Email this article Long- and short-term results of staged treatment of ulcer patients engaged in oil production
- Authors: Mupavtseva OV, Vakhpushev Y.M, Muravtseva OV, Vakhrushev Y.M
- Issue: Vol 81, No 2 (2009)
- Pages: 36-38
- Section: Editorial
- URL: https://journals.rcsi.science/0040-3660/article/view/30275
- ID: 30275
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Abstract
Aim. To determine clinical and cost-effect efficacy of staged (hospital-day hospital-outpatient clinic) treatment and rehabilitation of patients with ulcer disease (UD).
Material and methods. Of 160 patients with duodenal ulcer 80 patients (controls) received treatment in hospital and 80 patients (the study group) were treated in hospital and day hospital. Efficacy of the treatment was assessed by clinical data, results of device and cost-effect investigations.
Results. Clinical and endoscopic remission of duodenal ulcer was achieved for the same time in both the groups. The cost of the treatment of 1 patient was 23393 and 21163 rub in the controls and in the study group, respectively. Therefore, treatment in a day hospital reduced cost of the treatment. Later, the remission was consolidated by active follow-up in an outpatient clinic.
Conclusion. Staged treatment of UD provides good therapeutic and economic effects compared to hospital treatment.
Material and methods. Of 160 patients with duodenal ulcer 80 patients (controls) received treatment in hospital and 80 patients (the study group) were treated in hospital and day hospital. Efficacy of the treatment was assessed by clinical data, results of device and cost-effect investigations.
Results. Clinical and endoscopic remission of duodenal ulcer was achieved for the same time in both the groups. The cost of the treatment of 1 patient was 23393 and 21163 rub in the controls and in the study group, respectively. Therefore, treatment in a day hospital reduced cost of the treatment. Later, the remission was consolidated by active follow-up in an outpatient clinic.
Conclusion. Staged treatment of UD provides good therapeutic and economic effects compared to hospital treatment.
References
- Вялков А. И. Управление в здравоохранении Российской Федерации. Теория и практика. М.: Гэотар-Мед.; 2003.
- Найговзина Н. Б., Ковалевский М. А. Система здравоохранения в Российской Федерации: организационно-правовые аспекты. М.: Гэотар-Мед.; 2004.
- Медик В. А., Токмачев М. С. Руководство по статистике здоровья и здравоохранения. М.: Медицина; 2006.
- Накатис Я. А., Григорьева Р. Н., Семенова Л. А. Опыт применения координации случая лечения в условиях стационара. Здравоохранение (Москва) 2000; 8: 31-34.
- Решетников А. В. Финансовый менеджмент в системе обязательного медицинского страхования. Экономика здравоохр. 2001; 10: 7-12.
- Линденбратен А. Л. Ресурсосберегающие технологии в деятельности амбулаторно-поликлинических учреждений. Здравоохранение (Москва) 2003; 10: 35-38.
- Савкова В. М., Королев В. Н. Технология ресурсосбережения в здравоохранении региона. Хабаровск: Риотин; 2003.
- Гусейнзаде М. Г. Клинико-экономическое и фармакоэпидемиологическое обоснования оптимизации диагностики и фармакотерапии больных язвенной болезнью двенадцатиперстной кишки: Автореф. дис. ... д-ра мед. наук. М.; 2007.
- Черногорова М. В. Клинико-экономическое обоснование стационарозамещающих технологий в гастроэнтерологии: Автореф. дис. ... д-ра мед. наук. М.; 2007.
- Misiewicz G., Harris A. Clinician's manual on Helicobacter pylori in peptic disease. London: Science; 1995. 1-42.
- Ивашкин В. Т. H. Pylori: биологические характеристики, патогенез, перспективы эрадикации. Рос. журн. гастроэнтерол., гепатол., колопроктол. 1997; 7(1): 21-23.
- Орзиев З. М. Зависимость частоты рецидивов дуоденальных язв от уровня инфицированности слизистой оболочки желудка Hp. Клин. мед. 2001; 4: 35-36.
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