PREDICTORS OF HEALTH-SAVING, MEDICAL AND PHARMACEUTICAL CARE FOR PATIENTS WITH CHRONIC DISEASES (ON THE EXAMPLE OF PATIENTS WITH DIABETES MELLITUS)

Abstract

The organization of activities for the formation of sanitary literacy of patients with chronic diseases is a socially significant problem, which is very important for patients of the older age group who have many chronic diseases. When analyzing data compliance, it is necessary to identify and take into account the influence of a number of health-saving predictors. The aim of the study is to conduct a multifactorial analysis of health-saving predictors for patients with chronic diseases and to develop methodological foundations for the organization of their medical and pharmaceutical support. Materials and methods. The study of health-saving predictors for patients with chronic diseases was conducted on the basis of the results of an assessment of the behavior and lifestyle of patients with type 2 diabetes mellitus. The empirical database is formed by the results of a survey of 411 patients. Methods of statistical analysis using software products Statistica 10, Microsoft Excel were used. Methods of mathematical statistics were used (Student's two-sample test to assess significant intergroup differences; analysis of average ranks and analysis of variance). Results and discussion. By means of multivariate analysis of health-saving predictors for patients with diabetes mellitus, the most significant parameters of health-saving of patients with chronic diseases have been identified. The systematization of predictors on the basis of "controllability" was carried out. Unmanageable predictors of a patient's health include gender, age, level of education and income; conditionally controlled predictors include the functional state of the body, the presence of comorbidity and/or polymorbidity, the severity of polypragmasia, the duration of the disease; controlled predictors include the level of sanitary literacy and patient compliance, the presence of self-control skills of the disease, the level of social adaptation and the lifestyle. Conclusion. A logical and functional model of strategic management of medical and pharmaceutical care for patients with chronic diseases has been developed and a generalizing cumulative indicator (patient's health saving coefficient) has been formed on the basis of controlled predictors of health saving, which allows to evaluate the health saving potential of a particular patient.