Saratov JOURNAL of Medical and Scientific Research

primary care

Evaluation of treatment of patients with essential hypertension at primary care units using structured questionnaires (a polyclinic of the Saratov region as an example)

Year: 2016, volume 12 Issue: №4 Pages: 560-565
Heading: Internal Diseases Article type: Original article
Authors: Gerasimov S.N., Korotin A.S., Alexandrova I.N., Popova Yu.V.
Organization: Saratov Institute of Cardiology, Russia, Krasnoarmeysk Regional Hospital, Engels City Polyclinic №4
Summary:

The aim of the article is to assess patients' view on the treatment of hypertension in polyclinic located in the Saratov region using structured questionnaires. Material and Methods. 83 patients (aged 64.6±9.6 years, males 30%) with the diagnosis of essential hypertension who referred to the polyclinic of workers settlement of the Saratov region during the period from July 1, 2015 to July 7, 2015 were interviewed. The questionnaire for patients with elevated blood pressure (BP) developed by S. N. Gerasimov et al. (2015) was used. The questionnaire included 16 questions organized in the following panels: awareness of hypertension and risk factors, BP self-monitoring, conducted treatment, compliance to therapy, referrals to medical care. Results. 90% of the interviewed patients have known previously about BP elevation; 90% of respondents have had a tonometer; 84% of hypertensives measured BP no rare then once a week, and 54% did it daily; 88% of enrollers regularly take antihypertensive drugs. Only 36% of patients could be classified as compliant to therapy according the Morisky — Green scale (had 4 points). 92% of respondents have received one or more advice on lifestyle modification: 82% — advice on eating, 66% — advice on weight reduction, 55% — advice on physical activity, 28% — advice on smoking cessation, 26% — advice on alcohol consumption. 62.7% of patients were interested in organization of special follow-up program. Conclusion. High frequency of BP self-measurement was identified together with low compliance of patients to antihypertensive therapy, good knowledge on non-pharmacologic treatment interventions.

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Actual and unsolved issues of curative and prophylactic care organisation in railway medicine

Year: 2010, volume 6 Issue: №1 Pages: 088-094
Heading: Internal Diseases Article type: Review
Authors: E.V. Molodtzova, G.N. Shemetova
Organization: Saratov State Medical University
Summary:

In the article the actual data about the state of curative and prophylactic medical care in railway medicine have been analyzed. unsolved issues are presented in the study. They concern with the organization and quality supply in prophylactic and rehabilitation work. these problems demand a necessity of further research in this area and development of scientific programs for optimization of curative and prophylactic measures

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GENERAL MEDICAL PRACTICE: STAGES OF DEVELOPMENT AND ROLE OF SARATOV STATE MEDICAL UNIVERSITY IN ITS FORMATION AT REGIONAL LEVEL

Year: 2008, volume 4 Issue: №4 Pages: 9-12
Heading: First article Article type: Original article
Authors: P.V.GIybochko, A.A.Svistunov, G.N.Shemetova
Organization: Saratov State Medical University
Summary:

The article is focused on stages of general medical practice formation in Russia (family medicine) as the basic componentof primary health care. Experience of introduction of general medical practice structure (family medicine) at regional level is shown and the role of Saratov State Medical University in specialists' training is submitted; unsolved problems are also examined.

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DEVELOPMENTAL EXPERIENCE OF GENERAL MEDICAL PRACTICE IN CONDITIONS OF MUNICIPAL HEALTH SERVICE

Year: 2009, volume 5 Issue: №1 Pages: 87-89
Heading: Family Medicine Article type: Original article
Authors: G.N. Shemetova, M.E. Balashova, A.S. Ulyanova
Organization: Saratov State Medical University
Summary:

The research results of volume and character of out-patient aid are presented in the article. The aid has been rendered to urban population in conditions of the Centre of General Medical Practice at Saratov Polyclinic №16. The information given in the article can be useful for the organization of the similar centre in other regions of the country.

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