Source: Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2007 Jan-Feb;(1):26-9

Source: Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2007 Jan-Feb;(1):26-9

Keywords: Ambulatory Care - manpower - standards; Dagestan; Delivery of Health Care - manpower - standards; Family Practice; Health Care Reform; Humans; Outpatient Clinics, Hospital; Practice Guidelines as Topic; Quality of Health Care; Referral and Consultation; Urban Population

Abstract: In the Republic of Dagestan, the capacity and the pattern of the ambulatory polyclinic care provided to urban population were studied during 2004-2005 in four cities--Makhachkala, Derbent, Buynaksk and Kizyljurt. The structure of 2465 visits to the general practitioners (family doctors) and 2549 visits to the district doctors was studied. In the structure of appealability to the general practitioners (family doctors) 30% fall to the neurological patients. The general practitioners (family doctors), as compared with the district doctors, twice as much pay attention to preventive activities (16.2% vs. 8.8%) and they much more often appoint their own patients to subspecialists' consultation (93.1% vs. 85.2%). It was established that 53.6% of patients with ischemic cardiac disease and 45% of patients with diseases of digestive system consult the doctor at the eighth day from the beginning of disease and later. The research data gave an opportunity to elaborate the guidelines and suggestions related to the optimization of the ambulatory polyclinic care provided by the general practitioners (family doctors) and district doctors to urban population.