Methodological approaches to evaluating the efficiency of using assisted reproductive technologies at the regional level
Objective: To analyze the frequency and efficiency of assisted reproductive technologies (ART) used to treat infertility in the Central Federal District (CFD) of the Russian Federation in 2017-2021.Malyshkina A.I., Dolgushina N.V., Pesikin O.N., Kuligina M.V.
Materials and methods: The frequency and efficiency of using ART in 16 areas of the Central Federal District (except for Moscow and the Moscow Region) were analyzed from the data provided by health service authorities, including those in the Federal Statistical Monitoring forms (No. 30 “Information on a health facility”, No. 232 (Insert to Form No. 32 “Information on the regionalization of obstetric and perinatal care in maternity hospitals (units) and perinatal centers”, No. 62 “Information on resource provision and on medical care for the population” over 2017-2021, by using the proposed procedure for evaluating the efficiency of organizing medical care in infertility treatment with ART.
Results: In the CFD, the efficiency of organizing medical care in infertility treatment with ART remained the same in 2021 as in 2017. There are substantial differences in the activity of the Russian Federation subjects in using ARTs and their efficiency.
Conclusion: The proposed methodological approaches to evaluating the efficiency of organizing medical care for infertility using ART provide a comparative analysis in temporal and territorial aspects. The reserve for enhancing the efficiency of control over the organization and quality of medical care using ART for infertility is to improve statistical reporting, to introduce a monitoring system, including a follow-up.
Keywords
assisted reproductive technologies
organization of medical care
performance indicators
References
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Received 19.09.2022
Accepted 13.10.2022
About the Authors
Anna I. Malyshkina, Dr. Med. Sci., Professor, Director, V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Healthcare of the Russian Federation, +7(4932)33-62-63, ivniimid@inbox.ru https://orcid.org/0000-0002-1145-0563, 20 Pobedy str., 153045, Ivanovo, Russia.Nataliya V. Dolgushina, Dr. Med. Sci., Professor, Deputy Director – Head Of the Department of Research Administration, V.I. Kulakov NMRC for OG&P, Ministry of Health of the Russian Federation, +7(495)438-49-77, n_dolgushina@oparina4.ru https://orcid.org/0000-0003-1116-138X, 4 Oparina str., 117997, Moscow, Russia.
Oleg N. Pesikin, Ph.D., Deputy Director for Medical Work, V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of the Russian Federation, +7(4932)33-70-13, ivniimid@inbox.ru https://orcid.org/0000-0002-3666-5309, 20 Pobedy str., 153045, Ivanovo, Russia.
Marina V. Kuligina, Dr. Med. Sci., Leading Researcher, V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of the Russian Federation, +7(4932)33-62-58, kuliginamv@mail.ru https://orcid.org/0000-0002-0362-5458, 20 Pobedy str., 153045, Ivanovo, Russia.
Corresponding author: Marina V. Kuligina, kuliginamv@mail.ru
Authors’ contributions: Malyshkina A.I., Pesikin O.N., Kuligina M.V. – concept and design of the investigation; Pesikin O.N. – material collection and processing; Kuligina M.V. – statistical data processing; Malyshkina A.I., Dolgushina N.V., Kuligina M.V. – writing the text; Dolgushina N.V. – editing.
Conflicts of interest: The authors declare that there are no possible conflicts of interest.
Funding: The investigation has not been sponsored.
Authors’ Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Malyshkina A.I., Dolgushina N.V., Pesikin O.N., Kuligina M.V.
Methodological approaches to evaluating the efficiency of using assisted
reproductive technologies at the regional level.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 11: 148-154 (in Russian)
http://dx.doi.org/10.18565/aig.2022.11.148-154
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