Н.Ф. Побиванцева, М.Ю. Сурмач
УЗ «Брестский областной кардиологический диспансер», УО «Гродненский государственный медицинский университет»
В статье показано, как на примере Брестской области были реализованы организационные мероприятия по усовершенствованию организации диспансеризации пациентов из групп кардиоваскулярного риска, имеющих прогностически неблагоприятные исходы. Посредством изучения показателей здоровья населения области до и после внедрения, в работе выполнен анализ эффективности новых организационных технологий. Установлено, что в силу принятых профилактических мероприятий на каждом территориальном участке и контроля за маршрутом пациента посредством баз данных от районного до областного уровня оказания помощи, наблюдается снижение первичной заболеваемости болезнями системы кровообращения, в том числе ишемической болезнью сердца, со значительным снижением частоты возникновения острых состояний (острый коронарный синдром). Рост общей заболеваемости свидетельствует об усилении контроля за всеми пациентами с болезнями системы кровообращения и ишемической болезнью сердца, которые были приглашены для проведения диспансерного динамического наблюдения в целях стратификации рисков их осложнений.
ключевые слова: кардиоваскулярный риск, Брестская область, организационные технологии, диспансеризация, заболеваемость

для цитирования: Н.Ф. Побиванцева, М.Ю. Сурмач. Реализация и оценка эффекта технологий организации медицинской помощи пациентам с высоким кардиоваскулярным риском на примере брестской области (часть 2). Неотложная кардиология и кардиоваскулярные риски, 2021, Т. 5, № 1, С. 1239–1246.

Implementation and evaluation of the effect of technologies for organizing medical care for patients with high cardiovascular risk on the example of the Brest region (part 2)
N.F. Pabivantsava, M.Yu. Surmach
The article shows how organizational measures were implemented to improve the organization of medical examinations of patients from cardiovascular risk groups with prognostically unfavorable outcomes on the example of the Brest region. By studying the health indicators of the region’s population before and after implementation, the paper analyzes the effectiveness of new organizational technologies. It is established that due to the adopted preventive measures at each territorial site and monitoring the patient’s route through databases from the district to the regional level of care, there is a decrease in the cardiovascular primary incidence, including coronary heart disease, with a significant decrease in the rate of acute conditions (acute coronary syndrome). The increase in prevalence indicates increased monitoring of all patients with circulatory diseases and coronary heart disease who were invited for conducting dynamic follow-up (dispensarization) in order to stratify the risks of their complications.
keywords: cardiovascular risk, Brest region, organizational technologies, medical examination, morbidity

for references: Pabivantsava N.F., M.Yu. Surmach. Implementation and evaluation of the effect of technologies for organizing medical care for patients with high cardiovascular risk on the example of the Brest region (part 2). Neotlozhnaya kardiologiya i kardiovaskulyarnye riski [Emergency cardiology and cardiovascular risks], 2021, vol. 5, no. 1, pp. 1239–1246.

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