The Role of Primary Care in the Organization of Evidence-based Preventive Measures
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Abstract
The concept of evidence-based prevention is widespread, the embodiment of which is envisaged at the level of primary medical care (PMP), which determined the relevance of the study.
The objective: is to evaluate assess the role of the primary level in the organization of preventive measures based on evidence based on the opinions of the heads of the PMP institutions.
Materials and methods. The research was conducted among 52 organizers of primary health care in the Dnipropetrovsk region. Used independently developed questionnaire. Processing of the results was carried out using standard statistical procedures.
Results. The respondents were fairly knowledgeable about the evidence for common screening tests. The degree of awareness of the managers of PMP institutions in conducting preventive examinations with proven effectiveness correlates with their use in everyday practice (Spearman’s correlation coefficient ρ=0,38; p<0,05). When organizing preventive measures at the primary level, according to the majority of the interviewed managers (92,3%), they rely mainly on clinical protocols for certain ontologies. The list of preventive medical examinations, approved by the new procedure for the provision of PMP, is still not actively used (38,5%). This is due both to the shortcomings of the existing regulatory information on conducting effective screening (42,3% of respondents) and to a certain inconsistency of the provisions of the regulatory act with the USPSTF recommendations.
Conclusions. In the conditions of imperfection of the regulatory framework for screening research based on evidence, it is necessary to introduce a new approach to the organization and conduct of preventive measures in the paradigm of evidence-based prevention. The implementation of proven effective preventive measures should be implemented at the level of primary health care, with its active participation and coordinating role, collaboration with the public health and e-Health.##plugins.themes.bootstrap3.article.details##
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