Stakhovskaia L V, Shekhovtsova K V, Rozhkova T I, Bodykhov M K, Tsurikova V E, Cher I Sun, Surzha T I, Bidenko M A, Skvortsova V I
Zh Nevrol Psikhiatr Im S S Korsakova. 2010;110(9 Pt 2):36-41.
We have conducted a comparative analysis of medical service quality to stroke patients at the pre-hospital stage in Yuzhno-Sakhalinsk and Irkutsk. Periods of hospitalization, including periods of referral of patients (or their relatives) for medical care, arrival of ambulance personnel (AP), time spent by AP on the primary medical care and transportation of patients have been analyzed. We have analyzed periods of referral of people for medical care and assessed the volume and quality of pre-hospital therapy. The high percentage of hospitalization during the period of "therapeutic window" has been found in both cities with the significant prevalence in Irkutsk. The delay in hospitalization was caused by late referral of patients, low level of population awareness on importance of referral for urgent medical care besides the referral to AP. The number of patients transported to a hospital during the time interval (30-40 min) recommended by the WHO did not exceed 30-40% in both cities. Although the volume of medical care at the pre-hospital stage was larger in Yuzhno-Sakhalinsk, the quality of pharmacotherapy used by AP in Irkutsk was more in line with modern standards.
我们对萨哈林斯克市和伊尔库茨克市院前阶段中风患者的医疗服务质量进行了比较分析。分析了住院时间，包括患者（或其亲属）寻求医疗护理的转诊时间、救护人员的到达时间、救护人员进行初级医疗护理和运送患者所花费的时间。我们分析了人们寻求医疗护理的转诊时间，并评估了院前治疗的数量和质量。在两个城市中，均发现“治疗窗”期间的住院率较高，其中伊尔库茨克的患病率显著更高。住院延迟是由于患者转诊延迟、除了呼叫救护人员外民众对紧急医疗护理转诊重要性的认识水平较低所致。在世界卫生组织建议的时间间隔（30 - 40分钟）内被送往医院的患者数量在两个城市均未超过30 - 40%。尽管萨哈林斯克市院前阶段的医疗护理量更大，但伊尔库茨克市救护人员使用的药物治疗质量更符合现代标准。
