| Abstract [eng] |
In the present work different characteristics of patients with instable ischemic hearth disease and acute myocardial infarction in Hospitals of Siauliai County are analyzed. Additionally, the financial resources expenses for inpatient and outpatient and the predicted asset allocation (up to year 2010) for healthcare services devoted for cardiovascular patient are calculated. In addition, the present work deals with principles of financial healthcare management, the national Lithuanian healthcare politics and strategic directions for cardiovascular disease epidemiology and consequences in Šiauliai County. Not only the number of patients with cardiovascular complaints associated to ischemic hearth disease but also necessity for interventional cardiology procedures exhibits a clear tendency to increase. Consecutively, the money spend on a single case of acute ischemic hearth disease per patient has also increased. However, there were differences of expenses per patient among single hospitals within the County. Here presented data points to several opportunities for optimization of the treatment of cardiovascular patients in Šiauliai County. First, the committee of physicians of Šiauliai County should prepare a healthcare program that treats the cardiology aid as a first priority field and defines specific actions to reduce the morbidity and mortality of cardiovascular disease. In addition, the structure and organization of cardiology aid should be improved by redirecting most of inpatient cases to Siauliai County hospital and letting regional Hospitals of Siauliai County to take care of patients that can be treated in outpatient departments or has to be admitted to emergency units. For organization of management of cardiology patients it is necessary to establish a Cardiology Management Center that supervises, coordinates and further develops all prevention and treatment activities of patients with cardiovascular diseases in Šiauliai County. |
