THE NEED FOR IMPROVED ADDRESSABILITY AND ACCESSIBILITY IN WEST ROMANIAN RURAL POPULATION WITH ACUTE CORONARY HEART DISEASE AT SPECIALIZED MEDICAL SERVICES TO REDUCE THE ECONOMIC COSTS OF HEALTH SERVICES

It is estimated that in the XXI century, coronary diseases will surpass contagious diseases, and will be the main cause for morbidity and specific mortality and are large consumers of health services, increasing the economic cost of their treatment. Cardiovascular diseases represent a major issue regarding public health in Romania and one of the main causes of economic consumption for health services, particularly in the western part of the country. This paper analyzed and to achieve a forecast, until 2013 of: the population, the specific mortality and the number of the lost years as a consequence of cardiovascular pathology, in order to improve the management of health services in AMI, the identification of the sanitary education level and the patients who show great factors of cardiovascular risk, the logistics of ambulance assistance on case of coronary emergencies (acute myocardial infarction with an over variation of the ST segment, the introduction of the possibility of prehospital thrombolysis/of the percutaneous coronary intervention), for an efficient prophylaxis and therapy, reducing the specific indicators of AMI mortality and the social-professional reinstatement of the patient. This study demonstrated as the acute myocardial infarction, AMI mortality has been reduced in the last few years on: better education of the population in terms of addressability in cardiovascular emergencies, awareness of symptoms and time of "golden time", addressability to health services, providing technical resources, economic and human resources specialist.