A.E. Ivanova¹, S.E. Golovenkin², S.A. Suldin^3
1Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
² Krasnoyarsk State Medical University named after professor V.F. Voyno- Yasenetsky, Ministry of Health of the Russian Federation
³ Healthcare Department, Krasnoyarsk Administration

Summary. Reduction of health loss associated with myocardial infarction is necessitated by high disability of this condition and deaths. The aim of the study was to evaluate medical care delivery to patients with high risk for myocardial infarction and survivals in terms of preventable health loss based on a survey of doctors employed at the regional health system of the Kasnoyarsk Territory.

The survey involved 137 physicians (emergency room physicians, therapists, cardiologists) with a mean age of 45.8 ± 0.2 years working in the Regional center health care facilities that provide high-tech medical care as well as in cities of the regional subordination and rural offices of general practitioners.

The survey shows that disability and death from myocardial infarction are preventable in more than half of all cases. According to the respondents the majority of factors affecting preventability of health loss associated with myocardial infarction rest within social (lifestyle) and medical and organizational determinants (timely health encounters), and , therefore, are manageable.

According to doctors, quality of care is the primary point for preventing health loss associated with myocardial infarction (38% of all potentially preventable losses), although the role of other stages is also high.

According to representatives of the Krasnoyarsk region medical community participated in the survey, there are opportunities to prevent health loss associated with myocardial infarction at all stages of care delivery and in all directions. Improved performance of health centers and social advertising, including internet resources, constitute the greatest potential at the level of primary prevention; expanded territorial access to quality early detection of Ischaemic Heart Disease prior to the development of myocardial infarction - at the level of diagnostics; and development of a three-level care delivery system to cardiac patients – at the level of medical care delivery.

Results can be used in the regional health modernization program and development of programs aimed at reducing mortality from diseases of the circulatory system.

Keywords: preventable health loss; myocardial infarction; prevention of behavioural risk factors; early detection; quality of medical care.

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