O.V. Krivonos
A.I. Burnazyan Federal Medical Biophysical Center, Moscow

Abstract. Background. Given the recent trend towards increased share of the elderly and senile population in the developed countries, late degenerative diseases of the nervous system become of greater importance for theoretical and practical medicine. Nowadays, Parkinson’s disease is one of the most common diseases of the nervous system that are characterized by degenerative changes.

Medical and social importance of this serious disease is emphasized by the trend towards population ageing and, on the other hand, prolonged life of patients with Parkinson’s disease given the existing early detection and adequate treatment. Therefore, a future increase in prevalence of Parkinson’s disease can be predicted in the coming years not only among the elderly but younger ages as well.

The aim of the study was to develop and implement at the regional level a package of measures to organize early detection of patients with Parkinson’s disease at primary care settings.

Objectives of the study included the following ones: a) to study organization of detection of patients with Parkinson’s disease at medical facilities under the Federal Medical and Biological Agency of the Russian Federation in the restricted administrative and territorial entities; b) to develop a stage-wise model of early detection of patients with Parkinson’s disease and evaluate the results.

Methods and data: data from medical documents and sociological survey.

Results. The new stage-wide organizational model for early detection of patients with Parkinson’s was tested and implemented at primary care facilities of the restricted administrative and territorial entities. The developed model includes the following new organizational technologies: setting up clinical and diagnostic offices for care delivery to patients with extrapyramidal diseases at the outpatient departments of medical facilities in the restricted administrative and territorial entities.

Keywords: Parkinson’s disease; clinical and diagnostic office; early detection of patients with Parkinson’s disease; register.

References

1. Voronova E.A., Podluzhnaja M.Ja., Zlobina G.M., Zhukov A.E. On interaction between institutions of social protection and health care for organization of medical and social care to patients with chronic progressing diseases. Problemy upravlenija zdravoohraneniem 2011;4:58-60. (In Russian).
2. Katunina E.A., Avakjan G.N., Bezdol'nyj Ju.N., Ismailov A.M, N.V. Titova N.V., Avanesova O.V. Epidemiology of parkinsonism. Zhurnal nevrologii i psihiatrii 2009;(11):76-80. (In Russian).
3. Katunina E.A., Bezdol'nyj Ju.N. Epidemiological researches in parkinsonism: Guidelines. Moscow: Russian State Medical University; 2010. 43 p. (In Russian).
4. Levin O.S, Fedorova N.V. Parkinson disease. Moscow: MEDPRESS-INFORM; 2012. 352 p. (In Russian).
5. Levin O.S., Dokadina L.V. Epidemiology of parkinsonism and Parkinson disease. Nevrologicheskij zhurnal 2005;(5):41-48. (In Russian).
6. Pohabov D.V., Abramov V.G., Nesterova Ju.V. Epidemiology of parkinsonism. 1-st National Congress. Moscow. 2008: 20-27. (In Russian).
7. Trifonova N.Ju. Some problems of information provision for health and social rehabilitation of various profile patients. Mediko-social'naja jekspertiza i reabilitacija 2007;(2):19-20. (In Russian).
8. Trifonova N.Ju., Ashanina N.M. The role of outpatient facilities in rehabilitation of patients with chronic pathology. “Health and Education in XXI century: Conceptions of diseases and civilization”, X International Congress. Moscow. 2009. p. 75-76. (In Russian).
9. Dorsey ER, Constantinescu R, Thompson JP, Biglan KM, Holloway RG, Kieburtz K, et al. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology 2007;68:384-386.
10. Driver JA, Logroscino G, Gaziano JM, Kurth T. Incidence and remaining lifetime risk of Parkinson disease in advanced age. Neurology 2009;72:432-438.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*