PRIMARY HEALTHCARE FOR DOCTOR-INFECTIONIST: REALITY AND PROSPECTS
The article presents the results of studying the specific features of the infectious disease specialist at a polyclinic Infectious Diseases Room (IDR) using the example of IDR of city polyclinics in Grodno. It has been established that consultations and reception of patients on dispensary registration (DR) prevail in the structure of the infectious disease physician reception patients with acute infectious pathology making up only 15.8%. Patients with acute respiratory infections or with fevers of unclear etiology are examined by district therapists in most cases. Problems have been identified in the infectious disease doctors’ organization of surveillance of patients with chronic viral hepatitis (CVH) and “carriers” of CVH С and CVH В markers 50% those patients lacking to visit infectious disease specialists of IDRs at the appointed time. Therefore, these persons are monitored clinically insufficiently and laboratory analyses are made not duly. In addition, a low coverage of vaccine prophylaxis against HBV in the CVH foci has been identified. In order to increase the efficiency of the polyclinics IDR work, it is proposed to develop a modern Regulation on IDR defining the types of work to be performed that are within the medical diagnostic and organizational-methodical competence completely as a part of the reorganization program for the entire infection service of the cities, districts and regions stipulating no additional financial expenditures, the responsibilities of the infectious disease physician IDR dispensary, prevention and work in the outbreaks.