Клінічна та профілактична медицина (Aug 2019)
Theclinical and organizational approach to improving prevention of theepidermal dysplasia of the skin
Abstract
. Improvement of prevention is impossible without the development and implementation of the most optimal ways of providing medical care to create a regulatory framework that regulates the provision of medical care at all levels. High-level scientific and medical information is summarized in clinical guidelines (clinical guidelines), which are the source of standards of care. Aim: To substantiate the application of a clinico-organizational approach to improving the prevention of epidermal dysplasia by developing a clinical algorithm for medical care for patients with epidermal dysplasia based on a process approach. Using the provisions of international standards of care. Material and Methods: The data of persons receiving medical care at the State Scientific Institution “Scientific and Practical Centre of Preventive andClinical Medicine” of the State Administrationduring 2014 to half of the 2019 were used. A retrospective analysis of scientific literature data on topical issues of prevention of epidermal skin dysplasia has been carried out. Results: Based on the analysis of the scientific literature, we have created a clinical algorithm of medical care for patients with epidermal dysplasia of the skin, which includes the screening stage, the stage of diagnosis and stage of treatment, stage of dynamic observation. In accordance with the tasks of each of the stages in the article the movement of patients is analyzed, frequencies of application of diagnostic and therapeutic methods are given. The functions of each specialist in the stages of the medical algorithm are determined. Conclusions: Systematization of scientific literature data, analysis of own research results and use of the principles of process approach allowed to substantiate and structure the clinical algorithm of medical care for patients with epidermal dysplasia of the skin.
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