morbidity

Organization of specialized medical care for patients with blood disorders in Saint Petersburg

ORGANIZATION OF PUBLIC HEALTH , , , , , , , , , ,

L.U. Zhiguleva and К.М. Abdulkadyrov

Russian Research Institute of Hematology and Transfusiology, Saint Petersburg, Russian Federation

ABSTRACT

Over the past decade, the significant progress was achieved in the outcomes of treatment of blood disorders that reflects not only the advances in the medicine as a whole, but also in molecular biology, chemistry, genetics, nanotechnologies, etc. The rational organization is the key factor for the increased efficacy of specialized medical care. This article includes analysis of the structure, organization, and results of the work of St Petersburg hematological institutions and their influence on the city population health parameters in 2000–2012. The importance of the system approach to the organization of hematological care is also noted. The findings are the decreased mortality from malignancies of hematopoietic, lymphoid, and related tissues, increased their incidence (prevalence) due to increased mean life expectancy of patients, increased 5-year survival rate, decreased total and 1st-year mortality after the diagnosis. The weak link of the hematological care was identified, i.e. insufficient knowledge of hematology among general medical practitioners and pediatricians. The need for further research of personnel workload adequacy and its influence on of hematological care quality is indicated.

Keywords: morbidity, mortality, lethality, hematological care, blood disorders, malignancies of hematopoietic, lymphoid, and related tissues, out-patients-based follow-up, hematopoietic stem cells transplantation, high-tech medical care.

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