Current approaches in providing medical care for patients with corneal diseases in a large city
- Authors: Konstantinova P.I.1, Kochorova L.V.1, Klyukovkin K.S.1, Antonova A.V.2, Kustov I.S.3
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Affiliations:
- Pavlov First St. Petersburg State Medical University
- Saint Petersburg City Hospital No.2
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 6, No 4 (2021)
- Pages: 63-67
- Section: Public Health and Healthcare
- URL: https://journals.rcsi.science/2500-1388/article/view/96120
- DOI: https://doi.org/10.35693/2500-1388-2021-6-4-63-67
- ID: 96120
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Abstract
Objectives – to analyze the aspects of the specialized ophthalmological medical care for patients with corneal diseases on the example of St. Petersburg.
Material and methods. The data of the patients with corneal diseases treated in hospitals of St. Petersburg were copied onto specially developed cards from the official reporting forms and medical records of inpatients for the period of 5-year follow-up. To analyze the characteristics of patients with a continuous method of observation, we studied data on 2200 patients hospitalized in large ophthalmological hospitals in the city. We also interviewed 840 ophthalmologists in order to identify the main problems. The obtained data were statistically processed with the calculation of statistical series, extensive and intensive indicators. To assess the statistical significance of the differences in indicators in individual years of the observation, we used Student's t-test.
Results. The analysis of statistics revealed an increase in the number of patients hospitalized with corneal diseases in the period from 2015 to 2019. The following problems were identified: nonavailability of keratoplasty in the regions (28.6 per 100 respondents), imperfection of the regulatory basis for corneal transplantation (26.2 per 100 respondents), long waiting list for surgery (22.6 per 100 of respondents), lack of modern medical equipment in a medical organization (20.2 per 100 respondents) and an insufficient number of quotas for operations (20.2 per 100 respondents).
Conclusion. The availability of a sufficient amount of donor material will reduce the waiting time for specialized ophthalmic medical care for patients with severe corneal diseases, and will help create conditions for their satisfaction with the medical care provided to them.
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##article.viewOnOriginalSite##About the authors
Polina I. Konstantinova
Pavlov First St. Petersburg State Medical University
Email: dr.konstantinovapi@gmail.com
ORCID iD: 0000-0002-8448-7228
postgraduate student, Department of Public Health and Healthcare service economics and management
Russian Federation, St. PetersburgLarisa V. Kochorova
Pavlov First St. Petersburg State Medical University
Email: larisakochorova@yandex.ru
ORCID iD: 0000-0002-9016-8602
PhD, Professor, Department of Public Health and Healthcare service economics and management
Russian Federation, St. PetersburgKonstantin S. Klyukovkin
Pavlov First St. Petersburg State Medical University
Email: kljukovkin@mail.ru
ORCID iD: 0000-0001-7536-4421
PhD, Professor, Department of Public Health and Healthcare service economics and management
Russian Federation, St. PetersburgAnastasiya V. Antonova
Saint Petersburg City Hospital No.2
Author for correspondence.
Email: dr.antonova.av@gmail.com
ORCID iD: 0000-0002-2639-2765
ophthalmic surgeon of Ophthalmology department
Russian Federation, St. PetersburgIlya S. Kustov
North-Western State Medical University named after I.I. Mechnikov
Email: il-kust@yandex.ru
ORCID iD: 0000-0002-4575-9163
6th year student
Russian Federation, St. PetersburgReferences
- Got'e SV, Homjakov SM. Problems of application of certain legal norms in transplant practice and ways to solve them. Russian Journal of Transplantology and Artificial Organs. 2016;18(3):6–15. (In Russ.). [Готье С.В., Хомяков С.М. Проблемы применения отдельных правовых норм в трансплантологической практике и пути их решения. Вестник трансплантологии и искусственных органов. 2016;18(3):6–15]. doi: 10.15825/1995-1191-2016-3-6-15
- Romanov SV, Abaeva OP. Presumption of consent for posthumous donation or requested donor consent: analysis of the experience of foreign countries. In: Effective Management in Healthcare: Innovation Strategies. Saratov, 2018:166–169. (In Russ.). [Романов С.В., Абаева О.П. Презумпция согласия на посмертное донорство или испрошенное согласие донора: анализ опыта зарубежных стран. В кн.: Эффективный менеджмент здравоохранения: стратегии инноваций. Саратов, 2018:166–169]. eLIBRARY ID: 37333244
- Prohorenko DV. Problems of implementing the "opting (or contracting) out" model (presumption of consent) for seizure of cadaver organs and (or) tissues in the Russian Federation. Journal of Constitutional Justice. 2017;3:23–28. (In Russ.). [Прохоренко Д.В. Проблемы реализации модели «opting (or contracting) out» (презумпции согласия) на изъятие трупных органов и (или) тканей в Российской Федерации. Журнал конституционного правосудия. 2017;3:23–28].
- [Online resource: Eye Bank] (In Russ.). URL: http://www.mntk.ru/mntk-moscow/Scientific-units/biology/glaznoy_bank/ The link is active on 09.07.2020 [Электронный ресурс: Глазной банк] URL: http://www.mntk.ru/mntk-moscow/Scientific-units/biology/glaznoy_bank/ Ссылка активна на 09.07.2020
- Eye banking statistical report. URL: https://restoresight.org/what-we-do/publications/statistical-report/ Ссылка активна на: 09.06.2020
- Vishnjakov NI, Kochorova LV, Nikitina OG. Revisiting availability improvement of medical preventive services for patients of ophthalmologist. Preventivе and clinical medicine. 2016;2(59):26–30. (In Russ.). [Вишняков Н.И., Кочорова Л.В., Никитина О.Г. К вопросу повышения доступности профилактических медицинских услуг для пациентов врача-офтальмолога. Профилактическая и клиническая медицина. 2016:2(59):26–30].
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