Background. The benefits of effective communication include good working relationships and increased patient satisfaction. Effective communication can improve patient understanding of treatment, improve compliance, and lead to better health.Aim. This literature review was conducted to gather knowledge and concepts related to doctor-patient communication and how they affect patient satisfaction and perceived quality of medical services in primary care.Method. Various electronic databases were used to search for articles, including PubMed, Cochrane, Scopus and Google Scholar. The headings of related articles were selected, which were narrowed down before annotating the articles concerned.Results. All the reviewed articles showed that the community was positively related to patient satisfaction and perceived quality of medical services; in both extended and developing countries. Communication creates trust that helps an independent physician to provide the best care. Conduct more visits, visit patients, encourage follow-up questions after visits, actively listen to patients and begin conversations, you can significantly improve the level of communication, level of trust and level of help. Joint decision making leads to better management and better chances of adherence to treatment.Conclusion. Evidence suggests that a patient-centered approach with effective communication skills and trust leads to better management and increased patient satisfaction. This is associated with better adherence to treatment, better health outcomes and better perception of the quality of medical services.

L'amélioration de la compliance à la médication chez les patients hypertendus dans les soins de santé primaires: importance de l'éducation à la santé et de l'auto-gestion Introduction. Compte tenu de la prévalence et de la charge associée de l'hypertension, il est nécessaire d'obtenir un contrôle optimal de la pression artérielle et d'améliorer les résultats pour ces patients. Mais il a été noté que l'observation du traitement antihypertenseur est très mauvaise, conduisant à un contrôle non optimal de la maladie. Le but de cette étude était d'investiguer l'observation thérapeutique des patients hypertendus et d'évaluer l'impact de l'éducation à la santé et du plan d'action sur l'amélioration de la compliance aux traitements dans les établissements de soins de santé primaires. Maté riel et mé thodes. Une étude prospective a été menée chez 750 patients souffrant d'hypertension essentielle pendant 3 ans. Après l'inclusion à l'étude, les patients ont été surveillés pendant 24 semaines afin d'évaluer le manque de réponse au traitement. Chez les

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Among the cardiovascular diseases associated with atherosclerosis, chronic coronary heart disease, including angina, is the most common form. It is the myocardium lesion that develops as a result of an imbalance between the coronary circulation and metabolic needs of heart muscle. The presence of angina symptoms often indicates a pronounced narrowing of one or more coronary arteries, but also occurs in non−obstructive arterial impairment and even in normal coronary arteries. Factors of functional damage to the coronary arteries are spasm, temporary platelet aggregation and intravascular thrombosis. Today there are opportunities not only to use the therapy with proven effectiveness, aimed at reducing the risk of complications, including fatal, but also to treat angina (ischemia), which improves the patient's life quality. The drug protocol includes the ones with a proven positive effect on this disease prognosis, which are mandatory if there are no direct contraindications to use, as well as a large group of antianginal or anti−ischemic drugs. The choice of a particular drug or its combinations with other drugs is carried out in accordance with generally accepted recommendations: taking into account the individual approach, the severity of angina, hemodynamic parameters (heart rate and blood pressure, presence of comorbid conditions). If drug therapy is ineffective, the option of coronary myocardial revascularization (percutaneous coronary angioplasty or coronary artery bypass grafting) is considered. Due to the high mortality and morbidity rates of coronary heart disease worldwide, one of the priorities of practical health care is the prevention of diseases caused by atherosclerosis. Key words: coronary heart disease, angina, family physician, prognosis, drug therapy.

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У статті обговорюються інноваційні шляхи реалізації ком петентнісної моделі навчання лікарів загальної практи ки-сімейної медицини. Розглядаються дискусійні питання перспективи впровадження технології «Стандартизований пацієнт» із залученням професійних акторів на післядип ломному етапі освіти лікарів різних спеціальностей. Ключові слова: лікар загальної практики-сімейної медици ни, «Стандартизований пацієнт».

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