Attention was focused on the latest sophisticated diagnostic and therapeutic situations. SPM coordinates the activities of all consultants, accumulates and enters into a single channel disparate areas of intervention, implementing a modern branch of evidence-based medicine "in the monotherapy polipatologii. Implementation statsionarzameschayuschih technologies - day care (DC) allowed for the first 9 months of 2000 to optimize the management of 211 patients with various diseases (of which 118 - the working population) aged 28 to 77 years with good and satisfactory end result of therapy. Treated 38 people with respiratory diseases, 62 patients with cardiovascular disease, 35 patients with diseases of the digestive and hepatobiliary system, 12 people suffering from diseases of the genitourinary system, 46 patients with neurological profile, 18 people with endocrinological disorders. Medical-economic efficiency, we determined by comparing the cost of day care (costs of drugs, salaries of medical workers, public services) to the cost of treatment in hospitals of category 1. Introduction of new technology resulted in savings of 290,384 rubles. outpatient facilities. For the first time in a day hospital outpatient drug test is used for patients with the most common in the service conditions - chronic obstructive pulmonary disease (COPD) and hypertension (HT). A selection of adequate therapy drugs from the list of soft drugs in 41 patients with COPD and 49 individuals with hypertension. Improved efficiency of treating diseases by eliminating unnecessary costly chemotherapy for good and satisfactory end result of treatment, reducing the ratio cost / effectiveness. Economic efficiency was 12,747 rubles. Developed and implemented prevention programs in 22 family homes where the parents suffered from ischemic heart disease, hypertension risk factors (smoking, obesity, sedentary lifestyle, low tolerance to carbohydrates). In children and adolescents in these families revealed early signs of neurocirculatory dystonia, juvenile dispituitarizma, overweight, physical inactivity. Family prevention program consisted of Dietetics (decrease in total kalorazha, consumption of fats, carbohydrates, salt); dose exercise training, smoking cessation, psychological training. In families with a predominant pathological lesions of COPD parents (18 families), children and adolescents suffered from respiratory allergosis, frequent acute respiratory viral infections (ARI). Implemented programs hygiene housing, clothing, dietetics (food diary); rehabilitation of chronic foci of infection; controlled physical exercise, breathing exercises. In all families in Group 1 6-12 months observed not only decrease the frequency, duration and severity of exacerbations, a decrease from 12 to 8 days per year per worker to temporary disability, lack of progression of organ damage, but also improve quality of life index (with -3,65 ± 1,3 to -1,68 ± 0,54 points) of children and adolescents.
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