diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/2072-0351-820diaendo-820Research ArticleСиндром диабетической стопыDiabetic footКлинико-экономическое обоснование стоимости квоты на лечение пациентов с синдромом диабетической стопыClinical and economical grounds of budgetary quotation for patients with diabetic foot syndromeГалстянГагик РадиковичGalstyanGagik Radikovichfoot@endocrincentr.ruСергееваСветлана ВикторовнаSergeevaSvetlana Viktorovnafoot@endocrincentr.ruИгнатьеваВиктория ИгоревнаIgnat'evaViktoriya Igorevnafoot@endocrincentr.ruАксентьеваМария ВладимировнаAksent'evaMaria Vladimirovnafoot@endocrincentr.ruДедовИван ИвановичDedovIvan Ivanovichdedov@endocrincentr.ruФГБУ Эндокринологический научный центр, МоскваРоссияEndocrinology Research Centre, MoscowRussian FederationГБОУ ВПО Первый Московский государственный медицинский университет им. И.М. Сеченова, МоскваРоссияFirst Moscow State Medical University, MoscowRussian Federation201305112013163Сахарный диабет7183Copyright © Галстян Г.Р., Сергеева С.В., Игнатьева В.И., Аксентьева М.В., Дедов И.И., 20132013Галстян Г.Р., Сергеева С.В., Игнатьева В.И., Аксентьева М.В., Дедов И.И.Galstyan G.R., Sergeeva S.V., Ignat'eva V.I., Aksent'eva M.V., Dedov I.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/820

Одним из наиболее распространенных и затратных осложнений сахарного диабета (СД) является синдром диабетической стопы (СДС): по мнению ряда зарубежных экспертов, затраты на лечение СДС в развитых странах составляют от 15 до 25% всех расходов здравоохранения на СД. В настоящее время в России больные с СДС могут получать необходимое им лечение в рамках оказания высокотехнологичной медицинской помощи (ВМП), однако отдельного норматива финансовых затрат для этих больных не существует, а норматив по профилю ?эндокринология? не покрывает потребности. Проведен анализ затрат на оказание ВМП пациентам с СДС для обоснования рекомендаций по определению норматива финансирования. Исследование включало 2 этапа ? анализ опубликованных данных о затратах на лечение больных с СДС и анализ данных реальной практики о затратах на оказание ВМП данной группе больных на примере учреждения здравоохранения федерального подчинения (ФГБУ Эндокринологический научный центр).

Diabetic foot syndrome (DFS) is one of the most prevalent and financially demanding complications of diabetes mellitus (DM). According to a number of expert analyses, DFS counts for 15% to 25% of total diabetes spendings by the developed economies. The Advanced Medical Care Program in Russian Federation covers expanses for patients with DFS. However, DFS patient profile has no dedicated budgeting quotation as yet, and that of ?general endocrinology? does not meet specific clinical requirements. An expenditure analysis was performed to facilitate the development of budgetary recommendations. The survey included two major steps: a systematic analysis of the data available from periodic literature, followed by an assessment of routine clinical practice in a federal healthcare institution (using the example of Moscow Endocrinology Research Centre).

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The authors declare that there are no conflicts of interest present.