Medical and social problem and organization of medical care for people with disabilities due to respiratory diseases due to the development of COVID-19 infection

Abstract

Respiratory diseases require the close attention of medical specialists at all levels of providing medical and diagnostic care to patients, as well as improving preventive measures. In recent years, there has been an increase in the incidence of respiratory diseases, an increase in the number of cases of temporary disability and the disability rate of the population. Disabled people due to respiratory diseases need complex treatment and rehabilitation to improve the quality of life. Purpose of the study. To study the organization of medical care for people with disabilities with respiratory diseases in 2019-2021. given the spread of COVID-19. Materials and methods. For the analysis, the primary registration forms of the State Budgetary Institution of Healthcare of the Republic of Bashkortostan “City Hospital No. 21” in Ufa and the Main Bureau of Medical and Social Expertise of the Republic of Bashkortostan were used. Results. It was found that all disabled people included in the study were hospitalized in 2019 (168.9  hospitalizations per 100 disabled people). The average duration of inpatient treatment was 17.6  days. All disabled people were consulted by general practitioners  – 324.2 consultations per 100 disabled people, the least often consultation of a general practitioner was received by disabled people about bronchiectasis – 228.6 per 100 disabled people. Of the total number of disabled people, only 85.6 % were consulted by a pulmonologist (frequency 118.9  consultations per 100 disabled people). Despite the fact that all disabled people underwent certain clinical and laboratory examinations, their frequency was lower than that provided for by regulatory legal acts. During the COVID-19 pandemic, the level of hospitalization of people with disabilities has significantly decreased, the length of stay in the hospital has decreased, and the volume of consultative, diagnostic and rehabilitation assistance has decreased. Conclusion. The analysis carried out indicates the need to improve medical care for the disabled and to plan measures to increase the volume of medical and diagnostic measures during the outbreak of epidemics of infectious diseases.