[The Efficiency of In-Depth Glaucoma Examination within the Framework of Dispensarization of Individuals with Chronic...

In Russia, the population aged 60 years and older is the fastest increasing group. This is the reason of augmenting interest to screening programs permitting to timely detect chronic disease, to proceed with treatment and to stabilize condition of patient. At the same time, screening programs require permanent analysis and development that became a foundation for the actual study. The purpose of the study is to evaluate the medical organizational aspects of the second stage (in-depth) of dispensarization exemplified by glaucoma. The retrospective analysis of 392 out-patient records of patients on suspicion of glaucoma was carried out. The questionnaire for ophthalmologists, consisting of 35 questions, was developed. The anonymous questionnaire survey of 62 ophthalmologists was carried out. The analysis of results of survey established that the most significant problem of dispensarization was shortage of time on reception of patient. This problem was resolved through both partial implementation of all needed examinations (21%) and referring all patients to specialized medical centers. All scheduled manipulations are not implemented by 87% of respondents. All respondents mentioned basically needed equipment as available. The extremely low quality of in-depth examination results in redistribution of load to the specialized medical centers and to increasing of waiting time period from establishment of diagnosis to beginning of treatment of disease. It is necessary to provide continuity of medical care during the second stage of dispensarization by the way of implementation of general scheme of out-patient record and notation of particular methods of examination. These measures will both decrease load on specialized medical centers and permit apply resources more efficiently and reduce time period from suspicion of disease to establishment of diagnosis and beginning of treatment of glaucoma.