Aim. To develop an algorithm for primary specialized cardiovascular care with a priority of endovascular strategy.
Methods. The study was conducted in 20182019 based on the Central Clinical Hospital Russian Railways-Medicine and 14 polyclinics in the regions of the Russian Federation. The subject of the study is cardiovascular surgeons (n=2), possessing the skills of endovascular care. The object of the study was patients (n=1018) attended regional polyclinics of the Russian Federation. Patients were divided into two groups: group A consisting of 673 patients with clinically significant atherosclerosis of the coronary, brachiocephalic and peripheral arteries and abdominal aortic aneurysm; group B consisting of 345 patients with chronic lower limb ischemia that does not require surgical treatment. The average age of patients in group A was 696.1 years, in group B 637.2 years. There were 467 men in group A (69.4%), and 339 in group B (98.3%). An organizational and technological algorithm was developed to improve the primary specialized cardiovascular care. The results were assessed by the presence of outcomes (heart attack, stroke, bleeding, death), the availability of endovascular care and patient survival follow up 12 and 24 months. A content analysis of scientific publications on the issue under study has been performed.
Results. An organizational and technological algorithm of primary specialized cardiovascular care has been developed, including the activities of the cardiovascular surgeon, who has the skills of endovascular care and a nurse in an outpatient clinic. The implementation of the algorithm ensured continuity, 100% availability, safety and quality of cardiovascular care using endovascular technology. Outcomes are not registered in both groups. Both patient groups showed 100% one and two-year survival.
Conclusion. The developed algorithm of primary specialized cardiovascular care has provided high quality healthcare.
The paper presents the characteristics of medical activity of 414 patients in the Ryazan Regional Hospital. The issues of the regularity of observing and passing medical examinations, compliance with the doctor's recommendations, self-medication are considered taking into account gender features.
There are three main levels of primary health care in Ghana: The district level health care which is the highest level of primary health care in Ghana serve an average population of 100,000-200,000 people in a clearly defined geographical area. A District Hospitals provide Curative care, preventive care, and promotion of heath of the people in the district. The second level is the Subdistrict health care which serves a population of approximately 20,000. They augment their service coverage with outreach services and refer severe and complicated conditions to the district level. The final and basic unit of the PHC in Ghana is the Community-based Health Planning and Services (CHPS) which aims to improve access to promotive and preventive health care at the community level of an average population 3000-4500 representing two-or three-unit committees of the subdistrict assembly. Mass drug administration is main preventive measure for eradicating neglected tropical diseases in endemic regions of Ghana of which it is best administered through primary and community health care systems in these hotspots areas, according WHO. The CHPS concept places emphasis on delivering essential community-based health services through the active participation of communities' Primary health care is considered in this article as a tool for the prevention of neglected tropical infectious diseases. K E y w o r d s-Community health nurse, Community based health planning services (CHPS), Ghana health service (GHS), community health offices (CHO) Primary health care, neglected tropical infectious diseases.
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