Implementation stages of the complex program of the Yakut Scientific Center for Complex Medical Problems on improving the model of specialized medical care for patients with neurodegenerative diseases in the Republic of Sakha (Yakutia)
https://doi.org/10.25789/YMJ.2022.79.11
Abstract
Neurodegenerative diseases (NDD) are one of the most important medical and social problems of modern society, as they are characterized by a continuously progressive course, severe disability of patients and the absence, in the vast majority of cases, of etiotropic methods of treatment. A significant part of the diseases in this group is age-dependent and develops mainly in the elderly and senile age. The absence in the Republic of Sakha (Yakutia) (RS (Y) of a round-the-clock specialized hospital for the provision of medical care (MC) for patients with NDD is an urgent problem of regional healthcare. To date, the epidemiological situation of NDD in the RS (Y) remains insufficiently studied, despite The fact that the list of NDD under the code ICD-10 "G10-G37" is very wide and, according to annual reports, accounts for 75% of primary diseases of the nervous system. The article presents a comprehensive scientific program developed at the Federal State Budgetary Scientific Institution "Yakutsk Scientific Center for Complex Medical Problems" (FBSI YSC CMP). The program is aimed at improving and improving the existing model for providing specialized medical care to patients with neurodegenerative diseases (NDD) in the Republic of Sakha (Yakutia) (RS (Y). The comprehensive program included 5 consecutive stages that made it possible to open on the basis of the Clinic of YSC KMP Center for Neurodegeneration diseases (CNDZ), in which patients can receive both outpatient and inpatient care. This improved organizational model for the provision of specialized medical care to patients with NDD in the Republic of Sakha (Yakutia) was created as a result of the integration of a medical research institution and regional health authorities.
About the Authors
T. K. Davydova
FBSI Yakut Scientific Center of Complex Medical Problems
Russian Federation
Russian Federation
Davydova Tatiana Kimovna – Ph.D, Leading Researcher
A. N. Romanova
FBSI Yakut Scientific Center of Complex Medical Problems
Russian Federation
Russian Federation
Romanova Anna Nikolayevna – MD, head
N. V. Savvina
NEFU them. M.K. Ammosova, t. Yakutsk
Russian Federation
Russian Federation
Savvina Nadezhda Valeryevna – MD, Department of Medical Institute
Yakutsk
N. A. Schneider
FSBI V.M. Bekhterev National Medical Research Center of Psychiatry and Neurology, St. Petersburg
Russian Federation
Russian Federation
Schneider Natalia Alekseevna – MD, visiting research fellow, Institute of Personalized Psychiatry and Neurology
St. Petersburg
References
1. Guryeva P.I. Clinical and genetic characteristics of Charcot-Marie-Tut disease type 1A in the Republic of Sakha (Yakutia) / Guryeva P.I., Maksimova N.R., Nikolaeva T.Ya., Gurinova E.E., Korotov M.N., Stepanova S.K., Sukhomyasova A.L., Okoneshnikova L.T. Yakut Medical Journal. - 2013. - N 3 (43). - P. 26-29.
2. Davydova T.K. Sporadic amyotrophic lateral sclerosis in the Republic of Sakha (Yakutia) / T.K. Davydova // Bulletin of NEFU.- 2015.- No.2 (12) .- P. 119-123.
3. Illarioshkin, S. N. Modern possibilities of identifying the latent stage of the neurodegenerative process / S. N. Illarioshkin, A. G. Vlasenko, E. Yu. Fedotova // Annals of Clinical and Experimental Neurology. - 2013. - 2 (7). – Р. 39–50
4. To the assessment of outpatient care for the elderly and senile age / Gitinova Z.A., Magomedov R.G., Aliev A.K., Shamsudinov R.S. // Problems of social hygiene, public health and the history of medicine. 2017; 25(2): 101-103. DOI 10.18821/0869-866X-2017-25-2-101-103
5. Levin, O.S. Epidemiology of parkinsonism and Parkinson's disease / O.S. Levin, L.V. Dokadina // Neurological journal. - 2005. – No. 5. - P. 41–49.
6. Hereditary diseases of the nervous system in the Republic of Sakha (Yakutia) / Nikolaeva IA, Korotov M.N., Gurinova E.E., Stepanova S.K. et al. //Yakut Medical Journal. - 2009. – No. 2 (26). – Р. 52-54.
7. Order of the Ministry of Health of the Russian Federation of June 2, 2015 N 290 n.
8. Order of the Ministry of Health of the Russian Federation3 dated 15.11.2011 No. 926n "On approval of the Procedure for providing medical care to adults with diseases of the nervous system".
9. Order of the Ministry of Health of the RS (I) for No. 01-07/184 dated 02/14/2019. "On the procedure for routing neurological patients suffering from neurodegenerative diseases at the outpatient and hospital stages."
10. Sukhomyasova A.L. Autosomal dominant myotonic dystrophy in the Republic of Sakha (Yakutia):diss. abst.candidate of Med. Scie.Tomsk; 2005.- 22 р.
11. Decree of the Head of the RS(I) dated December 27, 2016.2. "On approval of the regulations of the Ministry of Health and its Board" (Appendix 1, paragraphs 3.11, 3.19, 3.20).
12. Epidemiology of Parkinson's disease in the Republic of Sakha (Yakutia) / T.E. Popova, A.A. Tappakhov, T.Ya. Nikolaeva, L.T. Okoneshnikova and others // Yakutsk Medical Journal.-2017.- No.3 (59) .- P.98-101
13. Lane C.A. Alzheimer's disease / C.A. Lane, J. Hardy, J.M. Schott // Eur J Neurol Review.- 2018.- 25 (1). P. 59-70. DOI: 10.1111/ene.13439. Epub 2017 Oct 19.
14. Platonov F.A. Genetic fitness and selection intensity in a population affected with high-incidence spinocerebellar ataxia type 1 / F.A. Platonov, K. Tyryshkin, D.G. Tikhonov [et al.] // Neurogenetics. - 2016. - V.17(3). Р.179-185. doi: 10.1007/s10048-016-0481-5.
15. https://www.neurology.ru.
16. https://ihb.spb.ru.
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For citations:
Davydova T.K., Romanova A.N., Savvina N.V., Schneider N.A. Implementation stages of the complex program of the Yakut Scientific Center for Complex Medical Problems on improving the model of specialized medical care for patients with neurodegenerative diseases in the Republic of Sakha (Yakutia). Yakut Medical Journal. 2022;(3):42-46. https://doi.org/10.25789/YMJ.2022.79.11
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