Quality Assessment of Medical Care at the Stage of Primary Healthcare: the Range of Diagnostic Procedures in Patients with Eczema

Abstract

According to the results of studying the ranges of diagnostic measures among 75 patients with eczema, primary health care quality was assessed. The adequacy/completeness of clinical and anamnestic examination of patients with eczema by general family medicine physicians was at the level of (56.5÷59.8)% being characterized by the underestimation of the state of skin derivatives (microelementosis, vitamin deficiency) in (86.7±3.9)% of patients; the constitutional and biological markers, visceral and functional markers of undifferentiated connective tissue dysplasia in (74.7±5.0)% and (74.7±5.0)% of patients, respectively; the influence of unfavorable regional environmental factors, living conditions and professional activity, clinical and morphological evaluation of rash in (49.3±5.8)% of patients. According to the generalized quality index, the adequacy/completeness of clinical and laboratory examination of patients with eczema was at the level of (58.4÷63.4)% being characterized by a low level of examinations aimed at the detection of possible disorders of microelement homeostasis and comorbidity. According to the generalized quality index, the adequacy/completeness of clinical and instrumental examination of patients with eczema was at the level of 66.5 being characterized by a low level of instrumental diagnostics of autonomic homeostasis state, densitometry, anesthesiometry, imaging study of the joints.

Keywords

• general family medicine
• quality assessment
• diagnostic process
• chronic dermatoses
• eczema