Estimation of medical care effectiveness in women with inflammatory diseases of generative organs

Abstract

Introduction. Perinatal mortality (PM) is one of the major demographic health indicators most ob|ectively estimating medical care effectiveness in women with inflammatory diseases of generative organs (IDGO) - a group of increased health risk. Aim. Retrospective studies of PM - for the assessment of efficiency of medical care in women with inflammatory diseases of generative organs. Materials and methods. Based on the state statistical data of the Grodno region between 1999-2008 the level of PM in women with inflammatory diseases of generative organs was analysed. Results. After establishing and introducing in practice an organizational model of medical care intended to improve reproductive health of women with inflammatory diseases of generative organs, the Grodno region in 2004-2008 recorded a significant decrease of PM (in comparison with 1999-2003) - to 42.3% (p<0.0S). In 2008 the indicator of PM reached the lowest level (4.1%o), significantly lower that the average state level (5,0%o). The place of IDGO in the PM structure also changed: between 2004-2008 the inflammatory changes in patients' placenta were seldom registered (in 46.41 ±2,87% of cases; p<0,05). Conclusions. The introduction in the Grodno region between 2004-2008 the activities focused on medical care of reproductive health of women with inflammatory diseases of generative organs has manifested high medical and social efficiency.