Постановление Губернатора Приморского края от 21.10.2002 № 551

|осмотра с     |              |          |                                                       |

|обязательным  |              |          |                                                       |

|измерением    |              |          |                                                       |

|АД у всех     |              |----------+-------------------------------------------------------|

|посетителей   |              |краевой   |            без единовременных затрат                  |

|поликлиник    |              |бюджет    |                                                       |

|(введение     |              |          |                                                       |

|дополнительных|              |          |                                                       |

|ставок        |              |          |                                                       |

|медперсонала, |              |          |                                                       |

|работающих    |              |          |                                                       |

|в кабинетах)  |              |          |                                                       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|3. Подготовка |департамент   |краевой   |  28.0 |   8.0 |   4.0 |   4.0 |   4.0 |   4.0 |   4.0 |

|и издание для |здравоохран.  |бюджет    |       |       |       |       |       |       |       |

|медицинских   |администрации |          |       |       |       |       |       |       |       |

|работников    |края          |          |       |       |       |       |       |       |       |

|новых         |совместно с   |          |       |       |       |       |       |       |       |

|методических  |Владивостокск.|          |       |       |       |       |       |       |       |

|разработок,   |государствен. |          |       |       |       |       |       |       |       |

|справочных и  |медицинским   |          |       |       |       |       |       |       |       |

|информационных|университетом |          |       |       |       |       |       |       |       |

|материалов по |              |          |       |       |       |       |       |       |       |

|профилактике, |              |          |       |       |       |       |       |       |       |

|диагностике на|              |          |       |       |       |       |       |       |       |

|ранней стадии |              |          |       |       |       |       |       |       |       |

|АГ и лечению  |              |          |       |       |       |       |       |       |       |

|больных       |              |          |       |       |       |       |       |       |       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|4. Разработка |департамент   |   -"-    |  90   |  90   |       |       |       |       |       |

|регистра      |здравоохран.  |          |       |       |       |       |       |       |       |

|больных       |администрации |          |       |       |       |       |       |       |       |

|артериальной  |края          |          |       |       |       |       |       |       |       |

|гипертонией и |совместно с   |          |       |       |       |       |       |       |       |

|создание сис- |Приморским    |          |       |       |       |       |       |       |       |

|темы динамич. |краевым       |          |       |       |       |       |       |       |       |

|контроля      |медицинским   |          |       |       |       |       |       |       |       |

|за эпидемиол. |информационно |          |       |       |       |       |       |       |       |

|ситуацией,    |- медицинским |          |       |       |       |       |       |       |       |

|связанной с АГ|центром       |          |       |       |       |       |       |       |       |

|(анализ,      |              |          |       |       |       |       |       |       |       |

|оценка и прог-|              |          |       |       |       |       |       |       |       |

|нозирование   |              |          |       |       |       |       |       |       |       |

|эпидемиологич.|              |          |       |       |       |       |       |       |       |

|ситуации на   |              |          |       |       |       |       |       |       |       |

|основании     |              |          |       |       |       |       |       |       |       |

|отчетов лечеб-|              |          |       |       |       |       |       |       |       |

|но - профилак.|              |          |       |       |       |       |       |       |       |

|учреждений)   |              |          |       |       |       |       |       |       |       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|5. Проведение |департамент   |федеральн.|  45.0 |  45.0 |       |       |       |       |       |

|фармакоэпиде- |здравоохран.  |бюджет    |       |       |       |       |       |       |       |

|миологического|администрации |----------+-------+-------+-------+-------+-------+-------+-------|

|исследования  |края          |краевой   |  58.0 |  58.0 |       |       |       |       |       |

|              |              |бюджет    |       |       |       |       |       |       |       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|   ВСЕГО ПО РАЗДЕЛУ I        |федеральн.| 542.70| 187.20|  71.10|  71.10|  71.10|  71.10|  71.10|

|                             |бюджет    |       |       |       |       |       |       |       |

|                             |----------+-------+-------+-------+-------+-------+-------+-------|

|                             |краевой   |3323.40|1034.90| 439.70| 439.70| 439.70| 439.70| 439.70|

|                             |бюджет    |       |       |       |       |       |       |       |

------------------------------+----------+-------+-------+-------+-------+-------+-------+--------

II. Научное обеспечение Программы

Цель: разработка, совершенствование и внедрение современных методов первичной и вторичной профилактики артериальной гипертонии (с учетом рекомендаций Всемирной организации здравоохранения и МОАГ 1999 г.)

