Authors
Gricanchuk A.M.1, 2, Yarockaya I.A.2, Nikushkina I.N.2, Fomin V.V.1, Emelyanenko M.V.2, 3
1 I.M. Sechenov First Moscow State Medical University, Moscow
2 City Clinical Hospital named after M.P. Konchalovsky, Moscow
3 Military medical academy of S.M. Kirov (Moscow subsidiary), Moscow
Abstract
The article presents the principle of a multidisciplinary approach in the treatment of older age patients with myocardial infarction in a city hospital in a Regional vascular center. A medical and social portrait of a typical elderly and senile MI patient was compiled. The concept of a multidisciplinary heart team (MHT) with a list of medical specialists included in it is defined. An algorithm of actions of MHT specialists in the inpatient treatment of an age-related patient with myocardial infarction has been developed. A comparative assessment of the medical and economic efficiency of treatment of patients with MI before and after the introduction of an organizational and staff structure in the form of MHT in the RSC was carried out. The medical and economic efficiency of MHT in the treatment of patients with MI is shown based on the analysis of the four-year follow-up period.
Keywords: myocardial infarction, multidisciplinary approach, multidisciplinary heart team, medical efficiency of the heart team, economic efficiency of the heart team.
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