Features of the Medico-Social Characteristics of Ophthalmic Patients Who Are Not Undergoing Dynamic Dispensary Observation

Introduction. Ophthalmic diseases are a significant medical and social problem both throughout the world and on the territory of Russia and its individual regions. Dispensary dynamic monitoring of the health status of persons suffering from chronic diseases of the ophthalmological profile plays an important role in the prevention of exacerbations and complications of diseases. Work objective. Analyzing the results of enquiry of patients with eye and adnexa disease to study their medico-social characteristics and finding out the reasons for incomplete and untimely admission to dispensary observation. Methods. Sociological (400 outpatients with eye and adnexa diseases were interviewed in the Tambov branch of the Federal State Autonomous Institution of National Medical Research Center “Interbranch Scientific and Technical Complex “Eye Microsurgery” and in the State Budgetary Healthcare Institution “Tambov Regional Ophthalmological Clinical Hospital”); statistical analysis. Results. The principal organizational reasons for incomplete admission to dispensary observation and the lack of dynamic control over the course of a patient’s chronic ophthalmological pathology include the absence of an ophthalmologist at the place of residence, a large workload of an ophthalmologist or his insufficient qualifications and, as a result, low patient compliance. Conclusion. The high prevalence and the associated medical and social significance of diseases of the visual organs dictate the pursuance of studies aimed at developing recommendations for improving the principles of prevention and dispensary observation of patients with ophthalmic diseases.