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Abstract
Summary. The relevance of the work is due to the need to optimize preventive measures for chronic noncommunicable diseases (NCDs) at the level of a medical institution in a pandemic.
Purpose of the study. Scientific substantiation of the conceptual foundations for the development of a functional-organizational model of controlled prevention of chronic non-infectious diseases in the adult population at the level of a medical institution based on the determination of medico-economic factors of influence.
Materials and methods. To determine the medical characteristics that affect the controllability of preventive measures, a sample of 376 patients over 18 years old was used. Methods used: statistical, systems approach and analysis, decision classification trees and conceptual modeling.
Results. The conceptual approaches to the development of a functional and organizational model of controlled prevention of chronic diseases in the adult population at the level of a medical institution include the principles of controllability (controlled prevention), evidence-based prevention, an innovative design-process approach, vertical and horizontal integration, and the use of an information system. Among the main medical factors influencing the construction of the model is the frequency of the presence and combination of risk factors in patients, among economic factors - the cost of individual programs of primary prevention.
Conclusions. The construction of a functional-organizational model of controlled prevention of chronic diseases at the level of a medical institution is ensured by the use of medico-economic and functional-organizational factors and a number of principles that provide a systematic approach to solving the problem.
References
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