Process approach to management of patients with proximal femur fracture in city out-patient hospital

Abstract

Objectives - to analyze the results of process approach to managing patients with proximal femur fracture during one year after the injury, in primary health care center. Materials and methods. We compared the clinical data of patients with proximal femur fracture before the implementation of process management in primary health care and after it. The total number of patients was 233. We used statistical, analytical research methods, as well as organizational modeling. Results. The active use of process approach in the clinic resulted in statistically significant improvement in patients' complete rehabilitation, reduction of the number of local and general complications, and decrease of mortality rate during the first year after the injury from 35.2% to 8.5%. Conclusion. At the stage of primary health care, a step-by-step algorithm, which activates the patients effectively by involving a surgeon, a therapist and the patient's relatives in the rehabilitation process, contributes to mortality reduction, improvement of treatment and rehabilitation results.