Multimorbidity is defined as two or more chronic conditions in the same individual. It is associated with significant impacts on quality of life, poor functional status, enhancement of the challenges of medical care and cost implications, unnecessary hospitalizations, increases the terms of hospital stay, and affects the evaluation of the interventions effectiveness. The article reviews the prevalence of multimorbidity, combinations of conditions in people with multimorbidity, especially, in patients with cardiovascular diseases. This review also identifies the emerging evidence to support policy for the management of people with multimorbidity and common comorbidities as presented in WHO manual, Guiding principles for the care of older adults with multimorbidity of the American Geriatrics Society and NICE clinical guidelines (NG56). The paper outlined key problems posed by current healthcare organization and experienced by patients with multimorbidity – the need for the development of accurate and reliable methods of comorbidity assessment and evidence-based outcome measurement criteria and tools.
Дячук Дмитро Дмитрович -директор ДНУ «НПЦ ПКМ» ДУС, член-кореспондент НАМН України, доктор медичних наук, м. Київ, Україна Державна наукова установа «Науково-практич ний центр профілактичної та клінічної медицини» Державного управління справами є унікальним та одним із найкращих медичних закладів України, який успішно працює вже понад 90 років як заклад охорони здоров'я та 10 років -як наукова установа.
Resume. Standardization occupies a leading position in the system of tools of quality management in health care. The urgency of counteracting the spread of coronavirus disease (COVID-19) poses a task for health professionals to develop a standard of medical care.
The aim of the study. Development and implementation of a clinical route for a patient with acute respiratory syndrome, identified case of coronavirus disease (COVID-19) for health care facilities.
Material and methods. The State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine" of the State Administration has formed a clinical route of the patient in accordance with current legislation of Ukraine and modern scientific literary sources on relevant issues of coronavirus disease (COVID-19)prevention.
Results. The patient's clinical route is presented on 127 pages, which includes the organization of provision of medical care, a description of outpatient activities, emergency care, hospital care, 29 appendices, 10 flowcharts, 11 instructions and registers.
Conclusions.The clinical route of a patient with acute respiratory syndrome, identified case of coronavirus disease (COVID-19) is a new clinical and organizational document that is clinical managementtoolthat manages updates in accordance with current scientific developments and underpins an integrated approach to healthcare.
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