ON THE PROBLEM OF REGIONAL SPECIFICS OF MEDICAL CARE FOR HYPERTENSIVE PATIENTS
https://doi.org/10.18705/1607-419X-2013-19-6-520-524
Abstract
Objective. The comparative study of the actual performance of diagnostic procedures for in-patients with essential hypertension. Design and methods. Evaluation of the execution of diagnostic standards was done by the assessment of the percentage of factual performance of recommended diagnostic methods according to primary medical reports. The methods used in the research are content analysis, analytical and statistical analysis.
Results. Out of 44 (100 %) recommended parameters of standard diagnostic procedures only 16 (36,4 %) were performed in Central District Hospital, 18 (40,9 %) — in the city hospitals, 13 (29,5 %) — in the regional and federal hospitals. Out of 27 parameters only 12 were carried out with the required frequency 1,0, while the rest 15 parameters were carried out with the frequency 0,2–0,9. Few parameters were performed more frequently than it is recommended by the standards.
Conclusion. The defined defects emphasize the necessity of the further analysis of the reasonability of the evaluation and performance of some diagnostic procedures at different levels of medical health care delivery.
About the Author
G. Yu. Sazanova
Saratov State Medical University named after V.I. Razumovsky, Saratov
Russian Federation
Russian Federation
Correpsonding author: Saratov State Medical University named after V.I. Razumovsky, 112 Kazachiya st., Saratov, Russia, 410012. Phone: 8 (8452) 66–98–71. Fax: +7 (8452) 66–97–13. E-mail: sazanovagu@yandex.ru (Galina Yu. Sazanova, MD, PhD, Assistant Professor at the Department of Health Care System, Social Health and Medical Law at Saratov State Medical University named after V.I. Razumovsky).
References
1. Федеральный закон от 21 ноября 2011 года № 323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации. — [Электронный ресурс]. — URL: http://www.rg.ru/2011/11/23/zdorovie-dok.html (дата обращения 26.11.2013). / Federal law from 21 November 2011 № 323-FZ «On the basis of the security of public health in Russian Federation». — [Electronic resource]. — URL: http://www.rg.ru/2011/11/23/zdorovie-dok.html (downloaded 26.11.2013) [Russian].
2. Толстова Ю.Н. Математико-статистические модели в социологии: Учебное пособие. — М. : Изд. дом ГУ ВШЭ, 2007. — С. 82–95. / Tolstova Y.N. Mathematical and statistical models in sociology: Textbook. — Moscow : Publishing House GU VSHE, 2007. — P. 82–95 [Russian].
3. Хурс Е.М., Андреев П.В., Поддубная А.В., Евсина М.Г., Смоленская О.Г. Количественные критерии диагноза артериальной гипертензии по данным суточного мониторирования артериального давления // Артериальная гипертензия. — 2010. — Т. 16, № 1. — С. 105–107. / Khurs E.M., Andreev P.V., Poddubnaya A.V., Evsina M.G., Smolenskaya O.G. Quantity diagnostic criteria for hypertension according to daily blood pressure monitoring // Arterial Hypertension [Arterialnaya Gipertenziya]. — 2010. — Vol. 16, № 1. — P. 105–107 [Russian].
4. Бокерия Л.А., Ступаков И.Н., Самородская И.В., Фуфаев Е.Н., Афанасьева Е.Ю. Некоторые проблемы несоответствия реальной клинической практики утвержденным стандартам, выявленные с помощью информационных систем // Проблемы стандартизации в здравоохранении. — 2008. — № 2. — С. 13–18. / Bokeriya L.A., Stupakov I.N., Samorodskaya I.V., Fufayev E.N., Afanasieva E.Yu. Some problems of the inconsistence between real clinical practice and standards found by computer systems // Problems of Standardization in Health Care System [Problemy Standartizatsii v Zdravookhranenii]. — 2008. — № 2. — P. 13–18 [Russian].
5. Еругина М.В. Стандартизация в здравоохранении — основа защиты прав пациентов и медицинских работников. — М., 2008. — С. 28–37. / Erugina M.V. Standardization in health care as the basis of protection of patients and medical staff’s rights. — Moscow, 2008. — P. 28–37 [Russian].
6. Александрова О.Ю., Кузнецова Ю.Г., Винокуров Е.В. Оценка полноты лечебно-диагностического процесса на основе стандартов медицинской помощи // Проблемы стандартизации в здравоохранении. — 2012. — № 3–4. — С. 3–8. / Alexandrova O.Yu., Kuznetsova Yu.G., Vinokurov E.V. The assessment of the completion of diagnostics and treatment based on the medical standards // Problems of Standardization in Health Care System [Problemy Standartizatsii v Zdravookhranenii]. — 2012. — № 3–4. — P. 3–8 [Russian].
7. Сазанова Г.Ю., Еругина М.В., Долгова Е.М., Абызова Н.В., Жужлова Н.Ю. Проблемы применения региональных и федеральных стандартов при оказании медицинской помощи больным с заболеваниями органов кровообращения // Проблемы управления здравоохранением. — 2011. — Т. 60, № 5. — С. 52–56. / Sazanova G.Yu., Erugina M.V., Dolgova E.M., Abyzova N.V., Zhuzhlova N.Yu. Problems of the implementation of the regional and federal standards of medical care in patients with cardiovascular pathology // The Problems of Health Care Management [Problemy Upravleniya Zdravookhraneniyem]. — 2011. — Vol. 60, № 5. — P. 52–56 [Russian].
8. Самородская И.В. Клинические рекомендации и стандарты медицинской помощи // Здравоохранение. — 2013. — № 12. — С. 66–72. / Samorodskaya I.V. Clinical guidelines and medical standards // Health Care [Zdravookhraneniye]. — 2013. — № 12. — P. 66–72 [Russian].
Review
For citations:
Sazanova G.Yu. ON THE PROBLEM OF REGIONAL SPECIFICS OF MEDICAL CARE FOR HYPERTENSIVE PATIENTS. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2013;19(6):520-524. (In Russ.) https://doi.org/10.18705/1607-419X-2013-19-6-520-524
Views:
1150
Email this article 