ОЦЕНКА ДОСТУПНОСТИ ИССЛЕДОВАНИЙ МЕТОДАМИ КТ И МРТ ДЛЯ ОНКОЛОГИЧЕСКИХ БОЛЬНЫХ САНКТ-ПЕТЕРБУРГА

Introduction. The fundamental strategic objective of the national health care was to increase the life expectancy of Russians including the early detection and treatment of cancer, remaining in recent years the leading cause of mortality, and therefore ensuring the availability of diagnostic studies for patients conducted for early diagnosis and control of treatment was extremely urgent. The objective of the study was to assess the volume and economic indicators of the availability of studies by computer tomography and magnetic resonance imaging (CT, MRI) for patients.Material and methods. The basis for the study – all cases of CT and MRI studies in patients under the program of state guarantees of free medical care for citizens in St. Petersburg in the dynamics of 5 years. The data were statistically processed using the methods of variation statistics.Results. Over the last 5 years in St. Petersburg, the number of medical organizations conducting CT and MRI in patients under the program of state guarantees has been doubled (CT: 37 medical organizations in 2013, 63 – in 2018; MRI: 32 medical organizations in 2013, 65 – in 2018), and there was a significant increase in the number of studies by these methods. In 2017, the number of CT scans was 106028, MRI – 107503 that was more than 2 times higher the number of studies conducted in 2013: 44799 and 56090, respectively. The role of these studies for the diagnosis of tumor process was significant: 67.3 % of CT and 46.6 % of MRI were performed for this purpose. The increase in the number of studies was accompanied by the increase in tariffs and costs of the system of compulsory health insurance for their implementation.Conclusion. In St. Petersburg, sufficient conditions was created to ensure the volume and financial indicators of access to medical care for patients with cancer (suspected cancer) in need of CT and MRI. At following planning for the development of this type of care, it was advisable to take into account the research needs of residents of certain districts in St. Petersburg.Введение. Основополагающей стратегической задачей отечественного здравоохранения является увеличение продолжительности жизни россиян, в том числе путем раннего выявления и лечения онкологических заболеваний, остающихся в последние годы ведущей причиной смертности населения, в связи с чем обеспечение доступности диагностических исследований для пациентов, проводимых в целях ранней диагностики и контроля лечения, является крайне актуальным.Цель исследования – оценка объемных и экономических показателей доступности исследований методом компьютерной (КТ) и магнитно-резонансной томографии (МРТ) для пациентов.Материал и методы. База для проведения исследования – все случаи проведения пациентам исследований методами КТ и МРТ в рамках программы государственных гарантий бесплатного оказания гражданам медицинской помощи в Санкт-Петербурге в динамике за 5 лет. Данные статистически обработаны с применением методов вариационной статистики.Результаты. За последние 5 лет в Санкт-Петербурге вдвое увеличилась численность медицинских организаций, проводящих КТ и МРТ для пациентов в рамках программы государственных гарантий (КТ: 37 медицинский организаций в 2013 г., 63 – в 2018 г.; МРТ: 32 медицинские организации в 2013 г., 65 – в 2018 г.), а также наблюдается значительный рост числа проведенных исследований этими методами. В 2017 г. число проведенных КТ составило 106 028, МРТ – 107 503, что более чем в 2 раза превышает число исследований, проведенных в 2013 г.: 44 799 и 56 090 соответственно. Значительна роль этих исследований для диагностики опухолевого процесса: 67,3 % КТ и 46,6 % МРТ проведены с этой целью. Рост числа исследований сопровождается повышением тарифов и расходов системы обязательного медицинского страхования на их проведение.Заключение. В Санкт-Петербурге созданы достаточные условия для обеспечения объемных и финансовых показателей доступности медицинской помощи для пациентов с онкологическими заболеваниями (подозрениями на онкологические заболевания), нуждающихся в проведении КТ и МРТ. При дальнейшем планировании развития этого вида помощи целесообразно учитывать потребности в исследованиях жителей конкретных районов Санкт-Петербурга

ASSESSMENT OF THE AVAILABILITY OF CT AND MRI STUDIES FOR CANCER PATIENTS IN SAINT-PETERSBURG

Introduction. The fundamental strategic objective of the national health care was to increase the life expectancy of Russians including the early detection and treatment of cancer, remaining in recent years the leading cause of mortality, and therefore ensuring the availability of diagnostic studies for patients conducted for early diagnosis and control of treatment was extremely urgent. The objective of the study was to assess the volume and economic indicators of the availability of studies by computer tomography and magnetic resonance imaging (CT, MRI) for patients.Material and methods. The basis for the study – all cases of CT and MRI studies in patients under the program of state guarantees of free medical care for citizens in St. Petersburg in the dynamics of 5 years. The data were statistically processed using the methods of variation statistics.Results. Over the last 5 years in St. Petersburg, the number of medical organizations conducting CT and MRI in patients under the program of state guarantees has been doubled (CT: 37 medical organizations in 2013, 63 – in 2018; MRI: 32 medical organizations in 2013, 65 – in 2018), and there was a significant increase in the number of studies by these methods. In 2017, the number of CT scans was 106028, MRI – 107503 that was more than 2 times higher the number of studies conducted in 2013: 44799 and 56090, respectively. The role of these studies for the diagnosis of tumor process was significant: 67.3 % of CT and 46.6 % of MRI were performed for this purpose. The increase in the number of studies was accompanied by the increase in tariffs and costs of the system of compulsory health insurance for their implementation.Conclusion. In St. Petersburg, sufficient conditions was created to ensure the volume and financial indicators of access to medical care for patients with cancer (suspected cancer) in need of CT and MRI. At following planning for the development of this type of care, it was advisable to take into account the research needs of residents of certain districts in St. Petersburg