Siberian Journal of Life Sciences and Agriculture (Apr 2020)

POINT-RATING SYSTEM (PRS) FOR ASSESSING THE MEDICAL EFFICIENCY OF THE HEALTH SCHOOL (ON THE EXAMPLE OF MDR/XDR MBT MALE PATIENTS)

  • Vartan Tarasovich Chubaryan,
  • Galina Ivanovna Sayenko,
  • Igor Yuryevich Khudonogov,
  • Evelina Andreevna Pustoshilova

DOI
https://doi.org/10.12731/2658-6649-2020-12-3-55-69
Journal volume & issue
Vol. 12, no. 3
pp. 55 – 69

Abstract

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Relevance: research on the effectiveness of information and cognitive interactions between doctors and patients in the framework of health schools (HS) is carried out quite often. However, they ignore the clinical effectiveness of attending HS by patients, especially if they are patients with multidrug-resistant Mycobacterium tuberculosis. Goal: to develop a point-rating system for evaluating the medical effectiveness of classes in HS and implement it in the work of practical health care. Methods: clinical (development and testing in practice of objective scales for determining the initial level of severity of the condition and the effectiveness of treatment of patients with MDR / XDR MBT); laboratory (copying from medical histories of data on morpho-functional characteristics of patients): sociological (copying from medical histories of data on the socio-economic status of patients with MDR / XDR MBT); statistical – we used rank correlation, T-criteria, logical and linear regression, growth rate of relative values, angular coefficients of linear trends, and approximation reliability indicators to analyze data on a cohort (74 men) of middle-aged patients of the Regional Clinical Phthisiopulmonology Center, of whom 40 were engaged in HS, and 34 (control group) were not. Results: the growth rate of angular coefficients in linear regression formulas for the studied groups indicated that the rate of “set” of positive dynamics in patients from the group who visited the HS was 33% higher than in those who did not attend, and they also had have an average of treatment effectiveness group score by 18.8% higher. Conclusion: implementation of the PRS objective estimation of the initial state and efficiency of treatment of patients with MDR/XDR MBT at the group level allow you to compare the medical effectiveness of similar offices in various MO or changes in one Department for different time intervals and ease the association of TB services to a single information and medical space of the Russian Federation.

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