THE COMPARATIVE ANALYSIS OF ADHERENCEOFPATIENTS WITH ARTERIAL HYPERTENSION TO THE TREATMENT AFTER PREVENTIVE CONSULTATION PROVIDED BY LOCAL THERAPISTS AND PHYSICIAN ASSISTANTS

Abstract

Purpose: toperform the comparative analysis of adherence of patients with arterial hypertension to the treatment after preventive consultation provided by local therapists and physicianassistants in outpatient conditions. Material and methods. The research was carried out on the basis of the branches of the Central CityPoliclinic of Gomel. 220 patients of the employable age (the average age was 47.1±3.4) suffering from arterial hypertension made the selection group.The selection groupwas divided into two groups. The first group consisted of 110 men and women with arterial hypertension who were given individual consultations by physician assistants. The second group included 100 patients who were given individual consultations by local therapists. Results. On the basis of the received results the indices of the efficiency of updating of a way of life (EUWL),efficiency of medicinal therapy (EMT) and efficiency of medical support (EMS) have been calculated. It has appeared that they are indicative of high efficiency of the preventive consultation, as the expected efficiency of medicinal therapy (1.5) and that of medical maintenance (1.3) inboth the groups are identical. The final index of the expected efficiency of treatment (IEET)did not show any difference in the first and second selection groups (1,4). Conclusion . The preventive consultationsprovided by health care workers in the outpatient conditions have the comparable efficiency. The results of the research aimed at the assessment of adherence of able-bodied patients with arterial hypertension to the treatment afterthe preventive consultations providedby both the therapists and physician assistants have shown that it promoted positive changes in their way of life concerning the importance of modification of way of life, medicinal therapy, and constant medical maintenance.