Integrated Assessment of the Quality of Medical Care at the Primary Level in Patients with Chronic Dermatoses by General Practitioners-family Medicine

Abstract

With the use of information-entropy analysis, an integrated quality assessment (IEC) of medical care for patients with chronic dermatosis (CD) was performed by general practitioners-family medicine. It is proved that the level of adequacy of the clinical and anamnestic examination for CD varies from 62.7±4.3% to 59.1±3.6%, and the IEC of this component of the diagnostic process is in the range of 3.543÷4.349 bytes with an improvement reserve without additional material costs (due to the standardization of anamnestic examination). It was determined that the adequacy of the use of clinical and laboratory examination of patients with CHD ranges from 58.3±4.4% to 68.0±5.3% if there are reserves of improvement, primarily due to simple and accessible for primary care laboratory diagnostic procedures. It has been demonstrated that pharmacotherapeutic correction has the greatest contribution to IPO in CD: with psoriatic disease – 60.5±3.4%, with chronic eczema – 53.9±2.3%, while the use of non-medicaments in the period between exacerbations of CD remains additional reserve of improvement of medical care at the primary level of its provision.