Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2011 Mar-Apr(2):36-9.
The article deals with the evaluation of medical care rendered by geriatrists and district therapeutist to elderly and old patients. The primary data consisted of expert estimates of 805 medical records of out-patients in three municipal polyclinics of Makhachkala (the Republic of Dagestan). The study revealed such deficits as belated examination of patients by geriatrists (34.9%), district therapeutists (44.4%) and incomplete examination in 27.7% and 34.5% correspondingly. The treatment of patients started untimely by geriatrists (9.8%) and by district therapeutists (14.4%) and it was inadequate in 24.3% and 29.5% correspondingly. The systematic guidelines were developed to enhance the organization and increase the quality of medical care of patients of elderly and old age.
本文探讨了老年病医生和地区治疗师为老年患者提供医疗服务的评估情况。原始数据包括对马哈奇卡拉(达吉斯坦共和国)三家市立综合诊所805份门诊病历的专家评估。研究发现存在以下不足:老年病医生对患者检查延迟(34.9%),地区治疗师检查延迟(44.4%),相应地,27.7%和34.5%的检查不完整。老年病医生(9.8%)和地区治疗师(14.4%)对患者的治疗开始不及时,相应地,24.3%和29.5%的治疗不充分。已制定系统指南以加强组织并提高老年患者的医疗服务质量。