Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot156410.32687/0869-866X-2024-32-6-1273-1280НеопределенThe in-patient substituting technologies in maxillofacial surgery: characteristics of organization and ways of further developmentBelchenkoVictor Anot@provid.edChantyrIvan Vnot@provid.edZavgorodnevKirill Dzheme14@mail.ruThe State Budget Institution “The N. I. Pirogov Municipal Clinical Hospital № 1” of the Moscow Health Care Department, 115191, Moscow, Russia091220243262704202527042025Copyright © 2025,2025<p>The social economic crisis and international sanctions significantly affected health care system that requires implementation of new organizational approaches with medical, social and economic benefits. Currently, up to 80% of budgetary funds for health care are spent on in-patient care, although 2050% of patients could be effectively treated in less expensive short-stay hospitals. The purpose of the study is to assess efficiency of specialized care in maxillofacial surgery in conditions of short-stay hospitals. In maxillofacial surgery, implementation of in-patient substitution technologies is justified that ensure availability of minimally invasive surgeries and reduction of treatment time. The analysis of data of 2,022 patients hospitalized in the Maxillofacial Hospital for War Veterans of the Moscow Health Department from January 1 to December 31 2023 demonstrated that 1,518 patients (65.37%) were treated in the 24-hour in-patient department and 504 patients (34.63%) in the short-stay in-patient department. Among them, 738 males (36.3%) and 1,284 females (63.7%), average age of patients was 42.5 17.82 years. In the 24-hour in-patient department, females accounted for 62.85% and males 37.15%. In short-stay in-patient department, females accounted for 65.48%, males for 34.52%. The average stay in 24-hour hospital was 5.6 bed days and in short-stay hospital 68 hours.<br />The economic efficiency of short-stay hospitals was demonstrated in significant savings of medications and services. The level of patient satisfaction is higher in short-stay hospital (8.4 points versus 8.1 points in 24-hour hospital).<br />The development of short-stay hospitals in maxillofacial surgery contributes into improving of quality and accessibility of medical care, modernizing medical infrastructure and optimizing budget expenditures.</p>maxillofacial surgeryin-patient substituting technologieshospital for short-term stayeconomic efficiencyстационарзамещающие технологиистационар кратковременного пребыванияорганизация здравоохранениячелюстно-лицевая хирургия[Korsak K. S., Voropaev E. V., Kovalev A. A., et al. The COVID-19 crisis as a vector for changes in healthcare. Jurnal infektologii. 2023;15(4):110–6. doi: 10.22625/2072-6732-2023-15-4-110-116 (in Russian).][Kalininskaya A. A., Konovalov O. E., Merekin M. D., Shlafer S. I., Sulkina F. A. The hospital-substituting technologies: condition and strategic tasks of their development. Problems of Social Hygiene, Health Care and the History of Medicine. 2020; 28(3):438–43. doi: 10.32687/0869-866X-2020-28-3-438-443 (in Russian).][Lebedev M. V., Kerimova K. I. Day hospital — a possible alternative to round-the-clock hospital in providing medical care to patients in the profile of “maxillofacial surgery”. Urals Medical Journal. 2020;9(192):128–32. doi: 10.25694/URMJ.2020.09.26 (in Russian).][Podzolkova N. M., Bedin V. V., Vardanian V. A., et al. Initial results of use and prospects of hospital-substituting technologies in gynecology. Gynecology. 2022;24(6):506–11. doi: 10.26442/20795696.2022.6.201973 (in Russian).][Faizullina R. N., Gilmanov A. A., Iskandarov I. R. Healthcare and pharmaceutical activity: organization, economy, people. Remedium. 2022;26(1):30–4. doi: 10.32687/1561-5936-2022-26-1-30-34 (in Russian).][Zigangareeva G. G., Koroleva O. I., Khusainova D. K. Development of in-patient-substituting technologies in ophthalmology as a vector of increasing the availability of medical care. Public Health and Healthcare. 2023;4(79):10–5. doi: 10.56685/18120555_2023_79_ 4_10 (in Russian).][Korochkin M. V., Kravchuk S. V., Poddubny G. S. Surgical Short Stay Unit at a Metropolitan Children's Hospital. Problems of Social Hygiene, Health Care and the History of Medicine. 2019;27:587–93. doi: 10.32687/0869-866X-2019-27-si1-587-593 (in Russian).][Petryaikina E. E., Korochkin M. V., Poddubny G. S., et al. Technologies for substituting the hospital care in pediatric surgery. Detskaya khirurgiya. 2019;3(5):258–63. doi: 10.18821/1560-9510-2019-23-5-258-263.10 (in Russian).][Order of the Department of Health of Moscow No. 373/134 “On the Implementation of a Pilot Project for the Organization of Short-Term Stay Hospitals” with amendments from December 30, 2022. Available at: https://mosgorzdrav.ru/ru-RU/document/default/view/2086.html (in Russian).][Pekkari C., Weiner C. K., Marcusson A., Davidson T., Naimi-Akbar A., Lund B. Patient safety with orthognathic surgery in an outpatient setting. Int. J. Oral Maxillofac. Surg. 2023;52:806–12. doi: 10.1016/j.ijom.2022.12][Tan F. Y., Selvaraju K., Audimulam H., et al. Length of hospital stay among oral and maxillofacial patients: a retrospective study. J. Korean Assoc. Oral. Maxillofac. Surg. 2021;47(1):25–33. doi: 10.5125/jkaoms.2021.47.1.25][Jones J. P., Ellis E. 3rd. Are Office-Based Oral and Maxillofacial Surgical Procedures Profitable? A Benefit-Cost Analysis. J. Oral Maxillofac. Surg. 2019;77(11):2205–14. doi: 10.1016/j.joms.2019.05.015]