[Evaluation of medical services provided to patients with heart ischemia at medical institutions of various professional levels]. / Analiz kachestva meditsinskoi pomoshchi bol'nym ishemicheskoi bolezn'iu serdtsa v meditsinskikh uchrezhdeniiakh raznogo kvalifikatsionnogo urovnia.

The quality of medical care for patients with ischemic heart disease was assessed for a specialized cardiological clinic and cardiological department of a district hospital. Doctor's errors were most numerous in unstable angina pectoris. However, the number and importance of these errors depended primarily on qualification of the cardiologist. The errors in the specialized clinic were less connected with the errors of previous stages of diagnosis and treatment. The results of the trial allowed design of different educating programs oriented on cardiologists of the clinic and hospital.

[Cardiological service: essential components and functions]. / Kardiologicheskaia sluzhba: sushchnost' i funktsii.

A system of cardiological service consisting of five essential components is described: profile of diseases (the object of care and the subject of distributing labour between physicians); qualification of a cardiologist; continuity of care; qualification of a therapist; management. Four main groups of typical targets for cardiological service units are identified. For the purpose of evaluating the performance of the unit of this medical service in dynamics it is suggested to consider it as consisting of three elements (therapist-patient-cardiologist), and the quality of work of each physician as consisting of four interrelated blocks of operations: to assess the health status and diagnose the disease, to make a diagnosis and register it officially, to choose and prescribe treatment, to determine the place for further treatment and follow-up. The data provided could be used for promoting the structure of cardiological service and its components and for choosing the unified method for their further investigation.