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Management of risk factors surveillance related in cardiovascular premature mortality reduction in population of the Republic of Moldova


Author: Raevschi Elena
Degree:doctor habilitat of medicine
Speciality: 14.00.33 - Social Medicine and Management
Year:2019
Scientific adviser: Ion Ababii
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Scientific consultant: Eleonora Vataman
doctor habilitat, professor, Medical-Sanitary Public Institution Institute of Cardiology
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova

Status

The thesis was presented on the 24 April, 2019 at the meeting of the Scientific Council and now it is under consideration of the National Council.

Abstract

Adobe PDF document1.46 Mb / in romanian

Thesis

CZU 616.1-056-036.886-084:614.2(043.2)

Adobe PDF document 6.43 Mb / in romanian
279 pages


Keywords

surveillance, management of the surveillance, risk factors, premature mortality, cardiovascular diseases, primordial and primary prevention

Summary

Structure of the thesis: introduction, six chapters, general conclusions and recommendations, bibliography of 183 sources, 12 annexes, 212 pages of the main text, 33 figures, 93 tables. The results of the thesis have been published in 40 scientific and scientificmethodological papers. Keywords: surveillance, management of the surveillance, risk factors, premature mortality, cardiovascular diseases, primordial and primary prevention.

Field of the research: social medicine and management.

The purpose of the research: the scientific and methodological grounding of the strengthening of the management of risk factors surveillance in order to improve functionality of the national surveillance system to facilitate the perspective achievement of reducing cardiovascular premature mortality in the Republic of Moldova.

Objectives of the study: (1) retrospective assessment of trends in cardiovascular diseases (CVD) mortality focused on premature death event in the adult population of the Republic of Moldova; (2) estimation of premature cardiovascular mortality in terms of evolution prospects; (3) quantitative and qualitative analysis of risk factors of CVD; (4) cardiovascular health assessment in relation to disease occurrence and the probability of fatal event in the next 10 years; (5) identification of opportunities and barriers regarding the application of the tool collection by phone interviewing of data on modifiable risk factors for CVD in the Republic of Moldova; (6) assessment of health management experts on the development of ongoing and standardized surveillance of behavioral risk factors in the Republic of Moldova; (7) to elaborate the conception regarding the strengthening of management of risk factors for CVD surveillance in the Republic of Moldova.

Scientific novelty and originality: evidence-based adjustment of good international practices on the surveillance of risk factors to the local conditions of the Republic of Moldova highlighting the needs of optimization of the prevention and control of major CVD.

A significant applied scientific problem solved in the research:

the scientific and methodological grounding of the development of ongoing and standardized surveillance of behavioral risk factors allows to strengthen the management of CVD risk factors surveillance. This contributes to increase the functional capacity of the surveillance system in the Republic of Moldova in order to facilitate the achievement of the main goal of the National Noncommunicable Diseases Prevention and Control Strategy 2012-2020 to reduce premature mortality.

The theoretical relevance and practical value: this research is in the line with current framework of public health policies and strategies at the global and national levels, providing objective evidence to ensure increasing capacity of the functionality of cardiovascular diseases risk factors surveillance system in the Republic of Moldova.

Implementation of the results: the results of the research were used in the development of the National Noncommunicable Diseases Risk Factors Surveillance Guidelines, there are methodological support for ensuring evidence-based decisions on the prevention of cardiovascular risk factors within the Institute of Cardiology of the Republic of Moldova, ”Sfanta Treime” Municipal Hospital, Primary Care University Clinic SUMPh ”Nicolae Testemitanu”, and for continuous training of managers in health at the Chair of Social Medicine and Health Management ”Nicolae Testemitanu”, SUMPh ”Nicolae Testemitanu”.