Ожидаемый результат: снижение заболеваемости, инвалидизации и смертности больных артериальной гипертонией.

---------------+--------------+----------+-------+-------+-------+-------+-------+-------+--------

|      1       |       2      |     3    |   4   |   5   |   6   |   7   |   8   |   9   |  10   |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|6. Совершенст-|департамент   |без едино-|       |       |       |       |       |       |       |

|вование и     |здравоохран.  |временных |       |       |       |       |       |       |       |

|внедрение сов-|администрации |затрат    |       |       |       |       |       |       |       |

|рем. методов  |края          |          |       |       |       |       |       |       |       |

|первичной     |совместно с   |          |       |       |       |       |       |       |       |

|и вторичной   |Владивостокск.|          |       |       |       |       |       |       |       |

|профилактики  |государствен. |          |       |       |       |       |       |       |       |

|АГ (с учетом  |медицинским   |          |       |       |       |       |       |       |       |

|рекомендаций  |университетом |          |       |       |       |       |       |       |       |

|Всемирной     |              |          |       |       |       |       |       |       |       |

|Организации   |              |          |       |       |       |       |       |       |       |

|здравоохран. и|              |          |       |       |       |       |       |       |       |

|Международного|              |          |       |       |       |       |       |       |       |

|общества по   |              |          |       |       |       |       |       |       |       |

|борьбе с      |              |          |       |       |       |       |       |       |       |

|артериальной  |              |          |       |       |       |       |       |       |       |

|гипертонией - |              |          |       |       |       |       |       |       |       |

|1999 г.)      |              |          |       |       |       |       |       |       |       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|6.1. Разработ-|     -"-      |без едино-|       |       |       |       |       |       |       |

|ка дифференци-|              |временных |       |       |       |       |       |       |       |

|рованного     |              |затрат    |       |       |       |       |       |       |       |

|индивидуальн. |              |          |       |       |       |       |       |       |       |

|подбора       |              |          |       |       |       |       |       |       |       |

|гипотензивной |              |          |       |       |       |       |       |       |       |

|терапии по    |              |          |       |       |       |       |       |       |       |

|принципам     |              |          |       |       |       |       |       |       |       |

|доказательной |              |          |       |       |       |       |       |       |       |

|медицины с    |              |          |       |       |       |       |       |       |       |

|использованием|              |          |       |       |       |       |       |       |       |

|суточного     |              |          |       |       |       |       |       |       |       |

|мониторинга   |              |          |       |       |       |       |       |       |       |

|ЭКГ и АД      |              |          |       |       |       |       |       |       |       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|6.2. Создание |    -"-       |   -"-    |       |       |       |       |       |       |       |

|научно -      |              |          |       |       |       |       |       |       |       |

|обоснованных  |              |          |       |       |       |       |       |       |       |

|методов       |              |          |       |       |       |       |       |       |       |

|и критериев   |              |          |       |       |       |       |       |       |       |

|оценки        |              |          |       |       |       |       |       |       |       |

|эффективности |              |          |       |       |       |       |       |       |       |

|мероприятий по|              |          |       |       |       |       |       |       |       |

|борьбе с АГ   |              |          |       |       |       |       |       |       |       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|6.3. Разработ-| -"-          |без едино-|       |       |       |       |       |       |       |

|ка системы    |              |временных |       |       |       |       |       |       |       |

|стандартов    |              |затрат    |       |       |       |       |       |       |       |

|и тестов      |              |          |       |       |       |       |       |       |       |

|диагностики и |              |          |       |       |       |       |       |       |       |

|лечения АГ для|              |          |       |       |       |       |       |       |       |

|оценки уровня |              |          |       |       |       |       |       |       |       |

|профессион.   |              |          |       |       |       |       |       |       |       |

|подготовки    |              |          |       |       |       |       |       |       |       |

|врачей        |              |          |       |       |       |       |       |       |       |

|терапевтов и  |              |          |       |       |       |       |       |       |       |

|кардиологов   |              |          |       |       |       |       |       |       |       |

|--------------+--------------+----------+-------+-------+-------+-------+-------+-------+-------|

|                             |          |       |       |       |       |       |       |       |

|   ВСЕГО ПО РАЗДЕЛУ II       |   -"-    |       |       |       |       |       |       |       |

|                             |          |       |       |       |       |       |       |       |

------------------------------+----------+-------+-------+-------+-------+-------+-------+--------

III. Укрепление материально - технической базы

учреждений, оказывающих медицинскую помощь в области

профилактики, диагностики, лечения и реабилитации

больных АГ

Цель: повышение уровня оснащенности современным медицинским оборудованием амбулаторно - поликлинических государственных учреждений, краевого диагностического и межрайонных кардиологических центров.

