London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 755 775 Stroke prevention Organization of care for patients with cerebrovascular disease in a single-taken large industri-al area with a population of 500 000 people Naberezhnye Chelny, Tatarstan. E.F. Bikmaeva1, A.R. Godunova2, S.G. Musin3, V.D. Meshcheryakova4 Regional Stroke Unit , Regional Emergency Medical Center, Naberezhnye Chelny, RUSSIAN FEDERATION1, Regional Stroke Unit , Regional Emergency Medical Center, Naberezhnye Chel-ny, RUSSIAN FEDERATION2, Regional Stroke Unit , Regional Emergency Medical Center, Na-berezhnye Chelny, RUSSIAN FEDERATION3, Medical Information Analysis Center, Naberezhnye Chelny, RUSSIAN FEDERATION4 Aim: The aim is to create a coordinated system that combines prevention and treatment strategies and en-sures the transfer of scientific advances into practice. Methods: Population monitoring in overall primary and cerebrovascular disease(CVD) incidence, mortality (total mortality and in-hospital mortality), the primary disability in a large industrial area from 2008 to 2011. Results: Annual growth of primary disease was 18.3%. Performance of repeated ischemic annually increased by 1.5%. There is an increase in overall mortality from CVD for 1.8 times. In 2010-2011, the primary disability decreased by 1.7% and in-hospital mortality decreased by 1.5%. We believe it was connected with launch of the second vascular center and draws attention to the unsatisfactory quality of the work of polyclinics. These results have led to the conclusion about the necessity of a new system of preventive services at the macro-level in the test mode, which will combine all of the components of the provision of medical and diagnostic services, in order to prevent new, to reduce the chance of repeated cases and severity of the injury, a stroke unit. Features of the model: -Central structural unit is a prevention cabinet in polyclinic -Creation of algorithms,examination and supervision schemes of prevention at the level of polyclin-ics. -The availability of preventive measures.100% coverage of the population through a system of orga-nized flows in time and space: the territorial principle of public services (dispanserization, medical check-ups),examinations of working population etc. -Establishment of continuity and relationship of preventive services at all stages of the organization of prevention. -Analytical center for primary and secondary prevention at regional level. Conclusions: The use of this model will allow to monitor the quality of care and adherence to the algorithms of patients servicesatn the outpatient and hospital levels to reduce morbidity, mortality from cerebro-vascular disease.
Karger_ESC London_2013
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