Journal of Pharmaceutical Negative Results

Key words: primary health care, rural medical center, 
migraine, discirculatory encephalopathy, dispensary records. 
Relevanse:
 
The problem of the quality of medical examination in the new economic conditions is one of the most 
urgent in healthcare. The Concept of Development of Health Care and Medical Science in the Republic of Uzbekistan 
pay great attention to the quality and effectiveness of the medical examination. In recent years, a number of works [1-3-
7] have been published on certain aspects of the clinical examination of the population, but so far there have been 
insufficient studies to study its quality. 
Clinical examination is a complex of measures, including a medical examination by medical specialists, laboratory and 
instrumental diagnostic methods carried out in relation to certain groups of the population. The development of all no 
communicable diseases occurs gradually and is determined by certain risk factors [9-10-11]. Risk factors are conditions 
under which the likelihood of the onset of the disease becomes higher. I denitrifying these factors is easier and cheaper 
than subsequently diagnosing and curing an already developed disease- they can be detected long before the first sings 
of the disease appear[12-15].Also. The influence of risk factors can be significantly reduced, and this can completely 
prevent the development of diseases. To do this, it is enough to adjust the lifestyle of a person. 
The aim of this study was to develop scientifically based recommendations for hanging the quality and effectiveness 
of medical examination for neurological diseases of the population in the conditions of rural medical centers
The study was conducted in 2015-2019. in three rural medical centers (Geophysics, Zarmanak, Kasri-Orifon) of the 
Bukhara region. 
The quality of the clinical examination was studied based on expert assessment of 460 cards of outpatients with chronic 
neurological diseases. For the observation unit in the study, a patient who was registered in the dispensary was accepted. 
In accordance with the purpose and objectives of the study, statistical, expert and sociological methods were used. 
A special “Card of expert assessment of the quality of medical examination of the population from 5 to 65 years in rural 
medical centers ” was developed, which included the following sections; regular monitoring of children and adults, 
completeness and timeliness of laboratory and instrumental studies; quality of the implementation of medical and 
recreational activities; the effectiveness of the rehabilitation treatment of the outpatient card. 

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Journal of Pharmaceutical Negative Results ¦ Volume 13 ¦ Special Issue 9 ¦ 2022
4813 
 
To assess the quality of the clinical examination, the most common nosological forms were identified: migraine, tension 
headache, radiculitis, discirculatory encephalopathy, neuritis and neuralgia, epilepsy, cerebral palsy, polyneuropathy, 
acute cerebrovascular accident, etc. 
Data on the regularity of observation of patients in rural medical centers are presented in table 1.
The research materials showed that children on average in 23.1% of cases were observed irregularly by district 
pediatricians, in 38% by district nurses, in more than 68.3% of cases by doctors of narrow specialties. Especially often 
this happened with migraines, tension headache (33.2%), sciatica (36%), discirculatory encephalopathy (40.7%), 
neuritis and neuralgia (49.4%). 
According to experts, the cause of irregular monitoring in an average of 42.8 cases was the lack of discipline of parents, 
in 31.6% - the absence of a mother and a child at the place of residence, in 9.2% - the absence of an appropriate 
neurologist, in 6.8% - an overloaded doctor , in 9.6% - other reasons.