In the context of a shortage of personnel, both doctors and paramedical personnel, in primary health care, medical and diagnostic work is mainly carried out, while preventive measures are implemented less purposefully. The creation of a separate dispensary observation room for adult patients with chronic non-communicable diseases can greatly improve the work of dispensary observation and reduce the burden on primary health care doctors.
The purpose of the study: to evaluate the effectiveness of the dispensary observation of adult patients with chronic non-communicable adult diseases in the preventive work of polyclinics.
Materials and methods: data from BI reports, the Unified Medical Information and Analytical System of the Moscow Region, based on the indicators of the central polyclinic department of the state budgetary institution of the Moscow Region «Lyubertsy Regional Hospital».
Methods: statistical, analytical, observation.
Results: Structural, organizational and educational measures were taken to improve the efficiency of dispensary observation of patients with non-communicable diseases. The work of the HNIZ office was organized with the allocation of the rate of the paramedic and the definition of his functional duties. An algorithm for examining patients depending on the nosology has been developed. Speech modules have been developed for calling and inviting patients for dispensary observation, interaction has been established between the offices of general practitioners and narrow specialists, the prevention office, the prescription office and the observation office for patients with chronic non-infectious cases.
Conclusions: The organization of a dispensary observation room for patients with chronic non-communicable diseases has increased the coverage of this category of patients. The availability of dispensary observation and medical examination for patients has increased due to the organization of the «green corridor». The workload on general practitioners and narrow specialists has decreased. The number of visits to the polyclinic by patients has decreased due to the active use of telemedicine consultations for making appointments with doctors based on the results of examinations. Prioritization of dispensary observation of patients with chronic non-communicable diseases has been introduced. The coverage and quality of medical examination and dispensary observation of this category of patients has increased.