| Autor: |
Lindenbraten AL; The N.A. Semashko national research institute of public health, Moscow, 105064, Russia., Alekseiev IB; The Russian medical academy of post-graduate education of Minzdrav of Russia, Moscow, 123995, Russia., Aliverdieva MA; The Russian medical academy of post-graduate education of Minzdrav of Russia, Moscow, 123995, Russia, aliverdieva@mail.ru. |
| Jazyk: |
ruština |
| Zdroj: |
Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny [Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med] 2017 Jul; Vol. 25 (4), pp. 211-215. |
| DOI: |
10.1016/0869-866X-2017-25-4-211-215 |
| Abstrakt: |
The development of program of dispensarization of individuals with main chronic non-infectious diseases causing premature death and disability in population is one of strategies of health care system. According the rules of dispensarization, glaucoma, the most severe disease of eye resulting in blindness in case of absence of treatment, is included into listing of main chronic non-infectious diseases. The questionnaire including 35 questions for ophthalmologists of primary medical care was elaborated with purpose of evaluation efficiency of screening of glaucoma within the framework of dispensarization of individuals with chronic non-infectious diseases. The anonymous questionnaire survey of 62 ophthalmologists of primary medical care was carried out. the study demonstrated that the dispensarization system is considered as efficient by 37% of respondents and as an ineffective one -- by 63% of physicians. Nowadays, 32% of respondents more often diagnose glaucoma stage I, 63% 0 glaucoma stage I--II and 5% -- glaucoma stage II--III. The glaucoma is diagnosed by 68% of physicians during self-dependent visits of patients and by 32% during dispensarization. The implementation of tonometry within the framework of dispensarization of adult population is considered by 18% of respondents as a measure that increased diagnosing of glaucoma at early stage. The glaucoma is diagnosed more often at later stages is considered by 50% of respondents and 32% of respondents diagnose glaucoma more often at implementation of tonometry within the framework of dispensarization. The study permitted to conclude that nowadays glaucoma is more frequently diagnosed at early stage though predominantly at self-dependent visit of patients. This occurrence indicates on either inadequate dispensarization coverage of population or low quality of its i9mplementation. The alteration of basic principle of glaucoma screening is required meaning transition from mass screening model with application of tonometry providing high percentage of errors to target screening with application of broadened complex of diagnostic techniques. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
