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Assessment of medical care accessibility for retinal diseases in the regions of the Russian Federation: opinions of doctors and patients

Year: 2024, volume 20 Issue: №2 Pages: 198-202
Heading: public health Article type: Original article
Authors: Vlasov Ya.V., Fomina Т.А., Sineok E.V., Svetozarskiy S.N.
Organization: Center for the Humanities technologies and research "Social Mechanics", Samara, Russia, Privolzhskiy Research Medical University, Samara State Medical University
Summary:

Objective: to assess the availability of medical care for retinal diseases in the subjects of the Russian Federation according to the data of a survey of physicians and patients with age-related macular degeneration (AMD) and diabetic macular edema (DME). Material and methods. The medical and sociological study included 20 interviews with specialized doctors from 13 subjects of the Russian Federation and questionnaire survey of 264 patients with AMD and 260 patients with DME living in 10 regions of the country. Results. According to the data of the patient survey, AMD and DME were diagnosed during prophylactic measures in 41.3% and 50.0% of respondents (p=0.009). All prescribed intravitreal injections of angiogenesis inhibitors were given free of charge to 64.4-71.4% of respondents. The wait for hospitalization was less than one month for 40.3 and 50.9% of respondents with AMD and DME (p=0.041), respectively. Some of the interviewed patients (18.0%) interrupted the intravitreal injections of angiogenesis inhibitors course due to personal circumstances. According to the data of interviews of medical specialists, the main problems in providing care to patients with AMD and DME include territorial disparities, excessive volume and repetitiveness of preoperative examination and insufficient patient adherence to treatment. Conclusion. Medical care for retinal diseases in the studied regions is characterized in general by a high level of accessibility, which is confirmed by their predominant detection during preventive measures, timely performance of the necessary examination and treatment.

Keywords: age-related macular degeneration, diabetic macular edema, health care availability, intravitreal injections

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All articles of the authors: Fomina Т.А., Sineok E.V., Vlasov Ya.V.

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