CHARACTERISTIC OF EMERGENCY MEDICAL SERVICES TO THE PATIENT WITH CARDIOLOGICAL PROFILE IN THE SOUTH KAZAKHSTAN REGION
https://doi.org/10.17709/2409-2231-2017-4-3-14
Abstract
Purpose. Assessment of the received emergency medical services (EMS) in patients with cardiological profile in the South Kazakhstan region.
Materials and methods. A sociological study was carried out among three compared groups: group 1 — patients of the regional cardiological center (312); 2nd — those who applied to rural outpatient clinics, polyclinics, hospitals (244), and the 3rd — who applied to the central district hospital (228).
Results. The analysis showed that 65.1% of the respondents applied for EMS over the diseases of the circulatory system, mostly they did it 1–2 times a year (44.9%), less often several times a month (15.1%). Several times a week 5.1% of patients were called to EMS. It was found that in 65.5% of cases there was a rapid arrival of the EMS, less than 20 minutes. It should be noted that a long wait for the arrival of the EMS (45 minutes or more) took place in 10.2% of cases. The waiting time, as the reason for the dissatisfaction of the EMS, was more often called the respondents of the 2 nd and 3 rd groups — 94.1% and 93.9% versus 76.5% in the 1st group (p < 0.05). Inattentive attitude of the staff was more often noted by the patients of the 3rd group, and the low availability of free medication was most often indicated in the 1st group.
Conclusion. The received characteristic of the EMS and its assessment by patients with diseases of the circulatory system should be taken into account when developing a package of measures to optimize cardiac care in the region.
About the Authors
Zh. M. BeisenbaevaRussian Federation
full-time postgraduate student of the сhair of Public Health, Health and Hygiene of the Medical Institute,
O. E. Konovalov
Russian Federation
MD, Professor of Chair of Public Health, Health and Hygiene of the Medical Institute Peoples’ Friendship University of Russia, 1 Ostrovityanova Str., Moscow, 117997;
Professor of the Department of Public Health and Health, Health Economics
References
1. Global atlas on cardiovascular disease prevention and control 2011. Edited by Mendis S, Puska P, Norrving B. World Health Organization, Geneva, 2013, 163 р.
2. Bagnenko S, Minnullin I, Teplov V, Razumniy N. Evolution of emergency mфedicine: from battlefield to emergency department. Emergency Medical Care. 2015; 16 (3): 4–9. (In Russian).
3. The State Program of Development of Public Health Services of the Republic of Kazakhstan «Densaulyk» for 2016–2020. Astana, 2016. [Internet]. Available at: https://strategy2050.kz/static/files/pr/gprz_ru.pdf (In Russian).
4. Beisenbaeva ZhM. Epidemiological situation of diseases of the circulatory system in the Republic of Kazakhstan and foreign countries. Materials of VII International Scientific Conference SCIENCE4HEALTH 201. Мoscow: Peoples’ Friendship University of Russia, 2017, pp. 83–85. (In Russian).
5. Mustafin MS. Cardiovasculardiseasein phaseofhealth care. Vestnik KazNMU. 2014; 1: 58–59. (In Russian).
6. Gainulin RM. Organizational and technological aspects of resuscitation of patients with ischemic heart disease at the prehospital stage. Diss. Novosibirsk, 2006, 24 p. (In Russian).
7. Kovaleva АА. Comparative analysis of sudden death cases at prehospital and hospital stages. First Aid: Proceedings of the first All-Russian Congress of Emergency Doctors. Мoscow, 2005, pp. 39–42. (In Russian).
8. Vinogradova TV, Dunayev SM. The study of population satisfaction with hospital care in the Republic of Udmurtia. Problems of Social Hygiene, Public Health and History of Medicine = Problemy Sotsialnoi Gigieny, Zdravookhraneniya, i Istorii Meditsiny. 2011; 5: 19–22. (In Russian).
9. Volkova OV, et al. Results of using a sociological survey to assess the quality of activity of a specialized hospital. Actual problems of public health: a collection of scientific articles. St. Petersburg: «Med. pressa» Publ., 2003, pp. 103–106. (In Russian).
10. Zaitseva EV. Improvement of organizational and methodical approaches to improving the patient’s satisfaction with medical services in the compulsory of medical insurance system. Diss. Ivanovo, 2005, 24 p. (In Russian).
Review
For citations:
Beisenbaeva Zh.M., Konovalov O.E. CHARACTERISTIC OF EMERGENCY MEDICAL SERVICES TO THE PATIENT WITH CARDIOLOGICAL PROFILE IN THE SOUTH KAZAKHSTAN REGION. Research and Practical Medicine Journal. 2017;4(3):128-133. (In Russ.) https://doi.org/10.17709/2409-2231-2017-4-3-14