METHOD FOR EVALUATION OF QUALITY HEALTH CARE Prehospital in hypertensive patients of older age groups

摘要

health care quality evaluation method prehospital patients of older age groups with arterial hypertension (AH), including the frequency of primary and repeated calls of brigades of "ambulance" on the AG, the time of their arrival to the patient, lifting performance and normalization of blood pressure, health, self-esteem, assessment of the work of medical staff teams "ambulance", particularly complaints of patients, characterized in that further, on the basis of a specially designed questionnaire was evaluated for the reduction mnogofaktornog test about Personality Inventory, Spielberger anxiety test results Hanina on the scale of situational and personal anxiety, the level of reduction of the quality of life for A.G.Gladkova method, the index of physical and psychological components of data quality of life questionnaire «SF-36 V 2 Health Survey Scoring», quality measurement of blood pressure and output an integral health care quality factor prehospital: Kkmpd = Kvsp Kad1 + + + Kad2 Kzh1 Kotka + + + Koz1 KVP Kad3 + + + By + Kad4 Kmt Koz2 + + + Kzh2 Kok1 +! Kok2 CPV + + + Ksmol KLT Fst + + + Kkzh1 Kkzh2f Kkzh2p +,! wherein Kkmpd - integral health care quality factor prehospital in points; ! Kvsp - frequency coefficient brigade call "ambulance" on the AG: when you call the brigade "first aid" on the AG 1-4 times a day Kvsp = 0; ! 1-4 times per week Kvsp = 0.25; ! 1-4 times per month Kvsp = 0.5; ! 1 time in 1-3 months Kvsp = 0.75; ! 1 every 3-6 months Kvsp = 1.0; ! 1 times in 6-12 months Kvsp = 1.25; ! 1 every 12-24 months Kvsp = 1.5; ! Kad1 - lifting factor AD at the time of calling the brigade "first aid": at rise in systolic blood pressure above 60 mm Hg from constant Kad1 BP = 0; ! at rise in systolic blood pressure above 60 mm Hg