Organizational issues in management of patients with chronic osteomyelitis and the solutions offered by osteology infection clinic

Gubin A.V., Kliushin N.M.

Abstract


Objective
To search organizational solutions for improving quality of care for patients with chronic osteomyelitis (COM) based on many years’ experience of osteology infection clinic of the FBGI Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”.
Material and methods
10 124 patients who received treatment for COM at the osteology infection clinic between 2011 and 2018 were enrolled in the study and causes of the condition identified. A staged organizational and functional model of specialized medical care was offered to launch osteology infection clinic with structural units, facilitate processing of the hospital database information and develop clinically based system for assessing quality of care.
Results
Review of the findings suggests that both medical and socioeconomic implications are involved in the treatment of COM and support needs to be considered for the patients.
Conclusion
Organizational and technological aspects are essential for management of patients with COM.

Keywords


chronic osteomyelitis, controlled Ilizarov external fixation, osteology infection clinic, organizational and functional model

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DOI: http://dx.doi.org/10.18019/1028-4427-2019-25-2-140-148

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