Herald of the mechnikov saint-petersburg state medical academy (profilactical and clinical medicine)




НазваниеHerald of the mechnikov saint-petersburg state medical academy (profilactical and clinical medicine)
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1211

© G.A. Kukharchik, K.G. Politov, U.V. Voronina, S.M. Mikhaylov,

A.V. Shabrov, V.F. Chavpetsov, I.V. Yubrina, 2009


UDC 614.2:616.12-005.8

Kukharchik G.A., Politov K.G., Voronina U.V., Mikhaylov S.M., Shabrov A.V., Chavpetsov V.F., Yubrina I.V. The quality  of  medical  care  received  by patients with myocardial infarction and its possible influence on survival rates in modern conditions // Herald of the Mechnikov Saint-Petersburg State Medical Academy. –2009. - № 2 (31). - Р. 34-38.

The Saint-Petersburg State Medical Academy (I.I. Mechnikov), 195067, Saint-Petersburg, Piskarevskiy pr., 47, telephone: +7 (812) 543-96-09, fax: +7 (812) 740-15-24, e-mail: mechnik@gmail.com

Summary: An evaluation was carried out on the quality of medical care received by 357 patients with myocardial infarction managed on an outpatient level. In 61% of cases the level of quality of care was found to be inadequate. The type of medical errors and their consequences were determined. The results show that the quality of outpatient care influences survival rates of patients recovering from myocardial infarction.

Key words: quality of medical care, myocardial infarction, post-infarction survival.

References:

1. Барашков В.Г. Итоги работы служб качества медицинской помощи амбулаторно-поликлинических учреждений Выборгского района Санкт-Петербурга в 2008 году / В.Г. Барашков, М.С. Николаевич // Управление качеством медицинской помощи в Санкт-Петербурге, сб. научно-практических работ. – СПб, 2008. – С. 129-133.

2. Внезапная сердечная смерть. Рекомендации Европейского Кардиологического общества (под ред. проф. Н.А.Мазур). – М., 2003. – 148с.

3. Карачевцева М.А. Экспертный анализ качества экстренной госпитальной помощи пациентам кардиологического профиля / М.А. Карачевцева [и др.] // Скорая медицинская помощь.- 2004.- № 1.- С. 56-63.

4. Национальные клинические рекомендации. Всероссийское научное общество кардиологов. - М., 2008. – 511с.

5. Сусеков А.В. Основные результаты Московского Исследования по Статинам (Moscow Statin Survey, MSS) /А.В.Сусеков [ и др.] // Сердце. – 2006. – т.5. – №6. – С. 324 – 328.

6. Харченко В.И. Смертность от болезней системы кровообращения в России и в экономически развитых странах. Необходимость усиления кардиологической службы и модернизации  медицинской статистики в российской федерации (Аналитический обзор официальных данных Госкомстата, МЗ и СР России, ВОЗ и экспертных оценок по проблеме) / В.И. Харченко [и др.] // Российский кардиологический журнал. – 2005. - № 2. – С. 5 – 17.

7. Шальнова С.А. Характеристика пациентов высокого риска. Результаты эпидемиологической части научно–образовательной программы ОСКАР/ С.А. Шальнова, А.Д. Деев// Кардиоваскулярная терапия и профилактика. - 2006. - № 5. – С.59.

8. Andrew T. Yan Optimal medical therapy at discharge in patients with acute coronary syndromes: Temporal changes, characteristics, and 1-year outcome / Andrew T. Yan [et all] //Am Heart J. - 2007. – v. 154. – issue 6.- p. 1108 – 1115

9. Scholte op Reimer W.J.M. Cardiovascular Diseases in Europe. Euro Heart Survey / W.J.M. Scholte op Reimer, M.L. Simoons, E. Boersma, A.K. Gitt //– Sophia Antipolis; European Society of Cardiology. – 2006. – 63 с.

10. Swedberg K. Pure heart rate reduction: further perspectives in heart failure / K. Swedberg // Eur Heart J. - 2007.-v.9. – suppl. F. – p. 20 – 24.

Information about the authors:

Kukharchik Galina Alexandrovna - candidate of medical sciences, Associate Professor, St. Petersburg State Medical Academy (I.I. Mechnikov), work telephone: 8-812-545-37-77, home telephone: +7 (812) 533-89-08, mobile: +7- 921-308-38-93, e-mail: gkukharchik@yandex.ru

Polinov Kirill Gennadievich – cardiologist of the cardiological department, St. Petersburg State Medical Academy (I.I. Mechnikov), work telephone: +7 (812)-543-15-71, home telephone: +7 (812) 531-23-97, mobile: +7 (905) 202-67-15, e-mail: politovkirill@mail.ru

Voronina Ulyana Victorovna – assistant of professor, public health organisation and health care quality management department of Advanced Trained Faculty, St. Petersburg State Medical Academy (I.I. Mechnikov), work telephone: 8-812-596-12-96, e-mail - ckk_expert@mail.ru

Mikhaylov Sergey Mikhaylovich – PhD MD, public health organisation and health care quality management department of Advanced Trained Faculty, St. Petersburg State Medical Academy (I.I. Mechnikov), work telephone: 8-812-596-12-96, e-mail - ckk_expert@mail.ru

Shabrov Alexander Vladimirivich – honoured worker of science, academician of the Russian Academy Medical Science, PhD MD, professor, head of the hospital therapy department with courses family medicine, clinical pharmacology and clinical laboratory diagnostic, work telephone: 8-812-545-37-77, e-mail – kafedra-gt@mail.ru

Chavpetsov Viktor Fyodorovich - PhD MD, professor, head of the public health organisation and health care quality management department of Advanced Trained Faculty, work telephone: 8-812-596-12-96, e-mail - ckk_expert@mail.ru

Yubrina Irina Viatcheslavovna - candidate of medical sciences, Associate Professor, St. Petersburg State Medical Academy (I.I. Mechnikov), work telephone: +7 (812) 2251521, home telephone: +7 (812) 5403507, mobile: +7 921 7545461, e-mail: yubrina@gmail.com

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