Аннтотация

© 2018 University of Rijeka, Faculty of Medicine. All Rights Reserved. Background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results is also the basis of the strategy for the development of medical care for this category of patients. Objective. Our aim was to analysie the main indicators characterizing medical care for children with cancer in the North-Caucasian, Volga, Urals, Siberian and Far Eastern Federal Districts. Methods. In ecological study the operative reports for 2017 of the executive authorities in the sphere of health protection of 44/48 (91.6%) subjects of the Russian Federation that are part of the listed above federal districts have been analyzed (Chuvash Republic, Irkutsk Region, Republic of Sakha (Yakutia) and Khabarovsk Territory did not provide data). Results. The number of children's population was 15 555 306 people (0-17 years), the number of children's oncological beds - 1166 (0.7 per 10 thousand 0-17 years), the average number of days of berth employment in the year - 324.6 bed days. In 13 (29.5%) subjects of the department of pediatric oncology are absent, in 6 (13.6%) - there are no children's oncological beds. The number of doctors providing medical care to children with cancer is 213, of which 132 (62%; 0.08 for 10 thousand 0-17 years) have a certificate of a pediatric oncologist. In 6 (13.6%) subjects there are no doctors-children oncologists (6 more (13.6%) subjects did not provide data). The incidence of malignant neoplasms was 13.1 (per 100.000 0-17 years), the prevalence of 93.1 (per 100.000 0-17 years), mortality rate 2.5 (per 100.000 0-17 years), one-year lethality - 6.8%. 10.1% of patients were actively detected. 781 (38.3%) of primary patients were sent to medical organizations for federal subordination, 39 (1.9%) of primary patients left the territory of the Russian Federation. Conclusion. Obvious accounting defects (low incidence rate) and lack of reliable follow-up data (estimation of mortality levels is difficult) are eliminated by introducing electronic accounting systems. For reliable estimation of the level of provision of the population with children's cancer beds and the percentage of patients sent for treatment in medical organizations of federal subordination, audit of patients' illnesses is necessary. The traditional problems - the deficiency of doctors and children's oncologists and a low percentage of patients identified actively - must be addressed through the reform of the training program for medical personnel.