Scientific journal
International Journal of Applied and fundamental research
ISSN 1996-3955
ИФ РИНЦ = 0,593

Personal portfolio

2
2 The chef of GPs training centre, PhD
Development of primary health care is one of the priorities of Reform Program in the Republic of Uzbekistan. Over the past 10 years created rural medical centres in all regions of the Republic und introduce new key specialty – General Practitioner (GP). Our study consideration is being given to the improvement of (i) medical centres activity, (ii) quality of the diagnosis, treatment and prevention of hypertension patients. Information was collected by special questionnaire, testing the physicians’ knowledge and skills by direct observation and checking the medical records of hypertensive patients. We found that not all of physicians carried out a full examination of patients with hypertension, 42 % of them considered detection of proteinuria, 41 % – of blood sugar and not all GPs to examine the fundus. The analyze of patient medical records showed, that in 92 % of them checked ABP during last months, 61 % – a diagnosis was recorded correctly with of the degree and risk. Follow up observation of patients took place every 3-6 months in 61 % of them. Thus, in the questionnaires physicians correctly answered most of the questions related to manage of hypertension. However, in consultations they insufficiently informed patients about their disease, treatment or the side effects of medicines. The analysis of patient medical records shows that even being aware of clinical guidelines recommendations, physicians do not record their consultations adequately or fully.
general practitioners
hypertension
medical records
arterial blood pressure
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