Medical and organizational aspects of providing specialized medical care to patients with circulatory system diseases living in the Far East

The objective of this study was to examine interregional medical and organizational problems of providing specialized medical care to patients with circulatory system diseases living in the Far East, using the example of the diagnostic service of the subjects of the Far Eastern Federal District. Material and methods. The analysis of the availability of ultrasound and functional diagnostic methods for patients with circulatory system diseases in the constituent entities of the Far Eastern Federal District was carried out in accordance with the procedures for providing medical care and clinical protocols in the profiles of "cardiovascular surgery" and "cardiology", the dynamics of their growth and decline were studied for 37 232 cases of referrals for planned hospitalization for the periods of 2012–2014, as well as 2021–2023, based on the developed expert assessment map. Economic losses from duplicating patient studies at different levels of medical care for diseases of the circulatory system were calculated. Results. The defects in the diagnostic examination of patients by medical organizations of the region's constituent entities when referring them for planned surgical treatment to the Federal Center for Cardiovascular Surgery in Khabarovsk were identified, as well as significant heterogeneity in the capabilities of diagnostic services in medical organizations of the Far East, a high need for an expert assessment of the condition of patients with circulatory system diseases before surgical interventions. The estimated economic damage from repeated examination of patients admitted to the Federal Center for Cardiovascular Surgery amounted to 56 million 242 thousand rubles per year, taking into account the turnover of an average of 8,450 patients per year. Conclusion. The results of the study indicate the need to take additional medical and organizational measures to eliminate duplication of functional and ultrasound studies.