[The Optimization of Amount of Laboratory Analyses in the Federal Orthopedic Clinic]

Abstract

The article presents the analysis of efficiency of medical services support related to laboratory analyses in case of alteration of system of Federal clinic financing. The analysis was implemented using the example of functioning of three departments of endoprosthesis replacement of the Federal State Budget Institution "The Academician G. A. Ilizarov Russian Research Center 'Restorative Traumatology and Orthopedics' " in 2013-2015. It is established that during examined period in the structure of laboratory analyses of the Center decreasing of total number of prescriptions to all types of laboratory analyses occurred. The observed decreasing of laboratory analyses had no impact to quality of treatment of patients of the departments of endoprosthesis replacement. In particular, percentage of post-surgery complications among patients of these departments was decreasing during the examined period. The study demonstrated that to the end of 2015 decreasing of average costs in rubles per patient of departments of endoprosthesis replacement related to laboratory analyses occurred up to 20.28% as compared with 2013. The proposals were made concerning structuring of laboratory analyses for patients with endoprosthesis replacement of large joints.

Keywords: laboratory analyses; medical service; standards of medical care.