Организация здравоохранения
OUTPATIENT CARE FOR CHILDREN WITH CONSEQUENCES OF PERINATAL CENTRAL NERVOUS SYSTEM INJURIES: A SPECIALIST'S VIEW
T.A. Sokolovskaya1, V.S. Stupak1
1. Russian Research Institute of Health of the Ministry of Health of the Russian Federation, Moscow
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Summary:
Introduction. Epidemiological data demonstrate the widespread prevalence of perinatal nervous system damage, which is diagnosed in more than nine out of ten children treated in neonatology departments, and in the general population of infants, the incidence reaches 715 cases per 1,000 newborns. In this context, specialized organizations focused on preserving the health of the younger generation are particularly important. The healthcare system plays a key role in addressing this challenge, ensuring the creation of the necessary infrastructure for the prevention of diseases and disabilities in children, as well as for the restoration and maintenance of their health. Improving primary health care is a priority for system development.
Purpose of the work: To examine the opinions of physicians providing outpatient care to children with sequelae of perinatal central nervous system damage regarding the adequacy and completeness of diagnostic procedures, treatment, and rehabilitation measures, and to identify potential gaps in the provision of medical care for this patient population.
Materials and Methods. Sampling adequacy for factor analysis was assessed using the Kaiser-Meyer-Olkin (KMO) measure, and the suitability of the data for factor analysis was tested using the Bartlett test. Factor analysis was performed using Principal Component Analysis (PCA) with Varimax rotation. The Kaiser criterion and scree plot were used to determine the optimal number of factors. After factor extraction, their constituent indicators were analyzed using extensive indicator calculations.
Research results. Key areas for improving the health of children with consequences of perinatal central nervous system damage include timely diagnosis of developmental disorders, where neurosonography (0.79) and electroencephalography (0.74) occupy leading positions in factor loadings; early initiation of rehabilitation with the prevention of functional disorders (0.86) and the use of non-drug therapies (0.88); Establishing a specialized Health School at a children's clinic (0.85); developing patient routing with the provision of complete information in accompanying documents about their health status (0.83); coordinating interdepartmental cooperation (0.75).
Conclusion. A factor analysis of the opinions of medical specialists revealed the current need to standardize the minimum diagnostic requirements for children with the consequences of perinatal central nervous system damage; implement a mandatory rehabilitation plan for this group of children; establish links between the Health School and the follow-up office; and strengthen coordination between medical organizations, educational institutions, and social welfare agencies. Another important aspect is monitoring and updating existing diagnostic methods for the early detection of neuropsychiatric disorders in children and identifying risk groups for the development of the consequences of perinatal central nervous system damage.
Keywords perinatal central nervous system damage, outpatient care, children, factor analysis, Health School, organizational proposals
Bibliographic reference:
T.A. Sokolovskaya, V.S. Stupak, OUTPATIENT CARE FOR CHILDREN WITH CONSEQUENCES OF PERINATAL CENTRAL NERVOUS SYSTEM INJURIES: A SPECIALIST'S VIEW // Scientific journal «Current problems of health care and medical statistics». - 2026. - №3;
URL: http://healthproblem.ru/magazines?textEn=1966 (date of access: 25.10.2026).
URL: http://healthproblem.ru/magazines?textEn=1966 (date of access: 25.10.2026).
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