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[About All-Russia Congress "Pediatric Cardiology 2002", Moscow, May 29-31, 2002].

https://arctichealth.org/en/permalink/ahliterature184113
Source
Kardiologiia. 2003;43(3):82-3
Publication Type
Conference/Meeting Material
Date
2003

[Characteristics of the dynamic outpatient observation of workers at an industrial enterprise].

https://arctichealth.org/en/permalink/ahliterature234172
Source
Ter Arkh. 1988;60(11):128-31
Publication Type
Article
Date
1988
Author
E P Kamysheva
A V Suvorov
L G Strongin
Source
Ter Arkh. 1988;60(11):128-31
Date
1988
Language
Russian
Publication Type
Article
Keywords
Cardiovascular Diseases - diagnosis - therapy
Diabetes Mellitus - diagnosis - therapy
Humans
Management Information Systems - economics - organization & administration - standards
Occupational Health Services - economics - organization & administration - standards
Russia
Abstract
A computer-assisted staged system of a follow-up of factory workers with CHD and diabetes mellitus was developed. It included automated screening by questionnaire, ECG and biochemical screening, physical examination, investigation of the basic carbohydrate-lipid indices, more detailed examination in out- or inpatients settings using up-to-date diagnostic methods (bicycle ergometry, monitoring after Holter, etc.), identification of groups for a follow-up, and therapeutic and sanitary measures. A total of 27750 persons were investigated. The most important group was that including persons with risk factors: vegetovascular dystonia developing into CHD (6%) or essential hypertension (20%). Sanitary measures by unified methods caused a decrease in temporary disability with the economic effect of 197,000 rubles.
PubMed ID
2976990 View in PubMed
Less detail

Inequitable access for mentally ill patients to some medically necessary procedures.

https://arctichealth.org/en/permalink/ahliterature164702
Source
CMAJ. 2007 Mar 13;176(6):779-84
Publication Type
Article
Date
Mar-13-2007
Author
Stephen Kisely
Mark Smith
David Lawrence
Martha Cox
Leslie Anne Campbell
Sarah Maaten
Author Affiliation
Department of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, NS. stephen.kisely@cdha.nshealth.ca
Source
CMAJ. 2007 Mar 13;176(6):779-84
Date
Mar-13-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Canada
Cardiovascular Diseases - diagnosis - therapy
Cerebral Revascularization - utilization
Female
Health Care Surveys
Health Services Accessibility - economics - statistics & numerical data
Humans
Logistic Models
Male
Mental Disorders - diagnosis - therapy
Mental Health Services - supply & distribution
Middle Aged
Myocardial Revascularization - utilization
National Health Programs - standards - utilization
Needs Assessment
Nova Scotia
Outcome Assessment (Health Care)
Proportional Hazards Models
Registries
Residence Characteristics
Risk factors
Socioeconomic Factors
Survival Analysis
Universal Coverage
Abstract
Although universal health care aims for equity in service delivery, socioeconomic status still affects death rates from ischemic heart disease and stroke as well as access to revascularization procedures. We investigated whether psychiatric status is associated with a similar pattern of increased mortality but reduced access to procedures. We measured the associations between mental illness, death, hospital admissions and specialized or revascularization procedures for circulatory disease (including ischemic heart disease and stroke) for all patients in contact with psychiatric services and primary care across Nova Scotia.
We carried out a population-based record-linkage analysis of related data from 1995 through 2001 using an inception cohort to calculate rate ratios compared with the general public for each outcome (n = 215,889). Data came from Nova Scotia's Mental Health Outpatient Information System, physician billings, hospital discharge abstracts and vital statistics. We estimated patients' income levels from the median incomes of their residential neighbourhoods, as determined in Canada's 1996 census.
The rate ratio for death of psychiatric patients was significantly increased (1.34), even after adjusting for potential confounders, including income and comorbidity (95% confidence interval [CI] 1.29-1.40), which was reflected in the adjusted rate ratio for first admissions (1.70, 95% CI 1.67-1.72). Their chances of receiving a procedure, however, did not match this increased risk. In some cases, psychiatric patients were significantly less likely to undergo specialized or revascularization procedures, especially those who had ever been psychiatric inpatients. In the latter case, adjusted rate ratios for cardiac catheterization, percutaneous transluminal coronary angioplasty and coronary artery bypass grafts were 0.41, 0.22 and 0.34, respectively, in spite of psychiatric inpatients' increased risk of death.
Psychiatric status affects survival with and access to some procedures for circulatory disease, even in a universal health care system that is free at the point of delivery. Understanding how these disparities come about and how to reduce them should be a priority for future research.
Notes
Cites: Soc Psychiatry Psychiatr Epidemiol. 1999 Dec;34(12):627-3310703272
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Cites: J Clin Oncol. 2001 Jan 1;19(1):137-4411134206
Cites: Stroke. 2002 Jan;33(1):268-7311779921
Cites: Br J Psychiatry. 2002 Jun;180:515-2212042230
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Cites: Br J Psychiatry. 2003 Jan;182:31-612509315
Cites: Acta Psychiatr Scand. 2003 Feb;107(2):96-10112534434
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Cites: J Clin Epidemiol. 1992 Jun;45(6):613-91607900
Cites: BMJ. 1998 Sep 19;317(7161):784-59740565
Cites: Br J Psychiatry. 1998 Jul;173:11-539850203
Cites: J Affect Disord. 1998 Sep;50(2-3):277-829858087
Cites: N Engl J Med. 1999 Oct 28;341(18):1359-6710536129
Cites: Community Ment Health J. 2007 Apr;43(2):91-10717021953
Comment In: CMAJ. 2007 Jun 19;176(13):186217576992
PubMed ID
17353530 View in PubMed
Less detail

