Prognosis of medical and economic efficiency of a patient-oriented program implementation aimed at formation of adherenceto drug therapy among rural population
- Authors: Kitaeva EA1, Suetina TA2, Kitaev MA1, Bakirova EA3, Salyakhova LY.4, Vafin AY.4
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Affiliations:
- Rybnaya Sloboda Central Regional Hospital
- Kazan National Research Technical University named after A.N. Tupolev - Kazan Aviation Institute
- Health center of JSC «Zelenodolsk plant named after A.M. Gorky»
- Kazan State Medical University
- Issue: Vol 99, No 1 (2018)
- Pages: 92-100
- Section: Social hygiene and healthcare management
- URL: https://journal-vniispk.ru/kazanmedj/article/view/7815
- DOI: https://doi.org/10.17816/KMJ2018-092
- ID: 7815
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Abstract
Aim. Development and implementation of novel organizational management technologies of medical care aimed at formation of adherence to drug therapy in patients from rural areas and calculation of medical and economic efficiency of implementation of this project.
Methods. The study subject was the population of Rybnaya Sloboda district of the Republic of Tatarstan. Patient recruitment into the groups was conducted in the polyclinic of Rybnaya Sloboda central regional hospital. The duration of the study was 6 months for each of two groups with further follow-up and evaluation of adherence to therapy for 2 months.
Results. Annually stroke affects 5.6 to 6.6 million of people around the world, 35% of whom die in the acute period. Recently, serious rejuvenation of cardiovascular disorders has been observed. The main reason for such trend is low patients’ compliance to drug therapy. And patients’ compliance itself allows significantly decreasing the risk of cardiovascular complications. The article discussed the issues of low compliance to drug therapy, presents the methods of its formation in patients from rural area. The examples of foreign and Russian experience of increasing patients’ compliance to drug therapy are described and the key intervention points for patients are determined. On the basis of conducted analysis, implementation was developed and suggested for patient-oriented program aimed at formation of adherence to drug therapy of rural population. Also, the authors performed evaluation of medical and economic efficiency of implementation of a patient-oriented program aimed at formation of adherence to drug therapy of rural population (assessment of expenditures for medications, hospital stay, incapacity related to the main disease; evaluation of expenditures for prevention of complications and disability).
Conclusion. Effective organization of prophylactic activity is of great importance for prevention of cardiovascular disease complications and directly affects population’s economic well being.
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##article.viewOnOriginalSite##About the authors
E A Kitaeva
Rybnaya Sloboda Central Regional Hospital
Author for correspondence.
Email: kitaevaenge@mail.ru
Rybnaya Sloboda, Russia
T A Suetina
Kazan National Research Technical University named after A.N. Tupolev - Kazan Aviation Institute
Email: kitaevaenge@mail.ru
Kazan, Russia
M A Kitaev
Rybnaya Sloboda Central Regional Hospital
Email: kitaevaenge@mail.ru
Rybnaya Sloboda, Russia
E A Bakirova
Health center of JSC «Zelenodolsk plant named after A.M. Gorky»
Email: kitaevaenge@mail.ru
Zelenodolsk, Russia
L Ya Salyakhova
Kazan State Medical University
Email: kitaevaenge@mail.ru
Kazan, Russia
A Yu Vafin
Kazan State Medical University
Email: kitaevaenge@mail.ru
Kazan, Russia
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