ROLE OF MEDICAL AND SOCIAL FACTORS IN OPTIMIZATION OF MEDICAL AID AT ACUTE CORONARY SYNDROME IN MUNICIPAL HEALTH INSTITUTION
The article analyzes medical and social characteristics of patients with acute coronary syndrome (15129 people), referred to specialized cardiac hospital (municipal budgetary institution «Kemerovo Cardiology Clinic») from 2006 upto 2010 years. It was found that among the factors that influenced the formation of the structure of specialized hospital, annual growth of the number of patients with acute coronary syndrome, high proportion of people over 60 years old, an increase of cardiogenic shock incidence at prehospital period, high proportion of unfavorable outcome (death) during the first three days from the beginning of hospitalization are critical. The possibility of optimizing the structure of the hospital based on identified factors that improve the quality of medical care and rational use of health care resources is described.