Experience of Integrated Management of Patients With Diabetic Retinopathy (Example of Analysis of Performance Indicators of a Multi Professional Healthcare Facility)

Abstract

The aim: Conducting an analysis of indicators of the dynamics and prevalence of the main classes of chronic non-infectious diseases of the contingent attached to a multidisciplinary health care institution of the population contingent, to determine the main predictive trends of morbidity for the formation of a strategy for the prevention of diabetes complications, in particular, one of the most dangerous complications - diabetic retinopathy. Materials and methods: In our work, we used the bibliosemantic method and structural-logical analysis. During the research, we analyzed individual indicators of the health status of patients over 18 years of age, who are attached for medical care to the State Scientific Institution «Scientific and Practical Center of Preventive and Clinical Medicine» of the State Administrative Department. Our main focus is on the prevalence of diabetes and its complications. Conclusions: The stability of the dynamics of the general morbidity indicators for the most common nosological forms of diseases of the main rating classes of diseases indicates the effectiveness of measures for the prevention and early diagnosis of diseases among the attached contingent. The levels of coverage of dispensary supervision of patients of SIS «SPC PCP» SAD are quite high (more than 90%). Performing preventive dynamic observations of patients with diabetes and diabetic retinopathy and observing the basic principles of integrated management allows to improve the results of treatment and the prognosis of the course of the disease, because the onset of retinopathy often occurs without obvious symptoms. An important factor is the constant updating and implementation of medical and technological documents for the constant improvement of the quality of medical care.