Oksak H. Medical and social justification of an optimized model for the provision of tertiary medical care to the patients with acute myocardial infarction

The dissertation research is devoted to the scientific solution of the problem of providing of the tertiary medical care to patients with myocardial infarction. The aim of the work was to create an optimized model of providing of medical care for patients with myocardial infarction, the main purpose of which should be to minimize the risk factors for early complications of AMI in cardiointervention treatment through timely operative diagnostics, territorial accessibility and awareness of patients. For this purpose the main tasks were formed: • development of functional and organizational structure and actually optimized model of tertiary medical care for patients with acute myocardial infarction; • identification of the main biological, medical, behavioral and organizational risk factors for early complications of acute myocardial infarction during cardio-interventional treatment at the individual level; • substantiation of measures of monitoring of the quality indicators of timely provision of tertiary medical care to patients with acute myocardial infarction. The information base of the study were the cards of medical records of inpatients with myocardial infarction (n = 486), data from the Center for Medical Statistics of the Ministry of Health of Ukraine and statistical reports of health care institutions on the incidence and prevalence of myocardial infarction, circulatory diseases and their main forms (coronary heart disease, angina pectoris, arterial hypertension) among the population of Ukraine for the period 2004 – 2018.