EVALUATION OF THE QUALITY OF PRIMARY MEDICAL ASSISTANCE TO PATIENTS WITH ECZEMA: STUDY OF THE SCOPE AND ASSESSMENT OF THE ADEQUACY OF TREATMENT AND PREVENTIVE MEASURES

The development of general medical practice as a scientific specialty and practice and the structuring of medical care according to the levels of its delivery are characterized by shifting the emphasis on long-term care for patients with chronic dermatoses to the level of general practitioners. This paper describes the scope of treatment and prophylactic measures at the stage of primary medical care for 75 patients with eczema of different severity. It was revealed that the completeness of the use of non-medicated means in the period between the exacerbations of eczema prescribed by general practitioners was at the level of 56.1 ÷ 60.2% according to the generalized quality index and was characterized by insufficient use of autotraining techniques with elements of psychological correction in 76.7 ± 5,0%, herbal ointments in 72,7 ± 5,1%, as well as insufficient physiotherapeutic corrections in 57,3 ± 5,7%. Adequate use of pharmacological medicines prescribed by general practitioners for the periods between the exacerbation of eczema makes up 53,1 ÷ 53,9% according to the generalized indicator of quality and is characterized by low use of magnesium-containing products in 76,0 ± 4 9% of cases and adrenal gland stimulants in 74,7 ± 5,0% of cases, as well as detoxification agents (53,3 ± 5,8)% of cases.  The analysis of general indicators of the quality of therapeutic and prophylactic process in the periods between exacerbations of chronic eczema has shown that general practitioners prefer to prescribe non-medicinal means, underestimating the importance of using immunomodulatory drugs and vitamins (A, E, B and C).