Danilchenko L.I.

SCIENTIFIC BASIS OF PRIORITY DIRECTIONS OF DEVELOPMENT HEALTH CARE FOR CARDIAC PATIENTS IN CITY

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About the author:	Danilchenko L.I.
Heading	CLINICAL MEDICINE
Type of article	Scentific article
Annotation	Objective: is scientific substantiation of the priority areas of health care of cardiac patients in the public health system in the city. Results and discussion. Improving medical and demographic situation, increasing the availability and quality of care to all segments of the population is a priority task of the modern health care system in Ukraine. Various aspects of the health of the population due to diseases of the cardiovascular system and the issues of improving the public health system and the system of cardiac care fo the population, is the subject of many years of researching by the authors. Given the high relevance of medical, social and economic aspects of cardiovascular diseases improvement of care for patients cardiac profile at all stages of treatment and diagnostic process is now an important medical and social problem and a priority for the Department of Health. The main tasks facing the cardiology service is to reduce socio-economic losses by reducing mortality, morbidity and disability from cardiovascular diseases; improve the efficiency of a cardiology service as a whole and its individual parts. According to the method developed in European countries, to the precautions to deaths related mortality from 24 causes, divided into 3 main groups, depending on the level of prevention. The first group includes the cause of death, which may prevent primary prevention, lifestyle changes, particularly in relation to the consumption of alcohol and tobacco; increase the level and quality of life, providing road safety and others. The second group includes causes that may reduce secondary prevention, early diagnosis and treatment of diseases. The third group includes causes that can be reduced by increasing the quality of care using modern medical technology. Most causes of death, leading to reduced life expectancy at the age of 60, considered by experts as being preventable public health efforts, not only by improving health care, but primarily due to the prevention of behavioral risk factors. Therefore, the potential benefit from the elimination of these causes of death in this period of life can be seen as achievable reserves increase life expectancy. Conclusions. Cardiovascular diseases are leading causes of premature death, disability, temporary disability, as the experience of developed countries in recent decades, the prevalence of this pathology and the severity of the harm done to public health, can be significantly reduced in case of effective organization of the medical-diagnostic process and prevention system. Specialized inpatient care for patients suffering from cardiovascular diseases, is very expensive. At the same time, the share of applications this category of patients in ambulatory practice is high enough. Among them, special attention should be paid contingent, which requires daily monitoring, but does not require the clock steady state. Organization forms of inpatient care for these patients is a very urgent task. Equally important are purchase and training issues for the cardiology service, the stability of personnel potential, the economic incentive to provide high quality, efficiency of complex workflows.
Tags	cardiovascular system, health, mortality, prevention, optimization of medical care
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Publication of the article	«World of Medicine and Biology» №2(60), 2017 year, 034-039 pages, index UDK 614.2: 616.1. – 616.05