Khorosh M. Medical and social justification of early detection and primary prevention of cardiovascular diseases as part of medical care at the primary level.

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0417U004630

Applicant for

Specialization

  • 14.02.03 - Соціальна медицина

31-10-2017

Specialized Academic Board

Д 64.600.06

Essay

The thesis is devoted to the scientific study, development and implementation of models for early detection and primary prevention of cardiovascular diseases as part of medical care at the primary level. The proposed model is based on interlayer (population, group and individual) integration efforts for early detection of risk factors for cardiovascular diseases and primary prevention of this group of diseases by timely lifestyle modifications (elimination of the harmful effects of modified risk factors). Resources proposed modli intersectoral collaboration were local authorities, local media, the Department of Health Care Management at the Poltava regional state administration, centers of primary care, general practitioners and family medicine persons equated to them, Faculty of Postgraduate Education of Higher School of Ukraine "UMSA." The main objectives are: implementation of the national plan for the prevention of CVD at the regional level to improve awareness about the risk factors of CVD and on primary prevention CVD, assess the availability, effectiveness and quality of primary prevention CVD teach patients algorithm of actions for primary prevention CVD teach general practitioner family Medicine algorithm steps for early detection and primary prevention CVD. The main components of what happens in intersectoral strategies are: communication (increase awareness of healthy lifestyles, the dangers of risk factors, social events and advertising in the media and broadcasting company, distributing newsletters and monuments), education (provide improving knowledge among different populations of Ukraine, on the importance of healthy eating, physical activity adherence, prevention of addictions, etc), politics (creating the legal framework for healthy lifestyle based on regional characteristics of the population), the environment (changing environment in order to achieve conditions for access to a healthy lifestyle for all strata of the population through the implementation of laws on alcohol, tobacco and a healthy diet, the formation of community organizations and groups support a healthy lifestyle, the algorithm and taking action at home when visiting patients with any pathology regarding primary prevention of CVD, etc.). The consequences of the proposed action should be: establishing partnerships and cooperation between sectors, screening and monitoring of risk factors in primary care, an adequate treatment or lifestyle modification, the algorithm taking action to patients with any pathology regarding primary prevention CVD; timely and comprehensive clinical records taking on patients with CVD or CVD risc factors, creation of support groups organizing a healthy lifestyle; awareness of the need for primary prevention, access to primary prevention at the primary level. Long-term consequences of these actions should be: reduce disability related to CVD and cardiovascular events; CVD reduction of mortality and cardiovascular events; increase the level of survival due to cardiovascular events and reducing the number of repeat heart attacks

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