Stroke is one of the basic medical and social problems as takes the second place among the reasons of death and the first – among the reasons of disability. The analysis of disease and death rates due to strokes during the period 1999–2008 in Ukraine has been performed. The epidemiological situation is analyzed and relative risks of disease and death rate from cerebrovascular diseases in different country areas are defined. Organization of medical aid for the patients with strokes in Ukraine is discussed.
The purpose of investigation was to define barriers from patient side that prevent effective control of blood pressure (BP) at the phase of the first medical aid. It was established that only 29.3 % patients receive
antihypertensive medicines regularly. Patients’ opinion about increased BP as a natural result of age largely explains considerable number of subjective reasons for irregular treatment, including interruption of medical
treatment after normal BP attained, “forgetfulness” (25.8 %), attempts to manage with non-traditional medicines (9.3 %) and point of view that regular medical treatment is not compulsory (10.1 %). Almost 40 % patients
mentioned the high price of medicine as a reason for irregular treatment. Among the patient-dependent barriers to the regular antihypertensive medical treatment the most important were price of the drugs, insufficient understanding of the regular treatment benefit and lack of ability of self-measurement of BP at home. The most important factors determining cooperation with physician is a trust to the physician, physician’s attitude to the patient and fear to inform the physician about missing of the drug dosages.