POSSIBILITIES OF DIAGNOSTIC AND THERAPEUTIC PROCEDURES IN ASSESSING CHRONIC VENOUS LEG ULCER

Karakteristike rada obiteljskih liječnika su dostupnost i kontinuitet zdravstvene zaštite, pružanje osnovnih dijagnostičkih usluga, efektivnost i učinkovitost. Pri tom rješavamo oko 80 % zdravstvene problematike te nužno pratimo i evaluiramo svoj rad. naša zdravstvena zaštita je orijentirana prema zajednici s preventivno promotivnim konceptom, a imamo i ulogu "vratara” zdravstvenog sustava što dovodi do uštede sredstava uz veću kvalitetu zdravstvene zaštite. Zbrinjavanje kronične rane potkoljenice zahtijeva uvježbani tim obiteljske medicine. Prije odluke o načinu liječenja potrebno je učiniti gležanjski indeks (ABI), kako bismo saznali radi li se o arterijskom ili venskom podrijetlu ulkusa. od dijagnostičko terapijskih postupaka koji su priznati liječniku obiteljske medicine nalazi ih se svega nekoliko: obrada kronične rane i previjanje, što ni u kojem slučaju ne pokriva ni vremenskim normativom, a ni cijenom, kompleksnost ozbiljnog tretmana rane. Uz dobru edukaciju obiteljskih liječnika potrebno je omogućiti propisivanje elastično kompresijskog kompleta koji je zlatni standard u liječenju potkoljeničnog ulkusa, te adekvatno vrednovati rad tima obiteljske medicine koji takvu terapiju provodi.The attributes of general practitioner’s work are accessibility and continuity of health care, maintaining basic diagnostic procedures, productivity and eficiency. We deal with about 80% of health issues and monitor and evaluate our work as well. our health care is oriented toward community with the primary preventive and promoting concept, and we also have a role of "gatekeeper” in health care system, which leads to signiicant savings with better health care quality. Chronic venous leg ulcer assessment requires a well trained team in general practice. Prior to making decision on the course of treatment, it is essential to do ankle brachial index (ABI) which can help us determine whether the origin of ulcer is arterial or venous. There are only a few diagnostic and therapeutic procedures in the acknowledged general practitioner’s domain: assessing chronic wound and folding, which cannot cover the complexity of responsible chronic wound assessment either in time normative or in its price. It is necessary to establish good education of general practitioners and enable prescribing elastic, compressive set, which is the gold standard in chronic wound treatment, as well as appropriately evaluate the general practice team that performs this mode of treatment