Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
966 1 |
SM ISO690:2012 GOLOVIN, Boris. Evaluarea asistenţei medicale prestate persoanelor decedate în condiţii extraspitaliceşti
. In: Sănătate Publică, Economie şi Management în Medicină , 2010, nr. 1(30), pp. 4-13. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 1(30) / 2010 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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Pag. 4-13 | ||||||
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The survey was aimed at emphasizing the weaknesses in the processes of providing healthcare services to deceased people in extrahospital conditions, in order to reveal the reason for organizational measures for healthcare quality improvement. The survey sample included 2782 death cases in extrahospital conditions for common diagnostics groups. The research revealed that the lack of the mandatory healthcare insurance at the population in rural areas and within the age groups of 18-57 and 62 is one of the main causes of the late medical aid appeal ability (one of the most important factors that determine high extrahospital mortality). Patient monitoring with major diseases is deficient and an important cause of death. Over 65% of extrahospital deaths, within the workingage population, were caused by heavy alcohol consumption. The non-conformity of diagnostics investigations with the requirements of national clinical protocols, accounts for: 62,1% of pneumonia deaths; 46,7% of myocardial infarction deaths and 30,1% of stroke deaths. The research revealed that in over 70% cases of patients with pneumonia, 39% cases of patients with myocardial infarction and 28% cases of patients with stroke medication, therapy during hospitalization did not correspond to the demands. The surgical treatment applied in rayonal hospitals corresponded to the requirements of national clinical protocols only in 33,7% cases. It was also identified that patient rehabilitation services for the afore mentioned serious diseases are underdeveloped and that only 50,9% of the at home deaths surveillance carried out by family doctors, were in accordance with the national clinical protocols. From the survey results it was concluded that in 6,6%
of the cases, death could have been avoided altogether, and that in 13,1% of the cases, it could have been prevented if the quality of provided services corresponded to the established requirements. In this sense, there is a stringent need for developing and implementing patient-centered quality programs,
so that the healthcare services would satisfy the consumers’ needs and expectations.
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Cuvinte-cheie healthcare quality, investigations quality, medication therapy quality, surgical treatment quality, patients’ surveillance |
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