Heart failure: actual problems of accounting and paying for hospital admissions (agreed position)

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Abstract


The increase in life expectancy of the population, the more frequent occurrence of heart failure (HF) among the elderly and the increasing costs of its treatment are a significant economic burden for the health of any country. The reasons for the hospitalization of patients with chronic HF (CHF) can be either a worsening condition of the underlying disease, which was complicated by HF, decompensation of HF, the need for implantation of resynchronizing pacemakers and other devices, or heart transplantation. Different reasons for hospitalization require different resources. CHF should be taken into account (coded) as the main final diagnosis in those cases when it is the main reason for hospitalization and the greatest expenses for providing medical care. To plan the volumes and analyze the results of inpatient care for patients with HF, it is necessary to make appropriate additions to the state statistical monitoring forms and to the instructions of the Federal Compulsory Medical Insurance Fund to classify cases of medical care as a specific clinical and statistical group.


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About the authors

Irina V. Samorodskaya

National Medical Research Center for Therapy and Preventive Medicine

Email: larinav@mail.ru
ORCID iD: 0000-0001-9320-1503

Russian Federation, Moscow

D. Sci. (Med.), Prof., National Medical Research Center for Therapy and Preventive Medicine

Vera N. Larina

Pirogov Russian National Research Medical University

Author for correspondence.
Email: larinav@mail.ru
ORCID iD: 0000-0001-7825-5597

Russian Federation, Moscow

D. Sci. (Med.), Pirogov Russian National Research Medical University

Vladimir I. Perkhov

Pirogov Russian National Research Medical University; Central Research Institute of the Organization and Informatization of Health Care

Email: perkhov@mednet.ru
ORCID iD: 0000-0002-4134-3371

Russian Federation, Moscow

D. Sci. (Med.), Prof., Central Research Institute of the Organization and Informatization of Health Care, Pirogov Russian National Research Medical University

Maria G. Sivtseva

MedInvestGrupp Groups

Email: m.sivtseva@medinvest-group.ru

Russian Federation, Moscow

manager of department, MedInvestGrupp Groups

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