ways promoting quality of cardiologic care l.barbarash, g.artamonova, s.makarov kemerovo, russia
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 population’s 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 Russia’s 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
17,1%
morbidity
47%
mortality
50%
disability
Natural population dynamics in Kemerovo Region in the period of 1987-2004
-10
-5
0
5
10
15
20
87 88 89 90 91 92 93 94 95 96 97 98 99 ОО О1 О2 О2 О4
mortality birth rate natural growth
In 1991 a specialized cardiologic dispensary was established in
Kemerovo
The cardiologic dispensary’s 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 dispensary’s
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
15,6
64,5
32
0
5
10
15
20
25
1994 1996 1998 2001 2002-2004
Ambulatory coronary angiography number dynamics
168
104
69
3121
0
50
100
150
200
250
300
1996 1998 1999 2001 2002
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
78 75,780,4
48,3
30
40
50
60
70
80
90
1999 2000 2001 2002-2004
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%.
8,6
6,7
0
1
2
3
4
5
6
7
8
9
Kemerovo region Kemerovo
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.
Thank you for your attention !