Cherkashyna L. A patient-oriented strategy for an integrated management of cases with chronic dermatoses and its realization in the system of primary medical care.

Object of research: the system of primary medical care in chronic dermatoses and its components. Purpose of research: to improve the effectiveness of prevention and treatment of patients with chronic eczema and psoriatic disease at the stage of primary medical care on the basis of determination of the most informative factors of their exacerbations, clinical-syndromological complexes and psychological indicators of exacerbations on the ground of personalization of programmes of educational-behavioural correction in a complex with correction of disorders in oxidative and immune homeostasis. Features of epidemiology and risk factors of exacerbations, as well as symptom complexes and syndromes: psychosocial disadaptation, neurogenic and stato-locomotor manifestations, dysplastic-dependent dysmorphia; as a component of the sphere of competence of the general practitioner, the complex of psychosocial maintenance of the physician-patient compliance and the system of evaluation of the quality of medical care, as well as the differentiated use of the preparations "Glutargin", "Erbisol" and their combinations in combination with educational and behavioral correction, are justified long-term remission at the first level of care.