in outpatient settings and in psychiatric hospitals were obtained. It was found that during the analyzed period of time, the structural reform of the psychiatric service continued in the country with a reduction in the excess fund of round-the-clock hospitals and the development of hospital-substituting technologies, redistribution of human resources with the strengthening of outpatient departments. The trends of the main indicators giving an idea of the availability, characteristics and effectiveness of medical care in the profile of “psychiatry” were revealed. Considerable space is given to the issues of improving its organization. Conclusion. The results of the study allow us to evaluate the fulfillment of treatment-and-prophylactic and rehabilitation tasks of the industry, to determine the priority areas of its development. The resulting data give an idea of how the optimization of the regulatory framework for mental health activities can contribute to the improvement of the existing system of psychiatric care. The use of the results of the analysis by the heads of medical organizations of the psychiatric profile, psychiatrists and other specialists will contribute to successful clinical practice based on the development of out-of-hospital forms of care, the implementation of a biopsychosocial approach and interdisciplinary interaction.

 

Keywords: organization of psychiatric care, psychiatric service, mental disorders and behavioral disorders, contingents of patients registered in the psychiatric service, primary morbidity, disability, hospital-replacing technologies, biopsychosocial approach.

 

Article (pdf)

 

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Materials  

 

For citation: Shport S.V., Makushkina O.A. Psychiatric care for the population of the Russian Federation: resource provision and dynamics of indicators. Siberian Herald of Psychiatry and Addiction Psychiatry.2024; 4 (125): 82-96. https://doi.org/10.26617/1810-3111-2024-4(125)-82-96

 

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