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SM ISO690:2012 EŢCO, Ludmila. Activitatea instituţiei de nivel terţiar în domeniul ocrotirii mamei şi copilului şi perspectivele de dezvoltare continuă
. In: Sănătate Publică, Economie şi Management în Medicină , 2010, nr. 2(31), pp. 4-10. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 2(31) / 2010 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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Pag. 4-10 | ||||||
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In this article is emphasized the fact that, depending on maternal and child risk, observation over them is carried out on I (district), II (municipal) and III (Republican) levels. The Public Medico-Sanitary Institution activity of The Research Institute for Mother and Child Health Care is the only institution of the III level, with a capacity of 1005 beds, including 275 obstetric care, 450 children’s somatic and 280 beds for children with a surgical profile. The article analyzes the main indicators of the Institute after the introduction of compulsory health insurance (2004-2009). It must be stressed that the volume of the given specialized medical care in this facility increases every year, from 27 508 patients in 2004 to 32 055 in 2009. Bed occupancy average activity per year is of 260-280 days, bed occupancy average activity per year is of 8,0-8,9 days, the mortality rate - 0,5%, the proportion of patients from rural areas 62.4%.During those years, the financing of the Institute has significantly increased from 32.1 million lei in 2004 to 102.1 million lei, envisaged for 2010. Despite this increase, the funding is insufficient to establish a Level III
specialized medical care. Further along will be shown the dynamics and the volume of medical services provided to patients and the dynamic of changes in the costs of treating one case.
In conclusion, the author points to the existing problems in the management of the III level institutions, makes suggestions for resolving them, and recommendations as to further development.
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Cuvinte-cheie Indicators of activity, ambulatory help, hospital help, the volume of medical services, the price of treatment of one case |
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