Modern forms of organization of medical and preventive support of premature infants in Russian Federation

The high frequency of injuries to immature internal organs and body systems of premature infants in the postnatal period contributes to the formation of chronic pathology and the violation of neurocognitive development, making a significant contribution to the global problem of the growth of non-inf...

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Bibliographic Details
Main Authors: E. S. Keshishyan, E. S. Sakharova, G. A. Alyamovskaya
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2017-11-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/544
Description
Summary:The high frequency of injuries to immature internal organs and body systems of premature infants in the postnatal period contributes to the formation of chronic pathology and the violation of neurocognitive development, making a significant contribution to the global problem of the growth of non-infectious diseases and programming the future health of the population. The main goal of health care system modern reform in the Russian Federation and around the world is to find the most effective and economical way of providing medical care, to increase significance of outpatient service and to give attention to prophylaxis. The most functional and cost-effective structure of medical care for premature infants is specialized center with a three-level support system. It consists of ambulatory counselling, the oneday hospital for medical abilitation, and full-day hospital for treatment and complex diagnostic procedures, on the system of telemedicine. The organization of the center requires a clear definition of the structure, standards of staffing and methodology of approach to the organization of support for premature infants after discharge from the neonatal hospital, taking into account the specifics of the planned and regulatory and financial indicators of medical care and the complexity of setting a clinical diagnosis in the modern conditions in the Russian Federation. In accordance to stable tendency of increasing in the survial rate of premature infants, the uniform register would be created – in base of major medical scientific and practical centre as a logistic regression model, that will make possibilities for randomize clinical studies of evidence-based nature.
ISSN:1027-4065
2500-2228