Issues on optimization of primary health care for working patients with diagnosed hypertension

• Main Authors: Shulpina N.Yu., Erugina M.V., Sazanova G.Yu., Krom I.L.
• Format: Article
• Language: Russian
• Published: Saratov State Medical University 2017-03-01
• Series: Саратовский научно-медицинский журнал
• Subjects: arterial hypertension; economic effectiveness; primary health care
• Online Access: http://www.ssmj.ru/system/files/2017_01_007-009.pdf

<p>Aim: to justify the ways of optimization of availability of primary health care for working-age patients with arterial hypertension. Material and Methods. The study of the availability of drug treatment of working-age patients with arterial hypertension was based on a survey of 409 patients and calculated the average cost of treatment of this group of patients for 1 month in accordance with the care standards. Results. On 01.06.2016, the cost of treatment for a patient with stage 1 hypertension amounted to 316.89 rubles per month, with 2 stage 652.68 rubles per month. 67% of patients of working age are unable to follow the doctor's recommendations and take the prescribed medicines. Conclusion. Provision of free medicines to patients with arterial hypertension of stages 1 and 2 and the formation of their commitment to preventive treatment causes a direct economic effect, which will be 7915979 rubles per year, and indirect economic effect of the decreased mortality from cardiovascular diseases, disability, reduce in disability days and increase of the gross domestic product.</p>