LONG-TERM ECONOMIC EFFECTIVENESS OF THE MULTIFACTORIAL CARDIOVASCULAR PREVENTION PROGRAMME IN THE CONTEXT OF PRIMARY HEALTH CARE

Motivational interactive prevention in outpatients with ischemic heart disease

Working women suffering from ischemic heart disease (IHD), who receive ambulance cardiology treatment, have completed their training course at our Health School (HS), and their medical examination data have been compared with those in the reference group representing women with IHD, employed by the same enterprise, who have not attended HS. The training course program has included 5 training lessons, 60 minutes each. The educational training material was presented in the interactive form. To monitor the state in the trained outpatients within one year, used were telehealth technologies including teleconsultation sessions held every week. The clinical effect was monitored and assessed upon expiration of 12 months with the use of the respective closing medical examination. It has been found that in the HS group outpatients the levels of arterial pressure, total cholesterol and scores of anxiety depression syndrome are much lower than those identified in the reference group. The adherence to the administered therapy in the reference group was recorded to be less than 50%. It is reported that the implementation of the motivational prevention program has demonstrated its feasibility for the Employer: the cost effect has been assessed as the return rate at the level of Rbl. 1,4 per Rbl of investment not only due to reduction in paid sick leaves, but also due to an increase in labor productivity

[Urgent cardiovascular conditions in dental practice]

Cardiovascular diseases rank first in disease patterns and their prevalence increases in most countrie, including Russian Federation. The paper presents guidelines for approaches prevention of urgent cardiovascular conditions and measures to provide first medical aid which will help avoid the negative effects in the acute clinical situations.

SOCIO-ECONOMIC EFFECTIVENESS OF HEALTH SCREENING ACTIVITY IN 2013 IN RUSSIAN FEDERATION

Aim. To estimate long-term socio-economic effectiveness of broad health screening activity of adults by the results in the year 2013.

Material and methods. The study is performed with the method of mathematic modelling using the results of completed in the year 2013 health screening and with an estimate for adult productive and economically active age (up to 72) for 10-year perspective of potentially prevented deaths from the main chronic non-infectious diseases (CHID), saved years of life and economic expenses by 1 year of saved life.

Results. Through analyzed malignant tumours (MT) maximum deaths are to be prevented from breast cancer. The most significant effect of the performed screening is decrease of cardiovascular (CV) deaths — quantity of potentially saved lifes at productive age during 10 years would be 10 times higher than from MT. Screening for the studied CHID is characteristic for certain economic expediency, because expenses on 1 year of potentially saved life appeared lower than gross domestic product by one inhabitant. The most economic expediency of screening was found at the matter of CV diseases: expenses on 1 year of saved productve life (15,5th RUR) and economically active age (11th RUR), that is significantly lower than domestic gross product by inhabitant. Return of investments into health improvement thank to earlier diagnostics of CHID and further treatment would reach 10 RUR per each invested 1 RUR by 10 years.

Conclusion. The analysis and calculations showed a significant positive effect of health screening in 2013, most of all due to earlier diagnostics and complex action against CV diseases and MT, which are included into screening and observation. Expenses on 1 year of saved life were lower than domestic gross product by inhabitant (in prices of the 2013) and return of investment by maintaining labour potential of economically active population was 10 RUR by 1 invested RUR during 10 years. Economic efficiency of health screening as a strategy to prevent premature death, preventable death and to keep health is clear.