[Approaches to delivering inpatient care in the context of program-oriented technologies in phthisiology]

A model of the organization and operation of a territorial program-oriented system involving the most significant tasks to deliver inpatient care, the solution of which can positively affect the epidemic situation in a subject of the Russian Federation. The reserves of improving hospital care to patients with tuberculosis is to increase tuberculosis bed turnover, by efficiently distributing the flows of patients, reducing the time of their studies, and performing a complex adequate course of therapy. The ideology of 24-hour hospital care to patients with tuberculosis needs to be corrected, by following the following priorities: to provide with antituberculous drugs in compliance with real needs and depending on the epidemic situation and to perform a complete course of controlled chemotherapy in the patients; to strengthen the material-and-technical basis of tuberculosis care facilities for the creation conditions for medical personnel's safe work and for the reduction of the incidence of occupational morbidity and to enhance the efficiency of a therapeutic-and-diagnostic process; to organize and to perform up-to-date surgical treatment in order to decrease a contingent of patients with chronic forms of tuberculosis.