[ANALYSIS OF THE MAIN PERFORMANCE INDICATORS OF DAY HOSPITALS IN MOSCOW IN 2017-2022].

The article presents performance indicators of the capital day hospitals for the period from 2017 to 2022. The analysis has identified a high demand for this type of medical services in Moscow. A separate analysis focused on indicators of day hospitals subordinate to the Moscow Healthcare Department deployed at outpatient (polyclinic) medical facilities, as well as institutions providing inpatient care. The bed capacity structure and number of treated diseases by pediatric and adult population have been analyzed in detail. The study has identified main trends in dynamics in a number of indicators characterizing the development of hospital-replacing forms of care delivery in Moscow in recent years. The study is based on of the Federal statistical observation form # 14 - DS «Information on day hospital performance in medical organizations¼.

[ANALYSIS OF THE STAFFING OF MEDICAL ORGANIZATIONS SUBORDINATE TO THE DEPARTMENT OF HEALTH OF THE CITY OF MOSCOW IN 2021].

An analysis was made of the structure and number of medical workers (doctors and paramedical personnel) of the Moscow healthcare system for the period 2017-2021. The analysis showed that the number of medical full-time positions over the same period increased by 13.6%, and regular positions of nursing staff by 8.9%. The provision of the population (per 10 thousand population) with doctors increased by 13.0% from 35.6 in 2017 to 40.2 in 2021. The provision of the population with nurses decreased by 2.4% from 58.4 in 2017 to 57.0 in 2021. Among medical workers, the number of individual doctors, over the same period, increased by 15.5%, and the number of individuals of paramedical personnel decreased by 3.4%. The staffing of medical rates (by positions), in general, decreased by 2.4% from 82.5 in 2017 to 80.5 in 2021, and the rates of nursing staff decreased by 9.7% from 87.4% in 2017 to 79.0% in 2021. The part-time ratio was 1.1 for medical positions and for positions of paramedical personnel. Issues related to low staffing and the coefficient of part-time employment for individual medical positions and positions of paramedical personnel require further resolution.

[HOSPITAL MORBIDITY OF CHILDREN IN THE CITY OF MOSCOW DURING THE COVID-19 PANDEMIC].

The article presents information on trends in hospital morbidity of child population in Moscow, as well as morbidity of children in the first year of life. Authors used population data and information from Form No. 14 of the Federal statistical observational study "Information on the activities of the medical organization departments providing inpatient medical care" between 2014 and 2021.In addition to the general indexes, the article presents categories of diseases that were significantly affected by changes in the lifestyle of children during the COVID-19 pandemic. Significant fluctuations in the incidence of infectious diseases are worth noting as they are certainly related to both fragmentations in groups of children during the pandemic, and proper nutrition, which led to positive changes in hospital morbidity due to gastrointestinal disorders. Changes in education, social isolation, better control over hygiene by the government, society and parents has led to unprecedented positive dynamics in morbidity rates of certain diseases. It is worth noting that the COVID-19 infection during pregnancy didn't lead to expected high increases in morbidity rates associated with diseases in the perinatal period.In addition to hospital morbidity, the article presents data on mortality in 24-hour inpatient facilities, as well as changes in the proportion of emergency admissions of patients under 18 to Moscow state hospitals.

[IMPACT OF EXTERNAL FACTORS ON THE INCIDENCE OF CHILDREN DURING THE COVID-19 PANDEMIC].

The article provides information that allows you to form an idea of the health status of children of different age groups living in Moscow. The sources of information were data on the population size, federal statistical observation form No. 12 «Information on the number of diseases registered in patients living in the service area of a medical organization¼ for the period from 2016 to 2020. The morbidity analysis was carried out by age groups 0-4, 5-9, 10-14, 0-14, 15-17 years per 100,000 of the corresponding population.

[On the issue of personnel support of medical organizations in conditions of structural transformation of health care system of the City of Moscow].

The article presents the results of analysis of the number and structure of physicians and specialists with secondary medical education in the Moscow health care system. The results of study demonstrated that in 2019, the support of the population with physicians and specialists with secondary medical education decreased as compared with 2014 from 39.4 to 37.1 and from 74.2 to 55.7 (per 10 thousand people) respectively. The number of occupied medical positions increased from 84.6% in 2014 to 87% in 2019, the staffing rates (for occupied positions of secondary medical personnel) also increased from 84.9% to 87.4 %. It was established that the staffing of individuals, both for physicians and paramedical personnel, increased from 66.8% to 79.8% and from 69.4% to 79.0%, respectively. The concurrency coefficient was 1.1 (for medical positions and positions of secondary medical personnel). The issues related to low staffing levels and high co-employment rates for individual medical positions and positions of secondary medical personnel require further resolution.