Medical and social rationale of the algorithm of early diagnostics and prevention of psychosomatic disorders at primary care | Ukrainian Medical Journal

Diachenko L.O.,Kornazkiy V.M.,Mykhalchuk V.M.

Main
Publications
Medical and social rationale of the algorithm of early diagnostics and prevention of psychosomatic disorders at primary care

Medical and social rationale of the algorithm of early diagnostics and prevention of psychosomatic disorders at primary care

March 6, 2019

1175

Neurology and Psychiatry

Healthcare organization

Therapy, General practice

Diachenko L.O.

Kornazkiy V.M.

Mykhalchuk V.M.

Specialities :

Neurology and Psychiatry

Healthcare organization

Therapy, General practice

Resume

Aim — to develop a new algorithm of medical care in patients taking into account the identified risk factors that have an impact on promoting the emergence and development of mental disorders and behavior in the context of the introduction of family medicine. Object of study. In the development and medical and social substantiation of a new algorithm for early diagnosis and prevention of psychosomatic disorders in the primary care, we used the data obtained during our own research, the results of the analysis of the legislative framework on the organization of the health care system and its transformation on the basis of family medicine, reliable information elaborated scientific literature. Diagnosis of the main indicators of stress — anxiety and depression — was performed using commonly used methods adapted to the study. Results. The patient is the main subject of responsibility for his or her own health through the observance of healthy lifestyle. The modern health system is not sufficiently focused on disease prevention and early detection, which leads to the emergence of chronic forms of illness, the growth of primary disability and mortality that can be prevented. Conclusions. A new algorithm of medical care under conditions of stress has been developed taking into account early diagnosis, treatment, rehabilitation and individual prevention of mental health disorders in patients with somatic diseases within the framework of implemented reformation of the state health care system and in the conditions of the development of family medicine.

Published: 06.03.2019

References:

Baybarak N.A. (2015) KlInIko-tipologIchniy pIdhId do prognozuvannya osoblivostey perebIgu rekurentnogo depresivnogo rozladu (http://journals.uran.ua/sciencerise/article/view/57235).
BIlinska M.M., Radish Ya.F. (red.) (2013) Derzhavna polItika u sferI ohoroni zdorov’ya (http://academy.gov.ua/NMKD/library_nadu/Monogr/457d99ffa477-4205-baaf-2cee246fe3da.pdf).
Verhovna Rada Ukrayini (1996) KonstitutsIya Ukrayini (http://zakon5.rada.gov.ua/laws/show/254к/96-вр).
Vsemirnaya organizatsiya zdravoohraneniya (2012) Nulevaya versiya proekta Globalnogo plana deystviy po ohrane psihicheskogo zdorovya
2013–2020 (https://psychiatr.ru/download/542?view=1&name=Global+MNH+Action+Plan+Oslo+RUS.pdf).
Golovanova I.A., Lisak V.P., Zakrutko L.I., Horosh M.V. (2016) Naukovo-metodichnI pIdhodi do modernIzatsIYi sposobu zhittya lyudey, scho mayut faktori riziku arterialnoyi gIpertenziyi (metodichnI rekomendatsiyi) (http://elib.umsa.edu.ua/jspui/bitstream/umsa/3991/1/MR_Nauk_metod_podx_k_modern_sp_zhizni.pdf).
Kabinet Ministriv Ukrainy (2011) Rozporiadzhennia Kabinetu Ministriv Ukrainy vid 31.10.2011 r. № 1164-r «Pro skhvalennia Kontseptsii Zahalnoderzhavnoi prohramy «Zdorovia 2020: ukrainskyi vymir» (http://zakonrada.gov.ua/laws/show/1164-2011-р?test=4/UMfPEGznhhgly.Zig080vMHI4w2s80msh8Ie6).
Simanenkov V.I., Vinokur V.A., Grinevich V.B. (2008) Psihosomaticheskie rasstroystva v praktike terapevta (rukovodstvo dlya vrachey). Sankt-Peterburg, 335 s.
Ukaz Prezydenta Ukrainy (2015) Ukaz Prezydenta Ukrainy vid 12.01.2015 r. № 5/2015 «Pro Stratehiiu staloho rozvytku «Ukraina — 2020» (http://zakonrada.gov.ua/laws/show/5/2015).
Ukaz Prezydenta Ukrainy (2016) Ukaz Prezydenta Ukrainy vid 09.02.2016 r. № 42/2016 «Pro Natsionalnu stratehiiu z ozdorovchoi rukhovoi aktyvnosti v Ukraini na period do 2025 roku «Rukhova aktyvnist — zdorovyi sposib zhyttia — zdorova natsiia» (http://zakon.rada.gov.ua/laws/show/42/2016).
Ustinov O.V. (2017) V Ukraini bude stvoreno Tsentr psykhichnoho zdorovia. med. chasopys (https://www.umj.com.ua/article/106792).
Blank L., Grimsley M., Goyder E. et al. (2007) Community-based lifestyle interventions: changing behaviour and improving health. J. Public Health (Oxf.), 29(3): 236–245.
World Health Organization (2010) mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings (http://www.who.int/mental_health/publications/mhGAP_intervention_guide/en/#).
World Health Organization (2013) Global action plan for the prevention and control of noncommunicble diseases 2013–2020. Geneva, 103 p.
World Health Organization (2014) Realizing our vision: report of the Regional Director on the work of WHO in the European Region in 2012–2013. Copenhagen, 67 p.
World Health Organization, World Organization of Family Doctors (2008) Integrating mental health into primary care: a global perspective, WHO, Geneva, 206 p.