The effectiveness of control of atherosclerosis-related diseases depends on clarification of their pathogenesis, timely and early diagnosis, etiopathogenetic therapy and monitoring of its effectiveness, as well as timely medical and social assessment and prevention.

OBJECTIVE

To analyze the organization and provision of primary specialized medical care for patients with atherosclerosis of peripheral arteries in order to develop the main directions of its improvement in the Yaroslavl region.

MATERIAL AND METHODS

The method of field observation and content-analysis of normative-legal documentation, statistical methods of processing the obtained information were used. 108 patients with peripheral atherosclerosis requiring surgical treatment, including 60 (55.6%) patients with atherosclerosis of extracranial arteries and 48 (44.4%) patients with atherosclerosis of lower limb arteries were examined. An anonymous questionnaire using a standardized questionnaire was conducted, and a medical and social profile of patients with atherosclerosis was compiled.

RESULTS

The problems at the organizational level were revealed, which consist in the absence or outdated regulatory documents, absence of mentioning the vascular department as a structural subdivision in the order of care, and in insufficiently defined routing of patients when referring for surgical treatment. It has been established that the increase in body mass index over 25.0 kg/m² increases the risk of postoperative complications in patients with peripheral atherosclerosis.

CONCLUSION

The ways to improve the organization of medical care for patients with peripheral arterial atherosclerosis have been substantiated: updating of regulatory documents, clarification of patient routing when referring for surgical treatment, inclusion of additional consultation of a health center specialist and/or endocrinologist in order to correct modifiable risk factors.