Development of Model of Stage Health Care System for Patients with Bronchopulmonary Dysplasia. Stage I: Determining the Need for Regional Centers for Diagnosis and Treatment
PDF

Keywords

social medicine
bronchopulmonary dysplasia
incidence
regional center
models
algorithms
planning

Abstract

Graphical and polynomial (quantitative) regional model of bronchopulmonary dysplasia (BPD) prevalence, depending on the number of premature children, was substantiated, composed and proposed for use for the first time. This provides an opportunity to perform generalized comparative (at the state level) analysis of BPD diagnosis. BPD incidence rates in groups of prematurely born children with different levels of BW deficiency (BW) were determined by calculating the ratio between the number of children with BPD and the total number of children in specific groups stratified according to the BW level. Advanced (multi-criteria) algorithm of Centers for Diagnosis and Treatment scope of activity quantitation was substantiated and developed for the first time based on regional frequency of premature children and the degree of their body weight deficiency. Inverse verification of this algorithm was conducted and rather high accuracy for practical use by the health professionals was proved. Nomogram (graphical and tabular versions) for operating planning of the expected absolute number of patients with BPD depending on the number of regional premature children was newly developed and substantiated according to the results of the research.
PDF

References

Belovol AN, Shypko AF, Senatorova AS, Myratova GR. Topical issues of childhood disability in terms of health care system reforming. Zdorovie rebenka. 2014; 5(56): 145-148.

Belovol AN, Kniazkova II, Senatorova AS, Shypko AF. Diagnosis of heart failure in children and adolescents. Zdorovia Ykrainy. 2015; 1-2(32-33): 42-45.

Honchar MO, Senatorova AS, Chernenko LM, Shypko AF, Pushkar OM, Bashkirova NV. Features of physical development and nutritional status of children with bronchopulmonary dysplasia. Sovremennaya pediatriya. 2014; 4(60): 95-99.

Honchar MO, Muratov HR, Strashok OI, Shypko AF. The quality of life of school-aged children in remote observation after cardio surgical correction of congenital heart diseases. Priorities of modern medicine: theory and practice. Proceedings of international scientific conference. 2015 Febr 6-7; Odesa, Ukraine: OMI; 2015; 29-30.

Senatorova HS, Shypko AF, Lohvinova OL, Muratov HR, Pushkar OM, Bashkirova NV. Diagnosis and treatment of bronchopulmonary dysplasia in children: Guidelines. Ministry of Healthcare of Ukraine. Kharkiv National Medical University. Kyiv. 2014; 31.

Dril IS, Kovaleva SV, Shypko AF. Medical and social rehabilitation of children with disabilities. The child and society: problems of development and nutrition. The proceedings of VI Congress of Pediatricians of the Commonwealth of Independent countries. 2014 October 9-10; Minsk, Belarus; 2014; 48.

Lohvinova OL. Gender and family aspects of bronchopulmonary dysplasia in children. Eksperymentalna medytsyna. 2013; 2(59): 115–119.

Lohvinova OL. Assessing the impact of comorbidity on the formation of bronchopulmonary dysplasia in newborns. Mezhdunar. zhurnal pediatrii, akusherstva i ginekologii. 2014; 6 (3): 5–10.

Senatorova AS, Chaichenko TV, Shypko AF. Strategy of pediatric care reforming at the present stage. Neonatolohiia, khirurhiia ta perynatalna medytsyna. 2014; IV; 3(13): 15-19.

Senatorova AS, Shypko AF, Lohvinova OL, Muratov HR. Optimization of medical care for children with bronchopulmonary dysplasia. Neonatolohiia, khirurhiia ta perynatalna medytsyna. 2014; IV; 4(14): 31-35.

Senatorova AS, Chaichenko TV, Shypko AF. Experience of economically developed countries in the organization of pediatric care for the population. Pediatriya. Vostochnaya Evropa. 2014; 3(07): 10-19.

Senatorova AS, Chernenko LM, Shypko AF. Atopy and its role in the course and consequences of bronchopulmonary dysplasia. Actual problems of modern medicine: the scientific discussions. The proceedings of international scientific conference. 2014 October 24-25; Kharkiv, Ukraine: Kharkivskyi medychnyi soiuz; 2014; 64-69.

Senatorova AS, Chaichenko TV, Shypko AF. The organization of pediatric care in the context of the medical education reforming. Education and medicine in the era of globalization: national and international experience. The proceedings of international scientific conference. 2014 November 6-7; Ternopil, Ukraine: Ternopil State Medical University; 2014; 98-99.

Senatorova AS, Chernenko LM, Shypko AF. Prognosis of cardiovascular events in children with bronchopulmonary dysplasia. Priorities of Medical Sciences development in the XXI century. The proceedings of international scientific conference. 2014 April 18-19; Odesa, Ukraine: Pivdenna fundatsiia medytsyny; 2014; 97-98.

Senatorova AS, Chernenko LM, Shypko AF. Respiratory apparatus disorder in the development and the course of bronchopulmonary dysplasia in the premature infants. Medical sciences: history of development, current state and prospects for the research. The proceedings of international scientific conference. 2014 October 24-25; Lviv, Ukraine: Lvivska medychna spilnota; 2014; 75-78.

Chernenko LM, Muratov HR, Shypko AF. Proteinases of destructive actions in children with bronchopulmonary dysplasia depending on the form of the disease. The new and traditional in the studies of modern medical science representatives. The proceedings of international scientific conference. 2015 February 27-28; Lviv, Ukraine: Lvivska medychna spilnota; 2015; 78-81.

Shypko AF. Actual issues of improving medical care for children with respiratory diseases. Medytsyna siohodni i zavtra. 2014; 1(62): 110-116.

Shypko AF. Problematic issues of resource maintenance of regional children’s hospital and ways to improve health care for children. Eksperymantalna ta klinichna medytsyna. 2015; 1(66): 196-200.

Shypko AF. The health of children in Kharkiv region. Medytsyna siohodni i zavtra. 2014; 4(65): 75-79.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Downloads

Download data is not yet available.