This allows us to reduce costs ...

This reduces the cost of external advice and highlight specialized expertise in complex diagnostic situations and the conduct of dispensary groups of patients (Galkin RA, Pavlov VV, Kuznetsov SI, 1996). The purpose our study was to develop a comprehensive science-based program optimization AVOP to primary medical care. we have taken steps to organize primary health care to the population on the basis of AVOP Leninsky district of Samara gave the following results. Through the implementation of practical knowledge and skills of GPs ( criterial oriented training - Certificate of GDP) managed to change the structure of the outpatient reception. 3a 9 months of 2000 in the structure receiving 30,2% of the patients took neinternisticheskogo profile. Among them: 3,6% - eye disease, 4,7% - diseases of ear, throat and nose with 14,6% - a disease of the nervous system, 5,8% - surgical disease, 1,5% - endocrinological disorders. This reduced the number of external expert advice from 54 (1999) to 28 per month (9 months ago , 2000.) reduce costs by an average of 10,466 rubles. a month without compromising the quality of patient management (time, treatment outcomes are similar to those from Specialists by the criterion of complete case outpatient treatment). Treatment with a GP (based on average case ) costs on 18-26% cheaper than similar services specialists. 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. statsionarzameschayuschih introduction of 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. Medico-economic effectiveness, we determined at compared to 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. of surgery. For the first time in a day hospital outpatient drug test used for patients with the most common in the service conditions - chronic obstructive pulmonary disease (COPD) and arterial hypertension (AH). A selection of adequate therapy drugs from the list of soft drugs in 41 patients with COPD and 49 individuals with hypertension.