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1.
Article in Russian | MEDLINE | ID: mdl-36282647

ABSTRACT

The anemic syndrome at the stage of primary health care delivery on an outpatient basis is a risk factor for an unfavorable outcome in patients with chronic somatic diseases, primarily cardiovascular and oncological pathologies. In order to understand the true prevalence of anemia among outpatients it is necessary to improve the registration of patients with this disease. Aim: to analyze the features of managing patients with anemia in the primary health care system using a computerized patient monitoring system. The study included 1498 patients aged 18 to 80 who were under dispensary observation by family physicians. For the analysis of the medical records, a computer program developed by the authors "Monitoring system for patients with anemic syndrome" was used. The structure of morbidity in two selected areas of the outpatient department in the context of the main classes of diseases of ICD-10 is analyzed. According to the analysis of the medical records carried out using the program developed by us, anemia was recorded in 208 patients (13.89%), while in the analysis using the computer register according to the WHO criteria, 500 people had anemic syndrome (33.38%), which indicates the underdiagnosis of this pathological condition and the need to direct the efforts of healthcare organizers to the early revealing of patients with anemia.


Subject(s)
Anemia , Humans , Anemia/diagnosis , Anemia/epidemiology , Anemia/complications , Prevalence , Risk Factors , Delivery of Health Care
2.
Sud Med Ekspert ; 64(6): 4-7, 2021.
Article in Russian | MEDLINE | ID: mdl-34814636

ABSTRACT

To date, there is a clear need to improve the physical resources and staffing of bureaus of forensic medicine (BFM), which do not fully correspond to the volume of forensic studies performed and current requirements for their quality and completeness. The objective of the study is to analyze the main performance indicators of BFM for the development of the main provisions of the 'Modern model of organization and performance of forensic examinations in the Russian Federation'. The detailed analysis made it possible to determine goals, objectives and targets for a set of measures to improve the forensic medical examination service of the Russian Federation.


Subject(s)
Forensic Medicine , Research Design , Russia , Workforce
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