The development of organization and provision of medical preventive care of patients with chronic dermatitis

Abstract

The diseases of skin and subcutaneous tissue, despite the constantly improving methods of their diagnosis and treatment, continue to widespread in the population of the Russian Federation. Consequently, it is relevant to develop evidence-based measures of improving dermatological medical care for the population. The purpose of study is to develop and substantiate proposals for improving specialized medical care of patients with chronic dermatitis in megalopolis. The questionnaire survey of 412 patients with chronic dermatitis, residing in Moscow, and 197 dermatovenerologists from Moscow state medical institutions was carried out. The measures of improving dermatological medical care were proposed. The study identified lacking of adequate provision of therapeutic and preventive medical care of patients with chronic dermatitis and their relatively low medical activity. The article substantiates proposals for improving of organization and provision of dermatological medical care, provided by medical and organizational activities for patients and doctors. To select the optimal strategy for patients with chronic dermatitis, the appropriate algorithm was developed that included four consecutive stages: initial examination of patient; patient records filling in with data of additional laboratory diagnosis; prescription of drug and non-drug therapy; conducting of preventive courses of drug therapy and prescription of SPA-treatment. The results of study inputted into identification of risks associated with provision of specialized medical care in area of Dermatovenerology and medical activity of patients including subsequent development of proposals for their elimination.