In the families of the 2 nd subgroups have ...

In the families of the 2 nd subgroups have not only reduce the frequency of attacks of breathlessness, improve lung function, reduction of periods of disability (from 11 to 6 days per year per employee) in adults, but also reliable reducing the incidence of acute respiratory exacerbations and respiratory allergies in children and adolescents (decrease absenteeism in the school from 28 to 17 days per student per year). For the first time in a state of AVOP entered clinical psychologist. well-established pattern of interaction medical psychologist with GPs, at the request of doctors performed 233 Primary consultations individuals with somatoform disorders. The wording of diagnoses carried out in accordance with the International Classification of Diseases 10 th revision and psychiatric synopsis 4 th revision. 121 consultations (52%) was associated with psychosomatic disorders, 56 patients (23%) suffered from hypochondria, y 37 people (16%) was found hidden depression, distimicheskie disorder, accompanied by somatic disorders, 19 patients (9%) - conversion disorder. Psychodiagnostics true method most acceptable to the AFP: Personality Inventory Behterevskogo institute "type attitude to the disease" (Lika A . E., Ivanova, IY, 1980); Luscher color test, reduced multifactorial questionnaire for the study of personality; integral test "Quality of Life (QOL) of the software package of automated medical and psychological examinations" Meditest (Lebedev VB , 1993). Psychocorrection performed by the group and individual psychotherapy, psychotherapy potentiation. The knowledge gained from GPs in the area of ??medical psychology, the "small Psychiatry, allows him to navigate in psychosomatic illnesses," bodily sensations "hypochondriac syndrome neurotic level, somatized unipolar depression type. independently or with the assistance of medical psychologists GPs relieves the patient from unnecessary chemotherapy drugs from the list of essential "that has brought significant economic benefit clinic (14,526 rubles).. The refusal of unnecessary chemotherapy, sometimes many years, at the expense of the patient - not just the best way prevention of drug-disease, but also an essential element in improving the quality of life of patients and their families through savings on the purchase of unnecessary expensive drugs. Evaluating the effectiveness of medical and psychological assistance was carried out on economic criteria and the change in QOL. Calculation of the health and economic benefits of the medical psychologist shall be guided by the possible costs of additional diagnostic methods, counseling specialists, treatment by a therapist neuropsychiatric clinic. The figures were compared with the cost of maintaining medical psychologist (wages, utilities, medications). During the first 9 months of 2000 in savings in the volume of outpatient 58,138 USD . As a result of this work scientifically justified and implemented the basic ways of optimizing your GP surgery, reducing the economic costs without compromising the level of diagnosis, treatment, prevention.