Ожидаемый результат: улучшение качества и доступности кардиологической помощи населению Приморского края при диагностике артериальной гипертонии и ее осложнений.

-----------------+--------------+----------+---------+---------+---------+---------+---------+---------+----------

|       1        |       2      |     3    |   4     |   5     |    6    |    7    |    8    |    9    |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7. Поэтапное    |департамент   |          |         |         |         |         |         |         |         |

|оснащение       |здравоохран.  |          |         |         |         |         |         |         |         |

|крупных карди-  |администрации |          |         |         |         |         |         |         |         |

|ологических     |края          |          |         |         |         |         |         |         |         |

|отделений       |              |          |         |         |         |         |         |         |         |

|современной     |              |          |         |         |         |         |         |         |         |

|диагностич.     |              |          |         |         |         |         |         |         |         |

|аппаратурой     |              |          |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.1. ЭКГ        |     -"-      |федеральн.|  990    |  330    |  132    |  132    |   132   |   132   |  132    |

|аппараты        |              |бюджет    |         |         |         |         |         |         |         |

|                |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   | 3960    | 1320    |  528    |  528    |   528   |   528   |  528    |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.2. Система    |     -"-      |федеральн.|  480    |  120    |  120    |  120    |   120   |         |         |

|суточного       |              |бюджет    |         |         |         |         |         |         |         |

|мониторинга ЭКГ |              |----------+---------+---------+---------+---------+---------+---------+---------|

|и АД            |              |краевой   | 1560    |  360    |  240    |  240    |   240   |   240   |  240    |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.3. Аппараты   |     -"-      |федеральн.| 1440    |         |  360    |  360    |   360   |   360   |         |

|холтеровского   |              |бюджет    |         |         |         |         |         |         |         |

|мониторинга     |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   |  360    |  360    |         |         |         |         |         |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.4. Кардио-    |департамент   |федеральн.|   36    |   18    |         |         |    18   |         |         |

|мониторы для    |здравоохран.  |бюджет    |         |         |         |         |         |         |         |

|холтеровского   |администрации |----------+---------+---------+---------+---------+---------+---------+---------|

|мониторинга     |края          |краевой   |  144    |         |   36    |   36    |         |         |   36    |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.5.            |департамент   |федеральн.|  690    |         |  690    |         |         |         |         |

|Транскраниальные|здравоохран.  |бюджет    |         |         |         |         |         |         |         |

|допплеры        |администрации |----------+---------+---------+---------+---------+---------+---------+---------|

|                |края          |краевой   | 4140    |  690    |  690    |  690    |   690   |   690   |  690    |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.6. УЗИ -      |     -"-      |федеральн.|  300    |  150    |         |  150    |         |         |         |

|допплеры для    |              |бюджет    |         |         |         |         |         |         |         |

|определения     |              |----------+---------+---------+---------+---------+---------+---------+---------|

|сосудистого     |              |краевой   |  750    |         |  150    |  150    |   150   |   150   |  150    |

|кровотока       |              |бюджет    |         |         |         |         |         |         |         |

|внутренних      |              |          |         |         |         |         |         |         |         |

|органов         |              |          |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.7.            |     -"-      |федеральн.| 2584.68 | 2584.68 |         |         |         |         |         |

|Эхокардиограф   |              |бюджет    |         |         |         |         |         |         |         |

|цветной с       |              |----------+---------+---------+---------+---------+---------+---------+---------|

|допплеровскими  |              |краевой   | 2584.68 |         | 2584.68 |         |         |         |         |

|датчиками       |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.8.            |     -"-      |федеральн.|  200    |         |         |  100    |         |   100   |         |

|Эхокардиограф   |              |бюджет    |         |         |         |         |         |         |         |

