Organizing medical care of patients after acute myocardial infarction in conditions of preferential drug provisioning
Year: 2025, volume 21 Issue: №1 Pages: 68-73
Heading: Public health, organization and sociology of health care Article type: Original article
Authors: Bogdanova T.M., Semenova V.A., Rastyagaeva D.A., Fedonnikov A.S.
Organization: Saratov State Medical University
Heading: Public health, organization and sociology of health care Article type: Original article
Authors: Bogdanova T.M., Semenova V.A., Rastyagaeva D.A., Fedonnikov A.S.
Organization: Saratov State Medical University
Summary:
Objective: identification of the relationship between the receipt of preferential drug provision and the development of recurrent vascular events and hospitalizations according to the data of the survey of patients who had suffered myocardial infarction. Material and methods. The study included 304 respondents (68% men, age 62 [47; 72] years, 63.4% — rural residents). At the time of the survey, 74.3% of the respondents were eligible for preferential drug provision. A sociological study using an original questionnaire was implemented through individual oral interviews. Re-sults. The overwhelming majority of respondents were aware of the possibility of undergoing rehabilitation measures (70%) and receiving preferential medications (90%) after suffering a myocardial infarction. Regularly, 188 (61.8%) patients take medications. Of these, 147 (78.2%) receive preferential drug provision. Dispensing of discounted medications to patients after vascular events showed a trend toward decreased seeking of medical care by this cohort of patients, with an odds ratio of 0.026 (95% confidence interval 0.012-0.056). Conclusion. In the Saratov region, there is a significant reduction in emergency medical calls and hospitalizations among patients receiving preferential drug provision within the framework of the Federal Project "Fight against Cardiovascular Diseases."
Keywords: preferential drug provision, Federal Project «Fight Against Cardiovascular Diseases», cardiac infarction
Bibliography:
1. On national goals and strategic objectives of the development of the Russian Federation for the period until 2024. Decree of the President of the Russian Federation dated 05.07.2018 No. 204. URL: http://publication.pravo.gov.ru/docu-ment/view/0001201805070038 (20 Oct 2024).
2. Acute myocardial infarction with ST-segment elevation electrocardiogram. Clinical guidelines. 2024. URL: https:// scardio.ru/content/Guidelines/11012025.pdf (20 Oct 2024).
3. Passportof Federal Project «Fight Against Cardiovascular Diseases». 2019. URL: https://static-0. minzdrav.gov.ru/system/at-tachments/attaches/000/046/710/original/FP_Bor'ba_s_ serdechno-sosudisty mi_zabolevaniyami.pdf? 1565344425 (20 Oct 2024).
4. On approval of the Saratov Region program "Combating cardiovascular diseases" of the regional segment of the federal project "Combating cardiovascular diseases". Resolution of the Government of the Saratov Region dated 31.05.2023 No. 480-P URL: http://publication.pravo.gov.ru/document/64002023060 60009 (20 Oct 2024).
5. On approval ofthe list of medicinal products forthe purpose of providing patients who have suffered acute cerebrovascular
accident, myocardial infarction, as well as those who have undergone coronary artery bypass grafting, coronary artery angioplasty with stenting and catheter ablation for cardiovascular diseases, within 2 years from the date of diagnosis and (or) surgical intervention. Order of the Ministry of Health ofthe Russian Federation dated 11.09.2023 No. 469n. URL: http://publication.pravo.gov.ru /document/0001202309130011 (20 Oct 2024).
6. Mini-Mental State Examination, MMSE, 1975. URL: https://psychiatr.ru/download/4595? view=1&name=mmse. pdf (20 Oct 2024).
7. On the temporary procedure for organizing the work of medical organizations in order to implement measures to prevent and reduce the risks of the spread of the new coronavirus infection COVID-19. Order of the Ministry of Health ofthe Russian Federation dated 19.03.2020 No. 198n. URL: http://publication.pravo.gov.ru/document/view/0001202003190 038 (20 Oct 2024).
8. Pyrikova NV, Mozgunov NA, Osipova IV. Results of pilot remote monitoring of heart failure patients. Cardiovascular Therapy and Prevention. 2022;21 (6):31-51. DOI: 10.15829/1728-8800-2022-3151
9. Baranchikova MV. Assessment of the possibilities of a distance monitoring program in the diagnosis of cardiovascular diseases. Smolensk Medical Almanac. 2019; (1):30-2.
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