On the problem of regional specifics of medical care for hypertensive patients

Г.Ю. Сазанова

Authors: G.Yu. Sazanova

Place: Saratov, Russia

Institution: Saratov State Medical University named after V.I. Razumovsky

Abstract: Objective. The comparative study of the actual performance of diagnostic procedures for in-patients with essential hypertension. Design and methods. Evaluation of the execution of diagnostic standards was done by the assessment of the percentage of factual performance of recommended diagnostic methods according to primary medical reports. The methods used in the research are content analysis, analytical and statistical analysis. Results. Out of 44 (100 %) recommended parameters of standard diagnostic procedures only 16 (36,4 %) were performed in Central District Hospital, 18 (40,9 %) — in the city hospitals, 13 (29,5 %) — in the regional and federal hospitals. Out of 27 parameters only 12 were carried out with the required frequency 1,0, while the rest 15 parameters were carried out with the frequency 0,2–0,9. Few parameters were performed more frequently than it is recommended by the standards. Conclusion. The defined defects emphasize the necessity of the further analysis of the reasonability of the evaluation and performance of some diagnostic procedures at different levels of medical health care delivery.

Keywords: medical care, standard diagnostic procedure, hypertension

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