Disease Management Program
Disease Management Program (DMP)
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“We must seriously take up prevention and improve the quality of primary health care. With well-organized preventive work of the disease can be prevented at an early stage. Therefore, in Kazakhstan, it is necessary to introduce a set of national programs to monitor the health status of the target population groups. |
In order to form joint responsibility for health with the involvement of the person himself and the management of chronic non-communicable diseases, aimed at reducing the morbidity, complications and mortality of the population in the framework of the State Health Development Program "Densaulyk" for 2016-2019. The Ministry of Health of the Republic of Kazakhstan is working to strengthen primary health care with the introduction of disease management programs (EVMs) based on evidence-based medicine.
The introduction of HUMPs is dictated by the need for major changes in the prevention and control of chronic non-communicable diseases, in increasing patient shared responsibility for their health, in improving the interaction of medical personnel and in using all available resources to prevent possible complications or to make conditions worse.
The HSP is a Program aimed at reducing the costs of healthcare and improving the quality of life of people with chronic diseases by preventing or minimizing the effects of the disease with the help of integrated care.
At the same time, the PSU is a system of coordinated medical interventions and communications for certain groups of patients with conditions where self-help / self-management efforts can be made. This program allows individuals, along with other health care providers, to manage their disease and prevent complications.
International experience and various approaches in the implementation of HUM were discussed at the level of the Ministry of Health of the Republic of Kazakhstan with international consultants. It was decided to develop and implement a disease management program based on evidence-based medicine, to raise public awareness on health issues and joint responsibility for the health of citizens between the state, employees and the citizens themselves to address the approaches to social modernization and further strengthen health care reforms.
The work of the medical organizations of the Karaganda region is being implemented the work of 5 programs for the management of chronic non-communicable diseases:
1. Diabetes mellitus (DM)
2. Arterial hypertension (AH)
3. Chronic heart failure (CHF)
According to the recommendations of experts from the World Health Organization, health services need to become more human-centered in order to contribute to improving people's health in an era of the prevalence of chronic diseases.
Disease management (self-management) is the ability of a person with chronic diseases to manage symptoms, treatment of physical and social consequences, as well as lifestyle changes to reduce the number of exacerbations, complications, the need for inpatient and emergency medical care.
The medical team or the so-called multidisciplinary team — doctors, nurses, healthy lifestyle specialists, psychologists, social workers and others — and of course the person with a chronic disease, as well as the circle of support determined by the person himself, can take part in the HLM. , friends, colleagues, neighbors, patients with the same diseases, and others).