he Role of Day Hospitals in Delivering Cancer Care: Experience of the Tomsk Region

Introduction: The issue of malignant neoplasms remains highly relevant in the Russian Federation, thus necessitating optimization of cancer care resource provision to align funding with population needs.

Objective: To analyze the volumes and funding of oncology care delivered in day hospitals of health facilities of the Tomsk Region within the territorial state guarantee program for free medical care to citizens in 2020–2024.

Materials and Methods: We analyzed the volumes and funding of cancer care in day hospitals of health facilities of the Tomsk Region based on data from the territorial program of state guarantees (2020–2024) and established correlations between them and the dynamics of care standards. Descriptive statistics and the Student’s t-test were used for data analysis.

Results: Over the study period, 41,240 cases were treated in day hospitals of the Tomsk Region with an average plan fulfilment of 101.9 % ± 5.9 %. The share of day hospitals in oncology care increased by 14.1 %. Care volumes concentrated in the regional health facility with its share rising from 66.2 % to 90.3 % (p < 0.001). District facilities systematically underperformed, while private ones exceeded targets by an average of 25.7 %. The standard of care per insured individual increased by 58.0 % (to 0.01096 cases per person). Funding for district facilities decreased by 3,139.5 thousand rubles, whereas private health centers received 545.4 million rubles, securing the second place in the funding volume.

Conclusion: Our findings confirm successful optimization of regional oncology service resources through the growing percentage of day hospitals, which enhances bed fund flexibility. The identified structural disparities were the dominance of the regional center and underperformance of district facilities.

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