FEATURES OF THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT THE OUTPATIENT STAGE

In study an expert analysis was conducted of 92 outpatients with chronic obstructive pulmonary disease (COPD) during the year in 3 outpatient clinics of St. Petersburg. Study was realized with a developed questionnaire and in accordance with the standard of medical care. It was demonstrated that the current organization of medical care for patients with COPD at the outpatient stage cannot be considered satisfactory. To improve the quality of observation and reduce the number of exacerbations of the disease, motivational interview and a telemedicine program of self-management were used during 12 months in 34 patients with COPD. The number of exacerbations and hospitalizations in the study group decreased by 35% and 42% respectively by compared with the control group (observed in the usual mode). Quality of life (QOL) improved in terms of “activity” from 46.6±7.25 to 31.7±3.2 points, “total” – from 52.4±1.8 to 37.0±1.6 points.