Comparative analysis of the quality of care in patients with coronary heart disease with chronic heart failure in medical and preventive institutions in the Moscow Region

In the organization of systematic work on the examination and management of the quality of medical care taking into account the existing recommendations in each medical-preventive institution should constantly work clinical-expert commissions, including: the medical-control subcommittee, the subcommittee to study the death outcomes, the subcommittee of the examination of disability, the subcommittee of the study of surgical complications. The results of the expert study revealed that the indicators of the commission in the provision of medical and diagnostic care for patients with coronary heart disease in the Moscow region hospital are at an average level, compared to the rates of the commission for other types of medical care. Conducting a complex of medical rehabilitation on the basis of a spa organization for patients with chronic heart failure and acute myocardial infarction after coronary artery bypass grafting allows to significantly improve the level of medical and diagnostic care and improve the quality of life of patients.