Journal of Pharmaceutical Negative Results

Regularity of observation of patients in rural medical centers 
(% of total) Table 1 
 
 
Disease 
Regularity of observation 
Local doctor 
neurologists 
re
spec
 
ted
 
 
No
t 
co
mp
 
lia
nt
 
R
esp
ec
 
ted
 
 
No
t 
co
mp
lia
nt
 
Migraine,tension headache 
66,8 
33,2 
31,8 
68,2 
Radiculitis 
63,5 
36,5 
37,6 
62,4 
Encephalopathy 
59,3 
40,7 
14,5 
85,5 
Neuritis and Neuralgia 
50,6 
49,4 
35,7 
64,3 
Epilepsy 
88,7 
11,3 
34,7 
65,3 
Cerebral palsy 
80,5 
13,5 
18,3 
81,7 
Polyneuropathy 
83,5 
16,5 
36,0 
64,0 
Transient 
cerebrovascular 
accident 
87,3 
12,7 
26,9 
73,1 
Acute 
cerebrovascular 
accident 
88,7 
11,3 
46,2 
53,8 
Conditions after transferred 
81,7 
19,3 
45,1 
54,9 
Convulsive syndromes 
86,8 
13,2 
29,3 
70,7 
Parkinson’s disease 
65,4 
34,6 
27,6 
72,4 
Average 
76,9 
23,1 
31,7 
68,3 

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Journal of Pharmaceutical Negative Results ¦ Volume 13 ¦ Special Issue 9 ¦ 2022
4814 
 
The research materials showed (Table 2) that an untimely examination took place on average in 19.9% of cases, in 
particular with convulsive syndromes in 24.2%, with migraines, tension headache - in 25.7%, with transient disorders 
cerebral circulation - in 27.3%, with cerebral palsy - in 33%, with radiculitis 34.7%.When analyzing the completeness 
of the survey, it was found that in 23.6% of cases it was carried out in incomplete volume. Particularly high is the 
proportion of insufficiently examined migraine headaches, tension headache, radiculitis, cerebral palsy, transient 
cerebrovascular accident, conditions after a history of stroke (from 27.1 to 34.7%).The reasons for this in 22.5% of 
cases were the lack of diagnostic equipment and apparatus, in 21% - the lack of control by the doctor, in 15.5% - the 
overload of laboratories and diagnostic rooms, in 15% - the lack of discipline of parents. 
An important aspect of the effectiveness of the clinical examination is the quality and completeness of the 
implementation of the plan of medical and health measures. At the same time, according to expert estimates, in 17.5% 
of cases they were carried out inadequately. An expert assessment revealed that in 16.4% of cases the dispensary 
patients needed planned hospitalization, but it was not performed in 7.5% of cases. 
An important indicator of the quality of the clinical examination is the completeness of the use of 
physiotherapeutic methods of treatment. According to experts, in 24.5% of cases, physiotherapeutic treatment was not 
prescribed, in 17.5% of cases it was inferior. The reason for this situation in half of the cases was the lack of discipline 
of the parents, in 22.5% - there was no necessary treatment, in 27% - insufficient control of the healing process by the 
doctor. 
One of the important stages of the clinical examination is the rehabilitation treatment, which, according to 
experts, was needed by more than 90% of the population. However, in 24.8% of cases it was carried out poorly, and in 
13.1% it was completely absent. Particularly high is the proportion of inferior rehabilitation treatment among patients 
with migraine, tension headache, radiculitis, cerebral palsy, transient cerebrovascular accidents and conditions after a 
stroke. The main reason in 42.4% of cases was the lack of appropriate types of rehabilitation treatment, in 32% - lack of 
discipline of parents, in 12.7% - overload of specialists, in 16.5% - lack of control by the doctor.