Tret'iakov G V
Probl Tuberk Bolezn Legk. 2007(6):31-4.
A model of the organization and operation of a territorial program-oriented system involving the most significant tasks to deliver inpatient care, the solution of which can positively affect the epidemic situation in a subject of the Russian Federation. The reserves of improving hospital care to patients with tuberculosis is to increase tuberculosis bed turnover, by efficiently distributing the flows of patients, reducing the time of their studies, and performing a complex adequate course of therapy. The ideology of 24-hour hospital care to patients with tuberculosis needs to be corrected, by following the following priorities: to provide with antituberculous drugs in compliance with real needs and depending on the epidemic situation and to perform a complete course of controlled chemotherapy in the patients; to strengthen the material-and-technical basis of tuberculosis care facilities for the creation conditions for medical personnel's safe work and for the reduction of the incidence of occupational morbidity and to enhance the efficiency of a therapeutic-and-diagnostic process; to organize and to perform up-to-date surgical treatment in order to decrease a contingent of patients with chronic forms of tuberculosis.
一个面向地区项目的系统的组织与运作模式,该系统涉及提供住院治疗的最重要任务,解决这些任务能对俄罗斯联邦某一主体的疫情产生积极影响。改善结核病患者医院护理的储备措施包括:通过有效分配患者流量、减少检查时间以及实施全面充分的治疗疗程,提高结核病病床周转率。需要按照以下优先事项纠正为结核病患者提供24小时医院护理的理念:根据实际需求并依据疫情提供抗结核药物,并为患者实施完整的受控化疗疗程;加强结核病护理设施的物质技术基础,创造医务人员安全工作的条件,降低职业发病率,并提高治疗诊断过程的效率;组织并实施最新的外科治疗,以减少慢性结核病患者群体。