Analysis of Organization of Dispensary Observation of Patients with Urolithiasis

D. B. Solomchak

Abstract


282 medical charts (p. № 030 / o) of patients with urolithiasis were assessed. The patients were under dispensary control of urologists in ambulatory departments of healthcare institutions in Ivano-Frankivsk region. It has been found that the existing regulatory and legal framework for medical and technological standards of medical care in case of urolithiasis (2004, 2007) doesn’t correspond to modern requirements and doesn’t contain distinct requirements to the terms and scope of outpatient observation. Organizational disadvantages regarding timeliness of detection and ensuring of patients with appropriate treatment and observation were identified while analyzing the structure by age, sex, place of residence, ways of registration and medical supervision of patients with urolithiasis under outpatient control.

When the basic requirements of dispensary observation were not maintained (incomplete coverage of urologist control examinations – 54.0%, laboratory tests – 47.6% and ultrasound examinations – 39.8%), the low level of surgical treatment in  patients with urolithiasis (51.1%) led to its insufficient efficiency and social and economic losses. Many people had been registered more than ten years (18.8%), a high percentage of clinical patients had abandoned forms of urolithiasis (15%), frequent complications (12.4%) and recurrences (11.8%), required expensive inpatient treatment (0.4 hospitalizations per year per one dispensary patient) and became disabled in the working age (5%).

 


Keywords


urolithiasis; dispensary observation

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