Subject(s)
Ambulatory Care/organization & administration , Day Care, Medical/organization & administration , Delivery of Health Care/organization & administration , Efficiency, Organizational , Ambulatory Care/statistics & numerical data , Day Care, Medical/statistics & numerical data , Delivery of Health Care/statistics & numerical data , Efficiency, Organizational/statistics & numerical data , Internal Medicine/organization & administration , Internal Medicine/statistics & numerical data , MoscowSubject(s)
Immunologic Deficiency Syndromes/diagnosis , Immunologic Techniques , Adult , Autoantibodies/analysis , Diagnosis, Differential , Female , Humans , Immunodiffusion , Immunoenzyme Techniques , Immunoglobulins/analysis , Immunologic Deficiency Syndromes/immunology , Phagocytosis , Pregnancy , Pregnancy Complications/diagnosisABSTRACT
The authors describe a clinical diagnosis center working in close cooperation with a chair of therapy. Analysis of the activities of the center demonstrated the usefulness of medical divisions of such kind for practical health service, for it is at such diagnostic centers that profound examinations of patients, making use of present-day diagnostic methods, is possible at the preclinical stage. Such a possibility was offered to the residents of a large region who previously had to be hospitalized for this purpose. A diagnostic center brings evident economic benefit and is a clinic where physicians of primary health centers upgrade their knowledge and skills.
Subject(s)
Diagnostic Services/organization & administration , Public Health Administration , Clinical Laboratory Techniques , Humans , Moscow , Quality of Health Care/organization & administrationSubject(s)
Diagnostic Services/standards , Physicians, Family/standards , Diagnostic Errors , Humans , MoscowABSTRACT
Experience gained by one of the departments of the interregional diagnostic center (DC) provides evidence in favour of its setting up within the public health system. Owing to the department of functional diagnosis of the center, the outpatients can be examined skillfully, whereas previously only hospitalization was of help. Successful functioning of the department and perfection of its work require at least two conditions. The first one lies in sufficient equipment of the DC with up-to-date facilities and outfits, and the second one in the presence of good specialists, their desire and strivings for constant perfection of the available diagnostic methods and for introduction into medical practice of the new ones.
Subject(s)
Ambulatory Care/standards , Cardiac Care Facilities/standards , Cardiovascular Diseases/diagnosis , Diagnostic Services/standards , Diagnosis, Differential , Heart Function Tests/instrumentation , Humans , Hypertension/diagnosis , MoscowABSTRACT
The experience of the work on multifactorial prophylaxis of coronary heart disease performed on the basis of an urban out-patient center among 40-59-year-old males points to an inadequate response of the population to the primary (57 % after the mailing of 4 invitations) and repeated annual (50-60% of those who have had the primary examination) prophylactic examinations. Over 4 years, 22 % of patients with coronary heart disease and 32 % of patients with arterial hypertension refused to come for out-patient examinations. The number of responses was greater among individuals with risk factors of coronary heart disease. Most therapists from out-patient clinics believe it necessary to carry out prophylactic measures and would like to have more time for this purpose. Yet, many of them doubt that the population will follow medical advice with regard to changing the life style. The population is poorly aware of the role of prophylactic examinations, the effect of nutrition and bad habits on the development of cardiovascular diseases.
