Improvement of practice of continuity between policlinic and a hospital when maintaining patients with chronic disturbance of venous outflow: overview of the problem status

Asymptomatic course of initial stages is characteristic of such pathologies as a varicosity of the lower extremities (I83), a varicosity of a gullet (I85), a varicosity of other localizations (I86) and hemorrhoids (K64) united by a common problem of chronic disturbance of venous outflow at all specifics. As a result patients ask for medical care at already created simptomokompleks when conservative methods of treatment are inefficient therefore an operative measure in the conditions of planned hospitalization is required. However for improvement of quality of delivery of health care and its bigger cost efficiency the existing practice of continuity between out-patient and hospital stages needs improvement. In case of peripheral vascular pathologies more accurate routing as often patients are hospitalized in offices of the general surgery instead of offices of vascular surgery is necessary and receive the help not in a planned, and the emergency order. Besides, at a post-hospital stage their attachment to the doctor of profile specialty is necessary for more effective dynamic observation.