Structural transformations of the material and technical resources of the dermatovenereological service in the Russian Federation in the period 2010–2020 and their effect

Background. The quality and availability of medical care to the population directly depends on the organization of the treatment and diagnostic process, which is directly related to the material and technical resources of medical organizations. Aims. Assess how the level of performance indicators of medical organizations of the dermatovenereological profile has changed after the restructuring of their material and technical resources for the period 20102020 in the Russian Federation as a whole. Materials and methods. The study is based on a retrospective analysis of the main intensive and extensive indicators that evaluate the work of medical organizations of the dermatovenereological profile. Results. Structural transformations of material and technical resources, which are under the jurisdiction of the dermatovenereological service, gave the following results in the whole of the Russian Federation. The activities of medical organizations intensified, which naturally led to a positive economic effect. The reduction of the excess number of resource-intensive beds in round-the-clock hospitals and the expansion of day hospitals due to the redistribution of part of the round-the-clock beds into beds and beds in day hospitals, increasing their capacity, did not negatively affect the volume of specialized dermatovenereological medical care for the population, they not only did not decrease, but even slightly increased. Conclusion. Thus, the study showed that the restructuring of the material and technical resources of the dermatovenereological service in the Russian Federation as a whole led to a positive effect of the use of material and technical resources. However, it should be noted that their further reduction is inappropriate, as it can have the opposite effect. For example, a further reduction in the ATC may adversely affect the provision of the population with human resources, which will affect the availability and quality of medical specialized dermatovenereological care.