[Relationship between district polyclinic internists and cardiologists in the follow-up of patients with ischemic heart disease].

Analysis of the cooperative work of district internists and cardiologists of the polyclinics with special reference to the management of patients with coronary heart disease (CHD) has demonstrated that if their activities are interrelated, the scope of diagnostic studies and the rate of drug treatment adequacy significantly increase. The rate of the positive dynamics of the CHD course is significantly higher in cases where the patients' group indicated is followed up not only by district internists but also by cardiologists. The established advantages of the interrelation between district internists and cardiologists of the polyclinics enable one to regard the joint dynamic follow-up of CHD patients as an important tool in raising the quality and efficacy of the polyclinic aid.

[Organization and quality of home care services after emergency calls in connection with pain in the cardiac area].

The results are provided of an in-depth study of the organization, quality and effectiveness of medical care provided at home to persons who referred to medical institutions for cardialgias. It has been shown that the real number of circulatory diseases while considering the complaints such as "pains in the heart area" is considerably less than the number of calls for outpatient home care. The influence is established of the amount and quality of home health care delivery on the effectiveness of outpatient care as a whole in cases of circulatory disease aggravation and of the possibility to reduce the duration of disability in the aggravation cases (and consequently the economic losses) at the expense of improving the medical care quality just at home.

[Ambulatory medical services for patients with diabetes mellitus].

The article submits the results of the study of the organization and quality of care for diabetic patients, the dynamic observation of which at the out-patient establishments is provided by endocrinologists. The total structure of diabetic patients, the follow-up system, the dimensions of screening, the adequacy of treatment are analysed. It is demonstrated that the lack of continuity and interrelation between endocrinologists and district general practitioners in providing care to diabetic patients, the majority of whom have combined pathology, will result in inadequate provision of curative and preventive care to diabetic patients, according to the expert assessment.