Lack of adherence to hypertension treatment guidelines among GPs in southern Sweden-a case report-based survey.

https://arctichealth.org/en/permalink/ahliterature124906
Source
BMC Fam Pract. 2012;13:34
Publication Type
Article
Date
2012
Author
Rickard Ekesbo
Patrik Midlöv
Sofia Gerward
Kristin Persson
Christina Nerbrand
Lennart Johansson
Author Affiliation
General Practice/Family Medicine, Department of Clinical Sciences, Faculty of Medicine, Lund University, Malmö, Sweden. rickard.ekesbo@skane.se
Source
BMC Fam Pract. 2012;13:34
Date
2012
Language
English
Publication Type
Article
Keywords
Aged
Blood Pressure - physiology
Cardiovascular Diseases - diagnosis - therapy
Family Practice - standards
Female
Guideline Adherence - standards - statistics & numerical data
Health Knowledge, Attitudes, Practice
Humans
Hypertension - psychology - therapy
Male
Middle Aged
Outcome and Process Assessment (Health Care) - methods - standards
Physician's Practice Patterns - standards
Practice Guidelines as Topic
Questionnaires
Risk factors
Severity of Illness Index
Sweden
Abstract
General practitioners (GPs) often fail to correctly adhere to guidelines for the treatment of hypertension. The reasons for this are unclear, but could be related to lack of knowledge in assessing individual patients' cardiovascular disease risk. Our aim was to investigate how GPs in southern Sweden adhere to clinical guidelines for the treatment of hypertension when major cardiovascular risk factors are taken into consideration.
A questionnaire with five genuine cases of hypertension with different cardiovascular risk profiles was sent to a random sample of GPs in southern Sweden (n=109) in order to investigate the attitude towards blood pressure (BP) treatment when major cardiovascular risk factors were present.
In general, GPs who responded tended to focus on the absolute target BP rather than assessing the entire cardiovascular risk factor profile. Thus, cases with the highest risk of cardiovascular disease were not treated accordingly. However, there was also a tendency to overtreat the lowest risk individuals. Furthermore, the BP levels for initiating pharmacological treatment varied widely (systolic BP 140-210 mmHg). ACE inhibitors (70%) were the most common first choice of pharmacological treatment.
In this study, GPs in Southern Sweden were suggesting, for different cases, either under- or overtreatment in relation to current guidelines for treatment of hypertension. On reason may be that they failed to correctly assess individual cardiovascular risk factor profiles.
Notes
Cites: Br J Gen Pract. 2007 Dec;57(545):948-5218252069
Cites: J Hypertens. 2007 Apr;25(4):757-6217351366
Cites: N Engl J Med. 2008 May 1;358(18):1887-9818378519
Cites: Scand J Prim Health Care. 2008;26(3):154-918609250
Cites: J Am Geriatr Soc. 2008 Oct;56(10):1853-918811610
Cites: Arch Intern Med. 2000 Aug 14-28;160(15):2281-610927724
Cites: Br J Gen Pract. 2001 Jan;51(462):9-1411271892
Cites: Eur Heart J. 2003 Jun;24(11):987-100312788299
Cites: J Hypertens. 2004 Jun;22(6):1221-915167458
Cites: Am Heart J. 2004 Jul;148(1):16-2615215787
Cites: Lancet. 2004 Sep 11-17;364(9438):937-5215364185
Cites: Fam Pract. 2004 Oct;21(5):575-8115367481
Cites: Hypertension. 2004 Nov;44(5):602-815381676
Cites: J Intern Med. 1995 Sep;238(3):215-217673850
Cites: J Hypertens. 1996 Jun;14(6):773-78793701
Cites: Am J Hypertens. 1999 Apr;12(4 Pt 1):333-4010232492
Cites: QJM. 2005 Jan;98(1):41-5115625353
Cites: Scand J Prim Health Care. 2006 Dec;24(4):224-3017118862
Cites: Circulation. 2008 Feb 12;117(6):743-5318212285
PubMed ID
22536853 View in PubMed
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[Organization and quality of home care services after emergency calls in connection with pain in the cardiac area].

