Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2012 Vol. 20 No 5

OTORHINOLARYNGOLOGY

E. K. AZAMATOVA1, L. ZH. ATTAEVA2, K. A. EGIAZARYAN 3

PROBLEMS OF SPECIALIZED MEDICAL CARE RENDERING AT CHRONIC TONSILLITIS TREATMENT IN CHILDREN IN THE SUBJECT OF THE RUSSIAN FEDERATION

Medical Establishment of Public Health Care Service City Childrens Polyclinic 2 1, Nalchik,
Kabardino-Balkarian Republic
FSBE Central Scientific and Practical Institute of Organization and Informatization of Public Health Care2, Moscow
State Budgetary Educational Establishment of Higher Professional Education Russian National Research Medical University named after N.I.Pirogov 3, Moscow
The Russian Federation

Objectives. Consideration of problems of specialized medical care rendering at treatment of chronic tonsillitis in children in the subject of the Russian Federation on the example of the Kabardino-Balkarian republic (KBR).
Methods. The retrospective analysis of 2894 medical records of a municipal organization of public health care of City childrens policlinic 1 and a municipal organization of health care of City childrens polyclinic of 2 g of Nalchik from 2001 to 2010 was carried out. The analysis of incidence of children with diseases of respiratory organs was performed. The structural features of public health care of KBR and its personnel resources were analyzed.
Results. Chronic tonsillitis occurs on the average in 4,2% of the general childrens population of KBR; its share in the general structure the ENT diseases incidence makes up 49,3%. The timely treatment begun at the pre-hospital stage allows curing a patient in the out-patient conditions that should limit development of complications and, as a result, reduce the number of addressing to a hospital. At present the volume of rendered specialized medical care isnt sufficient and incapable to satisfy fully needs of the childrens population for the treatment-and-prophylactic and medical-social help.
Conclusions. The most significant because of the social and clinical importance is tonsillar pathology. Now it is possible to say confidently that this subject fell outside the limits ENT diseases and has paramount importance in clinic of childrens diseases. Its explained by considerable prevalence of the disease at children and persons of young age.
In this regard strategy of development of regional public health care in modern conditions should be directed on efficacy increase of material and personnel resources use, improvement of the structure of establishments of public health care, providing a fairness and quality of the medical care rendered at treatment of chronic tonsillitis in children.

Keywords: tonsillar pathology, regional public health care, material and personnel resources of public health care, treatment-and-prophylactic help
p. 105 - 110 of the original issue
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Address for correspondence:
127254, Rossiyskaya Federatsiya, g. Moskva, ul. Dobrolyubova, d. 11, FGBU Tsentralnyiy nauchno-issledovatelskiy institut organizatsii i informatizatsii zdravoohraneniya, otdelenie monitoringa i strategicheskogo planirovaniya regionalnogo zdravoohraneniya,
e-mail: Leyla0505@rambler.ru,
Attaeva Leyla Zhamalovna
Information about the authors:
Azamatova E.K. Candidate of Medical Sciences, Otorhinolaryngologist, ME City Childrens Polyclinic 2 Kabardino-Balkarian Republic, Nalchik.
Attaeva L..Zh. Candidate of Medical Sciences, Senior Researcher of the Department of Monitoring and Strategic Planning of Regional Health of FSBE Central Scientific And Practical Institute of Organization and Informatization of Public Health Care, Ministry of Health and Social Development of Russia, Moscow
Egiazaryan K. A. Candidate of medical sciences, Associate Professor of the Traumatology, Orthopedics and Military-field Surgery Chair of SBEE HPE Russian National Research Medical University named after N.I.Pirogov, Ministry of Health and Social Development of Russia, Moscow.
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