scholarly journals Cystic Fibrosis Patient Registries: Domestic and Foreign Experience

2017 ◽  
Vol 14 (2) ◽  
pp. 115-126 ◽  
Author(s):  
Dmitry A. Andreev ◽  
Ekaterina E. Bashlakova ◽  
Natalia V. Khachanova ◽  
Maria V. Davydovskaia

Cystic fibrosis is a multi-organ genetic disease that reduces life expectancy and requires costly complex therapy. The economic burden of cystic fibrosis is determined by the cost of treatment, the conditions for optimizing medical technologies based on epidemiological knowledge of the disease course nature and the therapy effectiveness. In many countries cystic fibrosis patient registries have been created that allow to assess the quality, efficiency and optimality of medical care. Registries are formed at the regional, national, and international levels, which facilitates the collection of complete and reliable patient information for subsequent analysis, comparison and synthesis of clinical and epidemiological indicators. The review is devoted to the actual principles of organization of domestic and some foreign cystic fibrosis patient registries. The article selectively provides examples of information from registries. The application of positive experience of the work of foreign registries in Russia can improve the quality of medical care for patients with cystic fibrosis.

2006 ◽  
Vol 25 (4) ◽  
pp. 702-721 ◽  
Author(s):  
Jason R. Barro ◽  
Robert S. Huckman ◽  
Daniel P. Kessler

Author(s):  
Irina Eduardovna Kravchenko ◽  
A. M. Galieva ◽  
M. R. Gataullin ◽  
A. Y. Vafin

Purpose. To develop ways to improve the regional model of providing medical care to infectious patients in the Republic of Tatarstan on the basis of the rational use of available resources and the introduction of modern medical technologies. Results and discussion. Over the analyzed observation period of 13 years (2005-2017), there was a significant reduction in the resource provision of the infectious diseases service of the Republic of Tatarstan, including the material and technical base, human resources (infectious disease doctors) and the cost of medical care infectious patients. During the same period, the primary infectious morbidity (FM) of the population tended to decrease (the rate of decline was 17.0%). The significant impact of the resource provision of the infectious service (CID, beds, infectious disease physicians) on the indicators of the IZ population (p <0.05) has been established. Effective ways to improve the ways of improving of specialized medical care for infectious patients are presented - the creation of the Republican Advisory Center for Infectious Pathology and reception and diagnostic departments based on infectious hospitals. Conclusions. The introduction of new structural and functional models in the work of the infectious service will improve the availability and quality of medical care for infectious patients throughout the territory of the Republic of Tatarstan in the context of existing resource support.


2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.


2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.


1993 ◽  
Vol 28 (4) ◽  
pp. 838 ◽  
Author(s):  
Germano Mwabu ◽  
Martha Ainsworth ◽  
Andrew Nyamete

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