Presentation on theme: "WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE L.Barbarash, G.Artamonova, S.Makarov Kemerovo, Russia."— Presentation transcript:
WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE L.Barbarash, G.Artamonova, S.Makarov Kemerovo, Russia
The requirements of patients, hospital doctors and healthcare managers are different
WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Major quality characteristics for patients are conformity with expected needs, attentive and polite staff, alleviating disease symptoms.
WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Hospital doctors need, first of all, compliance of assistance rendered by them with modern technical equipment
WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Healthcare managers require maximal reduce of populations disability and effective usage of medical resources
Success of this work mostly depends on system-like thinking of people organizing medical care
About 1 million people live in Kemerovo Kemerovo is on the eleventh place in Russias industrial production. Specific features of Kemerovo are development of basic industries such as coal, chemical. KUZBASS Kemerovo
Specific gravity of circulatory diseases in structure of disability and mortality in population of Kemerovo
Natural population dynamics in Kemerovo Region in the period of 1987-2004
In 1991 a specialized cardiologic dispensary was established in Kemerovo
The cardiologic dispensarys main tasks are: extension of accessibility and improvement of the quality of cardiologic care for the population, provision of integrated organizational and methodical management of the cardiologic service of the city and the region, introduction of resource-saving technologies.
inpatient units (cardiology) inpatient units (cardio-surgery) consultative and diagnostic cardiologic outpatient clinic cardiologic sanatorium The cardiologic dispensarys organizational structure
inpatient units (cardio-surgery) a consultative and diagnostic cardiologic outpatient clinic a cardiologic sanatorium inpatient units (cardiology) The united structure of a cardiologic centre is unique for Russia
New noninvasive methods of investigation successfully used on the outpatient step 1.magneto-resonated tomography 2.stress echocardiography 3.transesophagial echocardiography
Average number of days to stay in hospital necessary for making coronary angiography
Ambulatory coronary angiography number dynamics
WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE the average duration of acute myocardial infarction treatment was reduced by 11,3 days, and on the whole by 3,8 days in the profile
The level of cardio-surgical activity has grown twice with the same level of reduction in death after surgery
WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE patients stay in hospital is 3 days less before the operation and 2,6 days less after it
WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Cardiovascular death growth rate among the population in Kemerovo region decreased from 30% to 15%.
Hence cardiologic care quality mostly depends on effective integration of cardiologists, neurologists and cardiovascular surgeons on the basis of united organization and methodological approaches in prevention, diagnostics, treatment and rehabilitation, and promotes better life quality for patients from the social point of view.