Sociological survey has been carried out in 2 hospitals of Irkutsk. 600 respondents were asked to express their opinion on the quality of medical care and offer proposals on improvement of hospital care.
Sociological survey has been carried out in 2 hospitals of Irkutsk. 600 respondents were asked to express their opinion on the quality of medical care and offer proposals on improvement of hospital care.
Chronic diseases accumulate with age; the share of chronic diseases, particularly endocrine, circulatory, and gastrointestinal, in total morbidity structure increases. As a result of health deterioration, elderly people have to visit outpatient centers 5 times more often. Patients of advanced age consult their local therapists more and more often. A greater number of home visits (23.7 times per annum) and of registered cases (9.7) are due to patients aged 70-74 years. The share of home visits increases. Proper, timely, and adequate organization of care of elderly patients at home will essentially increase the volume of outpatient medical care and thus decrease the number of emergency calls to elderly patients and the rate of their hospitalization.
Organization of a cardiological obstetrical daytime hospital, contribution of physicians of many profiles, and use of a wide spectrum of methods for examination improved the quality of follow-up of women of fertile age with cardiovascular diseases and promoted timely cardial, cardiosurgical, and obstetrical care of this patient population. Improvement of follow-up of adolescent girls with cardiovascular diseases permits detection of disease before gestation, timely surgical correction, and preparation to gestation. Follow-up of pregnant patients with cardiovascular diseases resulted in decrease of perinatal and maternal mortality.
The paper presents the results of information and systemic analysis as the methodological basis for study of the gestation age phenomenon as a sociohygienic problem. The proposed information-systemic model permits description (by means of current systemic entropy) of the time course of health in the cohort of children and adolescents from birth to 18 years. The model demonstrates differences in the health status, depending on the gestation age, and explains the causes of these differences.