Saratov JOURNAL of Medical and Scientific Research

Balashov S.V.

Center of Medical and Social Rehabilitation of Medical Unit no.64 of Russian Federal Penitentiary Service, Head of Consulting and Diagnostic Department, Candidate of Medical Science

Assessment of health care quality among penitentiary employees with hypertension in the Saratov region

Summary:

The aim of the study is to assess the quality of health care among penitentiary employees with hypertension in the Saratov region from 2003 to 2013. Material and Methods. The data from 62 employees with hypertension (43 men and 19 women) who followed up in the dispensary of Branch of Center of Medical and Social Rehabilitation of Medical Unit no.64 of Russian Federal Penitentiary Service in 2013 were evaluated. We analyzed retrospectively the quality of health care in every calendar year from 2003 to 2013 according to the following categories: control of blood pressure (BP), control of physical activity, control of smoking, control of weight, control of diet, control of cholesterol. To assess the quality of care we used clinical indicators implemented in the Federal Hypertension Register. Results. During the overall period (2003-2013) counseling on physical activity, smoking, weight and eating was optimal. However, only physical activity was controlled effectively in patients. The measures on control of BP and cholesterol needed improvement. Conclusion. Despite relatively good quality of the majority of health care measures among hypertensive patients in the Center of Medical and Social Rehabilitation, the effectiveness of these measures has been found out to be insufficient. It may be due to poor patients' adherence to recommendations.

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The possibility of using ACCF/AHA (2009) measures for quality assessment of initial prevention of cardiovascular pathology among employees of criminal executive system in the Saratov region

Year: 2014, volume 10 Issue: №2 Pages: 267-271
Heading: Internal Diseases Article type: Original article
Authors: Balashov S.V., Kiselev A.R., Posnenkova О.М., Zhurkin I.G., Gridnev V.I.
Organization: Saratov Institute of Cardiology, Russia, Center of Medical and Social Rehabilitation of Medical Unit no.64 of Russian Federal Penitentiary Service
Summary:

The aim of the study was to assess the quality of cardiovascular pathology prevention among penitentiary employees of the Saratov region using ACCF/AHA (2009) measures. Material and Methods. The data of 1014 employees (829 male and 185 female) aged 33.4±6.8 years were included in the single-step cohort study. All participants underwent an annual preventive health examination in Center of Medical and Social Rehabilitation of Russian Federal Penitentiary Service in the Saratov Region in the period from 01.10.2012 to 01.10.2013. 13 measures by ACCF/AHA (2009) were used to assess the quality of initial prevention. Results. ACCF/AHA (2009) measures revealed deficiencies in the control of the following cardiovascular risk factors in the studied group: low physical activity, high blood pressure and dys-lipidemia. Conclusion. ACCF/AHA (2009) measures were useful for assessment the quality of cardiovascular pathology prevention in organized cohorts (among penitentiary stuff in particular).

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