Organisational technologies for ambulatory outpatient healthcare quality improvement in cardiovascular disease patients

The article presents an innovative clinico-organisational model of medical care in cardiovascular disease (CVD), functioning in a large industrial city. The model is based on the “closed circle” principle, including a unified ambulatory-outpatient system of cardiologic care and a multi-level hospital system of CVD healthcare: therapeutic cardiologic and high-technology surgical service, post-infarction and post-intervention rehabilitation, including sanatorium level. The base of the model is ambulatory service, uniting all city policlinic cardiologists at specialised municipal healthcare centres — cardiology dispansers, and functionally linked to other healthcare — specialised hospitals and sanatoriums. The “closed circle” system: policlinic — hospital — sanatorium — policlinic, facilitates consistency of patients’ treatment; accessibility and quality of healthcare; wide implementation of promising, cost-effective and high technology-based methods of diagnostics and treatment at ambulatory level; and effective use of expensive inpatient cardiosurgery resources. The new model is focused on CVD prevention, quality of life and demographics improvement, and working capacity maintenance in the population.

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