https://arctichealth.org/en/permalink/ahliterature227533
Source
Sov Zdravookhr. 1991;(12):36-41
Publication Type
Article
Date
1991
Author
Ia S Mindlin
I V Linkova
Source
Sov Zdravookhr. 1991;(12):36-41
Date
1991
Language
Russian
Publication Type
Article
Keywords
Adult
Cardiovascular Diseases - diagnosis - therapy
Chest Pain - diagnosis - therapy
Emergency Medical Services - organization & administration - standards
Home Care Services - organization & administration - standards
House Calls
Humans
Middle Aged
Moscow
Quality of Health Care
Urban Population
Abstract
The results are provided of an in-depth study of the organization, quality and effectiveness of medical care provided at home to persons who referred to medical institutions for cardialgias. It has been shown that the real number of circulatory diseases while considering the complaints such as "pains in the heart area" is considerably less than the number of calls for outpatient home care. The influence is established of the amount and quality of home health care delivery on the effectiveness of outpatient care as a whole in cases of circulatory disease aggravation and of the possibility to reduce the duration of disability in the aggravation cases (and consequently the economic losses) at the expense of improving the medical care quality just at home. The improvement of the organization and quality of home health care is an important reserve for the perfection of outpatient care at large.
PubMed ID
1803528 View in PubMed
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[Preliminary version of the National Board of Health and Welfare's new guidelines for cardiac health care. Reliable knowledge material gives basis for better care]

https://arctichealth.org/en/permalink/ahliterature93866
Source
Lakartidningen. 2007 Nov 14-20;104(46):3442-3
Publication Type
Article
Author
Swedberg Karl
Author Affiliation
Kardiovaskulär medicin, Sahlgrenska akademin, Göteborgs universitet. karl.swedberg@gu.se
Source
Lakartidningen. 2007 Nov 14-20;104(46):3442-3
Language
Swedish
Publication Type
Article
Keywords
Cardiac Pacing, Artificial - methods - standards
Cardiac Surgical Procedures - methods - standards
Cardiovascular Diseases - diagnosis - therapy
Heart Diseases - diagnosis - therapy
Humans
Practice Guidelines as Topic
Sweden
PubMed ID
18072612 View in PubMed
Less detail

[Problems in organizing medical care for cardiovascular disease patients at the prehospital stage].

https://arctichealth.org/en/permalink/ahliterature249028
Source
Zdravookhr Ross Fed. 1978;(8):17-21
Publication Type
Article
Date
1978

[Problems of the organization of outpatient cardiac consultation services for patients with cardiovascular diseases in a large city].

https://arctichealth.org/en/permalink/ahliterature103799
Source
Sov Zdravookhr. 1990;(2):8-12
Publication Type
Article
Date
1990
Author
I V Poliakov
N G Petrova
O V Chigireva
Source
Sov Zdravookhr. 1990;(2):8-12
Date
1990
Language
Russian
Publication Type
Article
Keywords
Adult
Aged
Cardiac Care Facilities - organization & administration
Cardiovascular Diseases - diagnosis - therapy
Female
Hospitals
Hospitals, Special - organization & administration
Hospitals, Urban - organization & administration
Humans
Male
Middle Aged
Outpatient Clinics, Hospital - organization & administration
Referral and Consultation
Russia
Abstract
The experience gained in the study of outpatient consultative cardiac care in a big city such as Leningrad permits one to single out the following stages in the delivery of these services: a polyclinic-based cardiologist--a cardiologist in the consultative-diagnostic polyclinic and (or) an out-patient department at the Research Institute of Cardiology (follow-up centre)--urban specialized centres of consultative care. The main issues requiring improvement in this system are: the necessity of efficient regulation of indications for consultative care at all stages, determination of functional responsibilities of consulting physicians, their role in the system of dispensarization, the drafting of optimum documentation and criteria of performance.
PubMed ID
2139744 View in PubMed
Less detail

18 records – page 1 of 2.