To assess the effects of physician-patient racial concordance and continuity of care on hypertension outcomes, we described patterns of care for hypertension; we used cross-tabulations and repeated measures (generalized estimating equations) analyses with panel survey data from elderly persons interviewed and examined in 1987 and 1990. Continuity of care was associated with recognition of hypertension, receipt of medication, and lower incidence of undetected hypertension. Physician race had little effect, but continuity is important for successful management of hypertension in older persons.
The article provides information on the results of studying the materials of 150 commission of forensic medical examinations on the facts of patient dissatisfaction with the provision of medical care. The relevance of the problem of the legal relationship between a doctor and a patient is revealed and shown. The lack of information on these issues leads to a high probability of disputed situations in the providing dental care, so there is an urgent need for an integrated approach to the implementation of legally defined rights of patients. Media coverage of the above-mentioned problems plays an important role in improving the level of legal competence of patients. At the same time, the direct relationship between the doctor and the patient is the most important mechanism for implementing the patient's rights at the dental appointment and preventing conflicts. Behavior of doctors in such cases should be strictly regulated by normative legal acts. The process of information sharing with patients and transfer of information to the patient's relatives should receive in medical preventive institution specific legal basis under sections 30, 31, 48, 61 “Principles of legislation of the Russian Federation about health protection of citizens”, to be fixed in job descriptions with the designation of responsibility.
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