Dispensary observation of patients with peripheral arterial disease is an essential component of their medical care. The current procedure for dispensary observation of adult patients does not establish the norms for conducting examinations of these patients, medical organizations do not identify specialized specialists who would carry out dynamic observation, which hinders the timely provision of medical care.
PURPOSE OF THE STUDY
Perform an analysis of legal documents and an assessment of the actual coverage of patients with peripheral arterial diseases by dispensary observation, identify problems in the organization of its implementation.
MATERIAL AND METHODS
A systematic study of federal regulations on the organization of dispensary observation of patients with peripheral arterial disease was carried out. Dynamics of their coverage with dispensary observation in 2016-2020 studied on the example of the city of St. Petersburg according to the form No. 12 «Information on diseases registered in the service area of a medical organization», extensive indicators and indicators of the dynamic series were calculated.
RESULTS
An analysis of federal regulations governing the provision of medical care and the organization of preventive measures showed that the profile of a doctor who is obliged to conduct dynamic monitoring of patients with peripheral arterial diseases has not been determined, the list, frequency and frequency of treatment and diagnostic measures in the process of dispensary observation have not been established. At the federal level, a full record of these diseases is not carried out, which leads to insufficient coverage of patients with dispensary observation: in 2020 in St. Petersburg it was 43.8%, while in general for cardiovascular diseases it was 67.4%. The trend of differences in indicators has been maintained over the past 5 years.
CONCLUSION
The data obtained on the unsatisfactory coverage of patients with peripheral arterial diseases by dynamic observation indicate the need to optimize organizational approaches to the provision of this medical care, improve legal regulation at the federal level, develop a monitoring system, including through the formation of a patient register that fully takes into account the information about the medical care they received.
