The value of the outpatient clinic for cardiovascular surgery in the context of modernization

Abstract

As a result of the Program “Modernization of primary health care in the Russian Federation” medical care has been developed at all levels of its provision, starting from primary health care and up to specialized. Aim. Аanalysis of the current state of the outpatient health care link and the results of its activities in ensuring the availability of medical care to the population in the field of “cardiovascular surgery”. Material and methods. The sources of information were the information provided by the subjects of the Russian Federation at the request of the Bakulev National Medical Research Center for Cardiovascular Surgery (Bakulev NMRCCS), official statistical reporting data, materials obtained during field events in supervised regions of the Russian Federation on the organization of medical care in the field of “cardiovascular surgery” by specialists from Bakulev NMRCCS. The organization of providing medical care in the profile “cardiovascular surgery” at the level of the polyclinic level in 38 regions Russian Federation supervised by the Bakulev NMRCCS was studied. Results. The article presents the current state of staffing of outpatient clinics, their relationships with higher-level medical organizations and measures to improve their work in general. The role of the introduction of registers of patients with diseases of the cardiovascular system and the importance of a unified information system in improving the quality of medical care is noted. The importance of telemedicine technologies in increasing the availability of medical care is shown. Discussion. Most of the subjects of Russia have improved the provision of their residents with cardiologists. Successful modernization of the primary care depends on the introduction of the unified state information system of healthcare at all levels of healthcare, starting from the possibility of making an independent appointment with a doctor in an electronic schedule of outpatient appointments. The high prevalence of cardiovascular diseases mortality requires the decision on a unified form of registers for the main diseases. Also, the modernization program should include provisions on the activation of the use of telemedicine technologies. Conclusion. Thus, the target program “Modernization of primary health care in the Russian Federation” is one of the most relevant events in the domestic health care. One of the criteria for the effectiveness of polyclinic departments can be considered the number of residents of the subjects of the Russian Federation who received highly specialized medical care.