Improving dispensary observation of ischemic heart diseases: creating an organizational algorithm and a digital platform for its implementation

Objective. To develop a digital platform and methodology for the immediate organization of regular medical check-up of patients with ischemic heart diseases with an algorithm of actions, monitoring, control, analysis and evaluation of its effectiveness. Materials and methods. Based on the data of the regional information system on medical services, a «Report on district service information distribution» digital platform, allowing to carry out daily monitoring of the results of medical care in polyclinics for patients with ischemic heart diseases at the level of ambulance service, polyclinic and inpatient hospital, was created. On the basis of this digital platform, a methodology for the organization of regular medical check-up of patients with ischemic heart diseases in the form of an algorithm of actions for monitoring of linkage to regular medical check-up, control and analysis was developed. Implementation into practice was done in 2018. Comparison of patients with stable effort angina — residents of Orenburg, who were under regular medical check-up in 2017, 2019 and 2024, including in 13 208, 10 205 and 13 405 patients, respectively, with adverse outcomes (with cases of emergency hospitalization, with ambulance calls on ischemic heart disease, development of myocardial infarction), was performed. The coverage with regular medical check-up of patients with angina during these years was calculated. Results. Organization of regular medical check-up using the methodology developed by us has shown an increase in the coverage with regular medical check-up of patients with angina from 77 to 85% and a decrease in the proportion of patients with myocardial infarction among them from 4.71% to 3.97%, with emergency hospitalization cases and ambulance calls from 33.6% to 27.9% for 2017—2024. Conclusion. Increase in the coverage with regular medical check-up of patients with stable effort angina, with the decrease in the proportions of patients with myocardial infarction among them, with ambulance calls and emergency hospitalizations on ischemic heart diseases demonstrate the effectiveness of regular medical check-up based on the created digital platform and methodology of its organization.