Influence of modern technology introductionand new mechanisms of financing to the recource provision indicatorsof travmatology and orthopedics services

N.F. Salimov, A.A. Razzokov

Chair of travmatology, orthopedics and military surgery Avicenna TSMU

Indicators of resource provision of traumatology and orthopedics services of Tajikistan in two periods, i.e. for 2006-2009 and 2009-2013 have been analyzed in this article. Provision by doctors of traumatology and orthopedics for 100 thousand population decreased in dynamics to 7,2% (accordingly 0,42 and 0,39 for 10 thousand population), traumatologic and orthopedics beds to 12% (accordingly 1,36 and 1,56% for 10 thousand population).

Predictable number of traumatologic and orthopedics beds including climate- geographical features and some regions remoteness made up 1260 or 1,56 beds for 10 thousand by increasing the funding and implementation of the proposed organizational and clinical measures aimed at the introduction of new funding mechanisms, improving people’s access to specialized health care, as well as the optimization model of the traumatologic-orthopedic services functioningand treatment strategy of patients is noted an increasing of modern technologies gravity and new ways of treatment on the second study stage was 2,8 times as compared with the first stage (respectively 75,9% and 25,9%). These activities have contributed to intensification of therapeutic process, which in turn had a positive impact on the performance of traumatologic and orthopedic departments. In particular, it is reducing the average length of stay in the country (to a total of 11,5 days, including the first stage of study – 11,6 days in the second stage of the study – 11,4 days) and an increase in turnover of beds for injuries on 6,3% (19,2 and 20,4 respectively),in orthopedic pathology on 5,2% (19,1 to 20,3) and in total – on 5,6% (19,7 to 20,8 respectively).

Keywords: health financing, resource provision, introduction of modern technologies, injury prevention, performance trauma and orthopedic services.

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