Clinical and Economic Aspects of Surgical Care Elderly Patients

Relevance Study of the modern model of healthcare sector in Russia in terms of effective use of limited health care resources, is
very important. Especially because now there is virtually no research on the clinical and economic features of surgical care elderly
people, whose share in the community has clear upward trend.
The purpose of the study Study the modern clinical and economic model of surgical care to patients of old age, to identify its
weaknesses, to identify ways to optimize.
Materials and methods The subject of the study was contingent elderly patients treated in surgical hospitals in Belgorod. In the
study of the rehabilitation phase of surgical care to patients of old age, the method of interview. The study of the economic aspects
of surgical care performed by studying official documentation of regional fund of obligatory medical insurance and then applying
the method of expert estimates. Materials and Methods: The subject of the study was contingent elderly patients treated in surgical
hospitals in Belgorod. In the study of the rehabilitation phase of surgical care to patients of old age, the method of interview. The
study of the economic aspects of surgical care performed by studying official documentation of regional fund of obligatory medical
insurance and then applying the method of expert estimates.
Results and their discussion Investigated the clinical and epidemiological characteristics of elderly patients surgical: structure
analysis of surgical and comorbidities in patients of older age groups, the impact of polymorbidity on the course of the disease
and surgical treatment strategy of patients. For the analysis of the rehabilitation phase interviewed 98 convalescent 1-2 years after discharge from hospital. Explore different models of health care and care for the sick, a detailed study of the current Russian economic model clinical-surgical care elderly patients, analyzed the possible payment options patient care in the statutory health insurance, consider payment for inpatient hospitalization completed case, used in the Belgorod region. Conclusions The results show the prevalence of disease in the structure of cholelithiasis, acute pancreatitis, and vascular diseases of the lower limbs, and chronic inflammatory diseases. In 58,7% of patients with acute surgical pathology could arrest the conservative methods, but conservative treatment of the treated patients required readmission to 21,5% of patients. Clinical and economic model of surgical care elderly people is focused on reducing the time of treatment, is characterized by the direct dependence on the amount of the income, while at the same time, there is an unjustified reduction in health care, the lack of incentive to limit the overall costs. Important ways to optimize clinical and economic model of surgical care to people of old age is to introduce a system of differentiated tariffs paid per case (outcome) to form a target group of patients, taking into account gender, age of the patients, the complexity of the required medical treatment, as well as the introduction of a full rehabilitation healthcare.