The article submits the results of the study of the organization and quality of care for diabetic patients, the dynamic observation of which at the out-patient establishments is provided by endocrinologists. The total structure of diabetic patients, the follow-up system, the dimensions of screening, the adequacy of treatment are analysed. It is demonstrated that the lack of continuity and interrelation between endocrinologists and district general practitioners in providing care to diabetic patients, the majority of whom have combined pathology, will result in inadequate provision of curative and preventive care to diabetic patients, according to the expert assessment.
The British Columbia Nephrologists' Access Study (BCNAS) - a prospective, health services interventional study to develop waiting time benchmarks and reduce wait times for out-patient nephrology consultations.
Early referral and management of high-risk chronic kidney disease may prevent or delay the need for dialysis. Automatic eGFR reporting has increased demand for out-patient nephrology consultations and in some cases, prolonged queues. In Canada, a national task force suggested the development of waiting time targets, which has not been done for nephrology.
We sought to describe waiting time for outpatient nephrology consultations in British Columbia (BC). Data collection occurred in 2 phases: 1) Baseline Description (Jan 18-28, 2010) and 2) Post Waiting Time Benchmark-Introduction (Jan 16-27, 2012). Waiting time was defined as the interval from receipt of referral letters to assessment. Using a modified Delphi process, Nephrologists and Family Physicians (FP) developed waiting time targets for commonly referred conditions through meetings and surveys. Rules were developed to weigh-in nephrologists', FPs', and patients' perspectives in order to generate waiting time benchmarks. Targets consider comorbidities, eGFR, BP and albuminuria. Referred conditions were assigned a priority score between 1-4. BC nephrologists were encouraged to centrally triage referrals to see the first available nephrologist. Waiting time benchmarks were simultaneously introduced to guide patient scheduling. A post-intervention waiting time evaluation was then repeated.
In 2010 and 2012, 43/52 (83%) and 46/57 (81%) of BC nephrologists participated. Waiting time decreased from 98(IQR44,157) to 64(IQR21,120) days from 2010 to 2012 (p =
Notes
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The article concerns the problems of development of ambulatory medical aid in Moscow and the regions of Moscow. The general conclusion is revealed from the broad modern experience of multi-field medical center. Moreover, the article demonstrates the performance of improvement in accordance with reorganization of public and military health service.
[Experience with the introduction of health care practices into rural districts of the Ukrainian SSR using scientific methods of organizing outpatient care for children]
The article presents results of epidemiological research of dental morbidity among persons of call-up age and indexes of their need in different types of dental aid. Were calculated medical standards for dispensary supply, elaborated propositions in standard of medical survey of persons of call-up age on specialization "stomatology" during registering on military registration and proximately during the call-up on military service in determination of fitness for military service. These data could be used in improvement of organizational structure of dental institutes of Health Ministry of social development of the Russian Federation.
The authors analyze the first experience with widening the volume of surgical aid aimed at sanitation of surgical patients under conditions of polyclinics. Advantages of this progressive method are shown. It will improve qualification of polyclinic surgeons, contribute to rational use of surgical places in hospitals, rapid sanitation of population in the course of total dispensary examination which gives a considerable economic effect.
