The Number Of Hospitalizations In Russia Is Decreasing, In-hospital Mortality Is Growing

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The Number Of Hospitalizations In Russia Is Decreasing, In-hospital Mortality Is Growing
The Number Of Hospitalizations In Russia Is Decreasing, In-hospital Mortality Is Growing

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The number of hospitalizations in Russia is decreasing, in-hospital mortality is growing

Over the past five years, the in-hospital mortality rate has grown by 16.1%, according to the Health Independent Monitoring Foundation. Last year, as shown by the analysis of Rosstat data, this figure increased in 61 regions of Russia. According to the experts of the Fund, this is directly related to a decrease in the availability of medical care - the country continues to reduce hospital beds.

The number of hospitalizations in Russia is decreasing, in-hospital mortality is growing
The number of hospitalizations in Russia is decreasing, in-hospital mortality is growing

Photo: Irina Reznik /

Over the past five years, the in-hospital mortality rate has grown by almost 16.1%, according to the Health Independent Monitoring Foundation. Last year, as shown by the analysis of data from Rosstat and information from the Ministry of Health of the Russian Federation, this figure increased in 61 regions of Russia. According to the experts of the Fund, this is directly related to a decrease in the availability of medical care - the country continues to reduce hospital beds.

Experts of the Health Foundation have compiled a rating of the regions by the level of hospital mortality in 2016-2017, the press service of the organization reported. This is an important statistic for evaluating the health care system. It is calculated as the ratio of the total number of deaths in the hospital to the total number of patients who dropped out of the medical facility during the same period. As shown by the analysis of Rosstat data, in-hospital mortality increased from 1.77% in 2016 to 1.8% in 2017. Five years ago, in 2013, this figure was 1.55%.

The greatest increase in mortality over the year occurred in the republics of North Ossetia-Alania and Karelia, Irkutsk region, Altai Territory. Above the national average, mortality in medical institutions was registered in 45 regions, including the Republic of Karelia, Leningrad and Moscow regions, and the city of Sevastopol. The number of deaths at home is also growing - in 2017, deaths were registered by 6.1 thousand more than a year earlier.

In addition, in 2017, compared to 2016, the number of beds in 24-hour hospitals decreased by 19.9 thousand, the number of hospitalizations - by 403 thousand, including rural residents - by 2771 people. And the total number of hospitalized patients has decreased since 2013 by 568 thousand people.

According to the director of the Health Foundation Eduard Gavrilov, the reduction in the number of hospitalizations does not mean that Russians are less in need of inpatient care, and not about more effective work of the primary care, but about a decrease in the availability of medical care. These problems are especially acute for rural residents. “The increase in in-hospital mortality can not always be explained by the hospitalization of patients with a severe course of the disease and in old age. This is often due to the low availability of medical care, non-core hospitalizations, and the beginning of medical care outside the "golden hour" for vascular pathologies. Since 2013, as soon as the optimization started, there has been a significant reduction in the number of beds, hospitalizations, and the volume of outpatient care. It is not surprising that mortality is growing against this background,”- concludes Gavrilov.

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