Experience in perfection of outpatient pulmonological service


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Abstract

Aim. To obtain objective information on the quality of pulmonological outpatient care for patients living in the North Administrative District (NAD) of Moscow; to propose methods of this care improvement.
Material and methods. An epidemiological study of Moscow NAD population was made to detect respiratory diseases, to assess qualification of district physicians in management of most prevalent chronic diseases of the respiratory system: bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD).
Results. The epidemiological study has revealed standard errors of district physicians in management of BA and COPD patients. Effective measures on reduction of the typical mistakes are proposed.
Conclusion. More active detection of respiratory diseases in Moscow population is recommended.

About the authors

Evgeniy Ivanovich Shmelev

Email: shmelev@mgts.ru

Natal'ya Mikhaylovna Shmeleva

E I Shmelev

Department of Pulmonology of Central Research Institute of Tuberculosis of the Russian Academy of Medical Sciences, Moscow

Department of Pulmonology of Central Research Institute of Tuberculosis of the Russian Academy of Medical Sciences, Moscow

N M Shmeleva

Consulting Diagnostic Center of the North Administrative District, Moscow

Consulting Diagnostic Center of the North Administrative District, Moscow

References

  1. Шмелев Е. И. Амбулаторное лечение больных бронхиальной астмой и хронической обструктивной болезнью легких: результаты Всероссийской программы СВОБОДА. Справочник поликлинического врача 2007; 11: 57-62.
  2. Чучалин А. Г. Белая книга пульмонологии. М., 2003.
  3. Шмелев Е. И. ХОБЛ и сопутствующие заболевания. Пульмонология 2007; 2: 5-9.
  4. Чучалин А. Г. (ред.). Респираторная медицина: Руководство. М.: ГЭОТАР-Мед; 2007, т. 1.
  5. Чучалин А. Г. (ред.). Хроническая обструктивная болезнь легких. М.: Атмосфера; 2008.

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