Abstract
Introduction. In recent decades the results of surgical treatment and those of the survival children with congenital heart disease
(CHD) requiring treatment have improved and got up. At the same time, despite its relevance, many problems of the organization of
skilled cardiac care and rehabilitation of children after surgical treatment of CHD - are still remain very actual.
Material and methods. In the article we analyzed the factors that influence the results of availability of the qualified cardiac care and
the rehabilitation of the children after surgical treatment of CHD living in Moscow region. The study included questionnaires was completed
by 311 physicians: 288 pediatricians, 23 cardiologists. Who participated in the survey of physicians of 89 institutions located
in 31 administrative territorial units (ATU), including Moscow region. Availability of cardiac care (CC) children with CHD has been
evaluated in the three areas: 1) the means of availability CC made by respondents; 2) the availability of pediatric cardiologist (PC), a
leading outpatient care in the health facilities; 3) the distance from Moscow ATU where the Cardiac hospitals are situated and in which
children with CHD underwent operations.
Results. In most of the ATU of the Moscow region clearly evident that there are the correlation links between the use of indicators of
availability of cardiac care for children with CHD. For medical rehabilitation of children after surgical treatment CHD guide 70 (24.3%)
of 288 pediatricians. Most respondents (n = 218; 75.7%) said that they had not engaged in the direction of children with CHD to medical rehabilitation. About one-third of respondents believe that the organization of rehabilitative care to children with congenital heart
is unsatisfactory (n = 91; 31.6%), while 7.3% of pediatricians marked it as an extremely unsatisfactory. Most respondents cardiologists
(n = 13; 56.5%) indicated that the records for children with CHD to them were done at the reception and there was no advice
available at the same day. Two cardiologist noted that they needed quite a long time to wait for the record - from 2 weeks to 1 month.
About one-third of respondents (n = 7; 30.4%) reported a shorter waiting time for consultation of record - less than 1 week. Waiting
times for children in the queue to receive pediatric cardiology's help directly depended on the schedule reception doctors: the 5-day
work schedules appointments were missing.
Conclusion. The proposed scheme of study and using of the indicators can be recommended to use them in the larger-scale studies,
such as A total survey of physicians of all ATU Moscow region or any other region of the Russian Federation. The important purpose of the work done was to compile a manual for pediatricians Moscow region by category CHD and to improve the process of
organization for their additional training of pediatric cardiology in a whole.
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