Organization of Medical Care at Home for Patients with A Coronavirus Infection (COVID-19) in the Russian Federation
Authors:   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russian Federation, Shlyafer S. I. 
Published: April 2023

The aim. To study the organization of home-based medical care for patients with a coronavirus infection (COVID-19) in the Russian Federation. Material and methods. A review of regulatory documents on the organization of medical care at home for patients with a coronavirus infection (COVID-19) adopted by the Ministry of Health of the Russian Federation in 2020-2022 was carried out. Based on publications, the provision of medical care at home to patients with a coronavirus infection (COVID-19) in some regions of the Russian Federation was analyzed. Since 2019, in the statistical reporting form № 14ds "Information on the activities of day hospitals of medical organizations", combined data on the work of day hospitals of medical organizations providing assistance on an outpatient basis and hospitals at home have been filled in. In 2021, a special study conducted made it possible to collect information on the work of hospitals at home treating patients with a coronavirus infection (COVID-19) in the Russian Federation and its constituent entities. The methods used were: content analysis, analytical, statistical. Results and discussion. In Russia the activities of medical organizations providing outpatient medical care to patients with a coronavirus infection (COVID-19) is regulated by the Ministry of Health of the Russian Federation, defining the basic principles for such care. The work of medical organizations in the constituent entities of Russia providing home-based care to patients with a coronavirus infection (COVID-19) was regulated by the order of the Ministry of Health of the Russian Federation of May 19, 2020 № 198n. The scientific publications on the organization of home-based medical care for patients with a coronavirus infection (COVID-19) were studied. An analysis was made of the performance indicators of hospitals at home for the treatment of patients with a coronavirus infection (COVID-19) in the Russian Federation and its constituent entities in 2021 (number of patients treated, average duration of treatment). Patients with coronavirus infection (COVID-19) were treated in hospitals at home in 19 subjects across the country. The number of patients treated was 0,3 per 1000 population. The highest proportion of patients treated with COVID-19 at home per 1000 people was observed in the Republic of Adygea, in the Sverdlovsk, Voronezh regions, in the Primorsky Territory, in the Tyumen Region. The average duration of treatment is 11,3 days. Conclusions. In the constituent entities of the Russian Federation, provision of medical care on an outpatient basis has been organized for patients with a coronavirus infection (COVID-19) in accordance with the algorithms. One of the forms of providing are hospitals at home, in which 43,9 thousand patients with a coronavirus infection (COVID-19) or 14,7% of all those treated in hospitals at home were treated in 2021. In the city of St. Petersburg, in the Sverdlovsk region and the Republic of Adygea, hospitals at home were mainly deployed to treat patients with a coronavirus infection (COVID-19).