[Late hospitalization of patients with acute surgical diseases of the abdominal organs]. / Pozdnaia gospitalizatsiia bol'nykh s ostrymi khirurgicheskimi zabolevaniiami organov briushnoi polosti.

Insufficiently studied problems of late hospitalization of patients with acute surgical diseases of the abdominal organs are discussed from the standpoint of a systemic approach. The mean annual (1982-1986) index of late hospitalization was 1.8 times lower in rural districts of the Rostov region than in urban ones. The level of late hospitalization decreased significantly in towns with a 100,000-150,000 population. The index of late hospitalization was found to increase with the age of the patients. A seasonal pattern of the indices of late hospitalization and a high level of late hospitalization among medical workers were revealed. Study of the patient's medical histories showed factors causing delayed hospitalization. Information collected among the population by means of a questionnaire confirmed insufficient qualification and accessibility of the medical service, which influences essentially the tendency of most of the interrogated persons to temporize or resort to self-treatment when acute, growing pain appears in the abdomen.