Formation of individual and group profilaktic programs using automated monitoring and evaluation of risk factors of development of non-infectious diseases

Abstract

The goal is to develop a system for monitoring and assessing individual risk factors for the development of NCDs by implementing an advanced anamnesis questionnaire into the Unified Medical Information System of the healthcare institution. Materias and methods. The results of the anamnestic survey of 854 patients undergoing a planned prophylactic examination (male patients - 44%, women - 56%, average age of the respondents - 48.0 ± 10.3 rubles) testify to the expediency of introducing into the practice of the primary care physician. The subject of the study was anamnestic questionnaire on advanced questionnaires to determine the necessary diagnostic interventions in order to conduct an annual preventive medical examination, that is, the development of an individual prophylactic program. Results and discussion. Among the respondents, the proportion of those who adhere to the basic principles of a healthy lifestyle - spend on walking at a moderate pace more than 30 minutes a day (69.68% of respondents), daily 4-5 servings of vegetables and fruits (57.4%) or / or 100 grams of fish (62.96%) twice a week and pay attention to the content of fat and / or cholesterol in products when purchased (43.51% respectively) - was quite high - only 4.63% 0.8%, with 19.44% of those polled noted that their habit was to smoke more than one cigarette on the day of the respondents. Among patients, on the basis of anamnestic survey, on average, 13.84% confirmed the presence of illnesses in their close relatives (mother, father, brother, sister) that can provoke the development of NCDs in patients. In particular, 18.29% of the respondents answered the affirmative response to myocardial infarction in mother or sister up to 65 years old and father or brother up to 55 years old. It is the presence of certain risk factors for the development of NCDs, automatic processing of questionnaires and automated analysis of results allowing the formation of an individual prophylactic program of the patient. Conclusion. Thus, an approach to the formation of individual prophylactic programs with the use of monitoring and evaluation of risk factors for the development of NCDs, allows to determine the list of diagnostic examinations for the development of an individual program of passing an annual preventive medical examination, taking into account the results of anamnestic questionnaire, implemented to the Unified Medical Information System of the Health Care Institute.

Keywords

• anamnestic questionnaire, prevention management, noninfectious diseases, risk factors, individual prophylactic programs