1. WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE L.Barbarash, G.Artamonova, S.Makarov Kemerovo, Russia

2. The requirements of patients, hospital doctors and healthcare managers are different

3. WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Major quality characteristics for patients are conformity with expected needs, attentive and polite staff, alleviating disease symptoms.

4. WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Hospital doctors need, first of all, compliance of assistance rendered by them with modern technical equipment

5. WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Healthcare managers require maximal reduce of populations disability and effective usage of medical resources

6. Success of this work mostly depends on system-like thinking of people organizing medical care

7. About 1 million people live in Kemerovo Kemerovo is on the eleventh place in Russias industrial production. Specific features of Kemerovo are development of basic industries such as coal, chemical. KUZBASS Kemerovo

8. Specific gravity of circulatory diseases in structure of disability and mortality in population of Kemerovo

9. Natural population dynamics in Kemerovo Region in the period of 1987-2004

10. In 1991 a specialized cardiologic dispensary was established in Kemerovo

11. The cardiologic dispensarys main tasks are: extension of accessibility and improvement of the quality of cardiologic care for the population, provision of integrated organizational and methodical management of the cardiologic service of the city and the region, introduction of resource-saving technologies.

12. inpatient units (cardiology) inpatient units (cardio-surgery) consultative and diagnostic cardiologic outpatient clinic cardiologic sanatorium The cardiologic dispensarys organizational structure

13. inpatient units (cardio-surgery) a consultative and diagnostic cardiologic outpatient clinic a cardiologic sanatorium inpatient units (cardiology) The united structure of a cardiologic centre is unique for Russia

14. New noninvasive methods of investigation successfully used on the outpatient step 1.magneto-resonated tomography 2.stress echocardiography 3.transesophagial echocardiography

15. Average number of days to stay in hospital necessary for making coronary angiography

16. Ambulatory coronary angiography number dynamics

17. WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE the average duration of acute myocardial infarction treatment was reduced by 11,3 days, and on the whole by 3,8 days in the profile

18. The level of cardio-surgical activity has grown twice with the same level of reduction in death after surgery

19. WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE patients stay in hospital is 3 days less before the operation and 2,6 days less after it

20. WAYS PROMOTING QUALITY OF CARDIOLOGIC CARE Cardiovascular death growth rate among the population in Kemerovo region decreased from 30% to 15%.

21. Hence cardiologic care quality mostly depends on effective integration of cardiologists, neurologists and cardiovascular surgeons on the basis of united organization and methodological approaches in prevention, diagnostics, treatment and rehabilitation, and promotes better life quality for patients from the social point of view.

22. Thank you for your attention !