[The Post-Operative Complications as an Evaluation Indicator of Efficiency of Functioning of Three-Level System of Medical Care Support According to Urology Profile in the Voronezh Oblast].

In the Voronezh Oblast, the modernization of system of medical care support of patients with urological pathology was implemented with the purpose of increasing efficiency of the urological service functioning. This action affected all levels: early active detection of urological pathology, standardization of examination and treatment, routing of patients, strict control by way of monthly reports of medical institutions of the Oblast at the level of hospital and out-patient services, supervisory visits of specialists to districts and efficient control on part of the Oblast Chief Out-of-Staff Urologist. In the course of study it is established that key indices characterizing efficiency of functioning of the regional system of urological care of population are admitted the levels of unreasonably prolonged conservative treatment and also reasonably application of low invasive and high-tech intervention, implementation of standardization of the curative diagnostic process, rate of post-operative complications, level of economic costs of diagnostic and treatment, level of medical competence of personnel and degree of early detection of urological pathology that is validated by statistically reliable positive effect at the expense of their adjustment. The detection of advanced forms of diseases results in increased disability, increased economic costs per each patient in need of several operative interventions and highly qualified care. The number of post-operative complications is considered as an indicator of timeliness and adequacy of provided medical care to patients. The article presents an analysis of efficiency of the three-level system of medical care support according indicator of post-operative complications.

[The Indices of Common and Early Detection of Urological Pathology as Criteria of Efficiency of Urological Care Rendering].

The comparative statistical and logical analysis of curves of dynamics of common and early detection of urological pathology was implemented with purpose of evaluating efficiency of functioning of regional urological service in the format of developed three-level system of medical care as exemplified by the Voronezh oblast. The obtained statistical data testify a significant increasing of common detection and detection at early stages of urolithiasis, benign hyperplasia and prostate cancer. This outcome is an evidence of partial or complete realization of transition from model of medical care by appealability to model by detection at the expense of implementation of developed three-level system of medical care of population in the region.