[Utilization of ambulatory health services by patients with disseminated sclerosis among the population of Lódź].
The reported study included patients with multiple sclerosis with a history of at least 5 years of the disease and aged 46 years or less, living in a big city. On the ground of history data obtained from the patients it was estimated that in the calendar year preceding the study one patient obtained about 11 medical services (in the office of a physician or in the patient's home) and about 10 of these services were given by the doctors of the public health service. The main role in the care of the patients was played by neurologists from the public health service, but the number of house visits provided by physicians of the basic health service was slightly higher than that provided by neurologists. Among the physicians working in medical cooperative or in private practice only the dentists had a more important role in providing of health services to the patients. Thirty percent of patients had no medical visits in outpatient clinics of social health service within a year preceding the study, despite a need for them, and 9% of them had no house visits of physicians. The percent of patients informed about the usefulness of motor rehabilitation treatment was at least half the proportion of patients with walking disturbances. The results indicate inadequate availability of health services for this group of outpatients, similarly as outpatient rehabilitation treatment and treatment in sanatorium, despite the index of employed medical personnel per population which is higher in this city than the average index for the whole country. These results suggest a necessity of undertaking of actions for improving the care of these patients.
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Drabkowska-Kaczmarek
D000328:Adult; D000553:Ambulatory Care; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000628:therapy*; D011044:Poland; D014504:Urban Health / Q000592:standards
Korzystanie z ambulatoryjnej opieki zdrowotnej przez chorych na stwardnienie rozsiane w populacji Lodzi.