Research Article
Volume 5 Issue 4
Mamedov Mehman Niyazievich*, Mardanov Bakhodir Umarovich, Kutsenko Vladimir Alexandrovich and Drapkina Oksana Mikhailovna
October 04, 2024
Abstract
The aim of the study: To conduct a medical and sociological survey among doctors in 4 Commonwealth of Independent States (CIS) countries for the effectiveness of the implementation of secondary prevention of noncommunicable diseases (NCDs) in outpatient healthcare.
Material and methods: Outpatient doctors from 6 cities in 4 CIS countries participated in the simultaneous study. A total of 210 doctors of therapeutic profile took part in the survey: Bishkek (Kyrgyzstan) - 42 doctors, Minsk (Belarus) - 37 doctors, Astana, Shymkent, Aktobe (Kazakhstan) - 55, 30, 10 doctors, Baku (Azerbaijan) - 36 doctors. The survey was carried out according to a questionnaire previously prepared by the National Research Center for Therapy and Preventive Medicine, which consisted of 11 blocks of questions. Answers to each question were offered in several gradations.
Results: In three countries, patients in the age range of 50-59 years prevailed among men who applied to the primary health care unit, whereas in Azerbaijan, men aged 60-65 years were dominant. In the CIS countries, patients most often go to the polyclinic for chronic forms of CHD. In Azerbaijan, Kazakhstan and Belarus, the incidence of type 2 diabetes with or without complications is more than 20%. Doctors in large cities of the CIS countries do not recommend non-drug treatment methods in up to 10% of cases. Preferential drug provision differs slightly between the analyzed cities. In Kazakhstan and Belarus, doctors note about 70% of cases when 75% of the target level is reached. In Kyrgyzstan and Azerbaijan, the same level is reached 2-3 times less often. In Kazakhstan, Belarus and Kyrgyzstan, there is a relatively high frequency (satisfaction in 75% of cases), while Azerbaijani doctors claim that 52% are not satisfied and 44% of cases are partially satisfied with interaction with specialized hospital doctors. In Azerbaijan and Belarus, 75% of the staffing of outpatient clinics prevails. In Kyrgyzstan, in 84% of cases, 100% staffing is detected. At the same time, in Kazakhstan, 50% and 75% staffing levels have a comparable frequency. In these countries, a similar pattern is being monitored for the provision of secondary medical staff at the polyclinic level.
Conclusion: Patients with CHD and type 2 diabetes mellitus predominate among patients with NCDs observed in polyclinics. Adherence to therapy is insufficient in every second case. Coverage of preferential drugs and achievement of target levels of the main risk factors among patients.
Keywords: secondary prevention; non-communicable chronic diseases; medical and sociological survey; doctors; CIS countries
References