QUALITY OF HEALTH CARE FOR PEOPLE WITH PARKINSON'S DISEASE IN NIZHNY NOVGOROD

Shindryaeva Natalya Nikolaevna, Candidate of medical sciences, head of the municipal center of medical aid for people with extrapyramidal pathology, Municipal Outpatient Clinic № 7 (Nizhny Novgorod), mont76@mail.ru

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Parkinson's disease (PD) is quite widespread. The purpose of the present research is the analysis of diagnostic mistakes at revealing PD at territorial outpatient hospitals; allocation of the basic clinical criteria influencing hyperdiagnostics of this disease. The research included examination of 701 patients directed in to the city neurology center of movement disorders, for the period from 16.01.2008 to 31.06.2010. As a result, Parkinson's disease was confirmed in 446 (63,6 %) patients. The researcher has revealed the following criteria causing mistakes in diagnostics: dissymetric tremor, muscular rigidity, insufficiency of studing the anamnesis and patient complaints. 30% of patients directed to the consultation were given a wrong diagnosis of PD, the most often incorrect diagnose appeared to be essential tremor.

essential tremor, Parkinson's disease, movement disoders.