Problems of organization of outpatient care for patients with carpal tunnel syndrome

Published: 2023-01-31

    Management in healthcare
  • Peripheral nerve diseases occupy an important place in the structure of morbidity, accompanied by temporary disability and invalidation of the population. In addition, these diseases lead to an increase in the citizens’ and state’s expenditure for maintaining health and active lifestyle.
    P u r p o s e of the study is to analyze and evaluate the routing of patients with carpal tunnel syndrome, formulate proposals for its improvement.
    M a t e r i a l s a n d m e t h o d s . The study used the following methods: analytical, expert assessments of medical organization employees who provide care to patients with diseases of the peripheral nervous system. The analysis of medical documentation of S. P. Botkin City Clinical Hospital have been carried out. The object of the study were patients treated in this hospital from 2007 to 2021.
    R e s u l t s . Analyzing the routing stages of a patient with carpal tunnel syndrome, attention is drawn to the violation of the priority of the patient’s interests not only within the rational use of his time, but also the duration of neuropathic pain syndrome. The timeframes of medical care are violated. In addition, in conditions of limited resources and lean production, budgetary funds are unreasonably spent on the examination of the patient.
    F i n d i n g s . Optimization of routing of patients with this pathology will contribute to the timely provision of high-quality medical care, which will reduce the time of temporary disability and avoid invalidation of population.

    Authors: Boyko Yu. P. [1] Fedyakov A. G. [1] Shcherbin A. V. [1] Razin M. A. [1]

    Tags: carpal tunnel syndrome1 outpatient care6 patient-oriented healthcare model1

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