Issue №5-22, 2023

The Role of Continuity in the Provision of Medical Care to Patients Diagnosed with Coronary Heart Disease

¹ Shakhnoza T. Iskandarova, ¹ Zohid A. Abdurakhimov, ¹ Rano A. Zakirkhodzhaeva

¹ Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan

ABSTRACT

INTRODUCTION. More than 36 million people die from NCDs each year (63 % of deaths worldwide), of which 14 million people die prematurely, that is, before the age of 70 years, the majority could be prevented through the organization of continuity and consistency in the organization of health care. In 2021, based on the experience of developed countries of the world, a standard form of the «Algorithm» for patient care in an outpatient setting after hospital treatment was developed (including stages of observation, periods of clinical examination and mechanisms for organizing rehabilitation services, including diet, exercise therapy and sanatorium-based treatment). A study was conducted among patients diagnosed with coronary heart disease regarding the organization of continuity and consistency of rehabilitation services after inpatient treatment in conditions outpatient clinics in the Yakkasaray district of Tashkent.
AIM. To study the practice of applying the organization of continuity and consistency in the provision of medical care for NCDs in Uzbekistan.
MATERIALS AND METHODS. The materials were the results of a study of patients diagnosed with coronary heart disease in 2021 — 537 patients and in 2022 — 596 patients in the Yakkasaray district of Tashkent. Retrospective, analytical research methods were used for the analysis.
RESULTS. In 2021, a total of 537 patients diagnosed with coronary heart disease received inpatient treatment in family clinics of the Yakkasaray district, and only 195 (36 %) brought discharge summaries, 195 (100 %) patients were taken for treatment as prescribed by doctors at outpatient clinics — control, 173 (88 %) 10 (5 %) underwent ECG and EchoCG, respectively, and 12 (6 %) patients were sent to sanatorium treatment. In 2022, in family clinics of the Yakkasaray district, a total of 596 patients received inpatient treatment, of which 535 (89 %) brought a discharge summary of inpatient treatment, 535 (100 %) patients were taken for D-control as prescribed by doctors from outpatient clinics, 535 (100 %) active patronage was established with an explanation of proper nutrition, physical activity, physiotherapeutic treatment, and 84 (16 %) patients were sent to sanatorium treatment.
CONCLUSION. Continuity and consistency are important in improving the quality of medical care, so healthcare organizers need to introduce new methods and improve existing approaches to improve the relationship between inpatient and outpatient clinics.

KEYWORDS: continuity, extract from medical records, coronary heart disease

Acknowledgments: The study had no sponsorship.

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: Iskandarova Sh.T., Abdurakhimov Z.A., Zakirkhodzhaeva R.A. The Role of Continuity in the Provision of Medical Care to Patients Diagnosed with Coronary Heart Disease. Bulletin of Rehabilitation Medicine. 2023; 22(5): 110-116. https://doi.org/10.38025/2078-1962-2023-22-5-110-116 

For correspondence: Zohid A. Abdurakhimov, E-mail: zohid1970@mail.ru

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.