|                |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   |  600    |  100    |  100    |  100    |   100   |   100   |  100    |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.9. Система    |     -"-      |федеральн.|  150    |         |         |         |    75   |         |   75    |

|суточного       |              |бюджет    |         |         |         |         |         |         |         |

|мониторинга ЭКГ |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   |  450    |   75    |   75    |   75    |    75   |    75   |   75    |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.10. Система   |     -"-      |федеральн.|  120    |         |         |   60    |         |    60   |         |

|суточного       |              |бюджет    |         |         |         |         |         |         |         |

|мониторинга АД  |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   |  240    |   60    |   60    |         |    60   |         |    60   |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.11.           |департамент   |федеральн.|  600    |  360    |         |         |         |         |   240   |

|Оборудование    |здравоохран.  |бюджет    |         |         |         |         |         |         |         |

|(тредмил.       |администрации |          |         |         |         |         |         |         |         |

|велоэргометр)   |края          |          |         |         |         |         |         |         |         |

|для теста с     |              |          |         |         |         |         |         |         |         |

|физической      |              |          |         |         |         |         |         |         |         |

|нагрузкой       |              |          |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.12. Видео-    |     -"-      |федеральн.|         |         |         |         |         |         |         |

|магнитофон  для |              |бюджет    |         |         |         |         |         |         |         |

|эхокардиографа  |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   |  150    |         |         |  150    |         |         |         |

|                |              |бюджет    |         |         |         |         |         |         |         |

|                |              |          |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|7.13. Принтер   |     -"-      |федеральн.|         |         |         |         |         |         |         |

|                |              |бюджет    |         |         |         |         |         |         |         |

|                |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   |    9    |    9    |         |         |         |         |         |

|                |              |бюджет    |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|8. Оснащение    |департамент   |          |         |         |         |         |         |         |         |

|государств.     |здравоохран.  |          |         |         |         |         |         |         |         |

|лабораторных    |администрации |          |         |         |         |         |         |         |         |

|медицинских     |края          |          |         |         |         |         |         |         |         |

|учреждений края |              |          |         |         |         |         |         |         |         |

|аппаратами и    |              |          |         |         |         |         |         |         |         |

|реактивами для  |              |          |         |         |         |         |         |         |         |

|определения     |              |          |         |         |         |         |         |         |         |

|основных        |              |          |         |         |         |         |         |         |         |

|биохимических   |              |          |         |         |         |         |         |         |         |

|показателей,    |              |          |         |         |         |         |         |         |         |

|позволяющих     |              |          |         |         |         |         |         |         |         |

|оценить сос-    |              |          |         |         |         |         |         |         |         |

|тояние липид-   |              |          |         |         |         |         |         |         |         |

|ного, углевод-  |              |          |         |         |         |         |         |         |         |

|ного обменов,   |              |          |         |         |         |         |         |         |         |

|функциональн.   |              |          |         |         |         |         |         |         |         |

|состояния почек |              |          |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|8.1. Анализаторы|     -"-      |федеральн.| 1950    | 1950    |         |         |         |         |         |

|биохимические   |              |бюджет    |         |         |         |         |         |         |         |

|                |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   | 9750    |         | 1950    | 1950    |  1950   |  1950   |  1950   |

|                |              |бюджет    |         |         |         |         |         |         |         |

|                |              |          |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|8.2. Анализатор |     -"-      |федеральн.| 1500    |         |         | 1500    |         |         |         |

|для определения |              |бюджет    |         |         |         |         |         |         |         |

|липидного       |              |----------+---------+---------+---------+---------+---------+---------+---------|

|спектра методом |              |краевой   |         |         |         |         |         |         |         |

|электрофореза   |              |бюджет    |         |         |         |         |         |         |         |

|липопротеидов   |              |          |         |         |         |         |         |         |         |

|----------------+--------------+----------+---------+---------+---------+---------+---------+---------+---------|

|8.3.            |     -"-      |федеральн.|  360    |         |         |  180    |   180   |         |         |

|Коагулометры    |              |бюджет    |         |         |         |         |         |         |         |

|                |              |----------+---------+---------+---------+---------+---------+---------+---------|

|                |              |краевой   | 1260    |  180    |  180    |  180    |   180   |   180   |   360   |

|                |              |бюджет    |         |         |         |         |         |         |         |