Scientific methodological justification of organization of an inter-district center of perinatal medicine

Aim. To evaluate the effectiveness of the implementation of an organizational model of providing medical care for pregnant women, women in labor, new mothers and newborns care at an inter-district level. Methods. In the process of an organizational experiment evaluated were the quantitative and qualitative indices of the obstetrical services in the districts of the Zakamskiy region of the Republic of Tatarstan for the period 2005-2010. In order to assess the medical and social effectiveness used were the sociological, statistical methods and the method of expert evaluations. Results. The inter-district center of perinatal medicine makes it possible to concentrate in one place a significant number of pregnant women and newborns from a group of «moderate risk» with an economically justified staffing and logistical stocking of this center. An important indicator of the medico-social effectiveness of work of the Centre after the modernization during the period 2006-2010 was a statistically significant increase in the proportion of women who completed pregnancy with childbirth, from 756 to 972, births in due period - from 89.3 to 96.4%, a decrease in the proportion of preterm births from 4.7 to 3.2%. The new medical organizational technologies, which were implemented in the Center, have reduced the number of diseased newborns, which were sent for the second stage of treatment to the Pediatric hospital, to 15.6% during the surveyed period. The proportion of satisfactory evaluations of the organization of observation and treatment, which were given by the female patients of the Chistopol inter-district Center of perinatal medicine, has increased from 68.8 to 87.7%. Conclusion. Reorganization of the work of the obstetrical institutions into the type of an inter-regional perinatal center and the introduction of new technologies contributes to the improvement of qualitative parameters of the work of the prevention and treatment facility, as well as to the increase in patient satisfaction with the quality of care.

medical care, newborns, pregnant women, maternity services, medical and organizational technologies, quality of medical care