Information-analytic room of cdh direction of work:

Analysis of work indices of district medical establishments;

Analysis of health indices of population;

Planning of consultative help to population and physicians;

Organization of preventive examinations;

Planning of improvement of medical workers` professional skill in district and divisional establishments;

Working out the measures to improve the medical provision in a district.

III STAGE. REGIONAL HOSPITAL is a key establishment of medical providing in a region. RH is the scientific-organizational, methodical and educational centre of public health in the

region. It gives the complete set of high qualified specialized help to regional population.

MAIN TASKS OF REGIONAL HOSPITAL:

Complete set of specialized out-patient and in-patient help;

Urgent and consultative help in the region;

Introduction of modern diagnostic, medical and preventive methods;

Improvement of medical workers` professional skill of regional physicians, nurses and students of medical universality;

Statistic registration, accounts and analysis of work indices of regional establishments;

Improvement of quality of medical service and population health.

STRUCTURE OF REGIONAL HOSPITAL:

Consultative policlinic

Urgent and planned consultative aid departments

In-patient department

Medical-diagnostic departments

Laboratory

Information-analytic centre

Others structure sections (morgue, pharmacy, kitchen)

Administrative-economic section

CONSULTATIVE POLICLINIC FUNCTIONS:

Specialized consultative help to patients which were referred by regional medical establishments;

Exit consultations of specialists in the districts and correspondence consultations to the regional physicians;

Systematic analysis of diagnostic divergence cases, medical mistakes and quality of work;

Realization of specialization and professional skill improvement of the physicians and nurses.  

PERSPECTIVES OF RURAL PUBLIC HEALTH DEVELOPMENT IN CRIMEA AND UKRAINE

Increase of medical out-patient clinics numbers

Approach of out-patient help to rural population

Improvement of divisional hospitals equipment

Organization of nursing care departments in divisional hospitals

Gradual transition to family medicine

Re- orientation of in-patient help in II stage with aim to conserve the optimal stationary help providing to rural population

BASIC INDICES OF POLYCLINIC ACTIVITY:

Average number of patient’s visits per 1 registered disease

2) Visit percentage of plan

3) Patients per hour (hour work load)

4) Percentage of physician days with normal work load

5) Percentage of district clinic patient visits per doctor

6) Percent of home care visits made by district doctor

7) Percent of home care visits by district doctor

8) Rate of diseases revealed

9) Percentage of patients with dispensary observation

BASIC INDICES OF HOSPITAL ACTIVITY:

Use of the beds (Hospital Annual occupancy Rate)

2.Turnover of the bed

3. Average length of stay

4.Percent of patients with short-term stay

5. Average length of stay by diagnosis

6.Lethality (Hospital specific Mortality Rate)