The article presents analysis of scientific and practical significance and efficiency of measures improving organization of medical care of tuberculosis patients in conditions of hospital, developed and implemented in the work of governing bodies and health care institutions of the Irkutsk Oblast. The measures included methodology to determine the required number of beds on profile “phthisiology” considering morbidity and estimates of efficiency of bed use, as well its restructuring and patients routing. The analysis of functioning of hospitals of the anti-tuberculosis service of the Irkutsk Oblast from 2015 to 2024 demonstrated positive dynamics in fulfillment of planned indicators of bed-space, hospitalization coverage (including patients with bacterioexcretion), reduction in shortage of beds, achievement of planned targets, maintenance of hospitalization indications and fulfillment of state mandates. Against the background of improvement of morbidity rates the clinical structure of patients changed towards increasing of the numbers of newly diagnosed cases with multiple medicinal resistance and HIV-infection that affected treatment efficiency. In general, the planning methodology retained its actuality, since it allows to plan hospital bed-space taking into account altered epidemiological situation with tuberculosis and clinical structure of morbidity that allows planning of specialized departments. The methodology was updated to reflect issuance of the order on quality criteria and clinical guidelines (indications for hospitalization and quality). The study examined role of organization of efficient bed-space as a tool to ensure accessibility and quality of medical care for tuberculosis patients in hospital conditions.

tuberculosis, hospital bed-space, planning, tuberculosis hospital, efficiency.