The purpose of this work is to improve the specialized medical care for children with bronchial asthma, people living in remote areas and villages. Materials and methods: The study involved 1,024 children with asthma (solid sample, 2003) which were observed in period of 2003 to 2013. There are 391 children-villagers as the main group; clinical examination was carried out by district pediatrician and 633 children as regional city residents (the comparison group); clinical examination was carried out by district pediatrician together with pulmonologist or allergist. The author used the methods of observation (solid documentary and selective, current, prospective) and the method of expert evaluations. Results: a significant discrepancy (p=0,03) in the evaluation by district pediatrician, practitioner or family doctor) of severity bronchial asthma and absence of bronchial asthma treatment in 28% of patients of the main group has been demonstrated in 2003. The discrepancy in the diagnosis of bronchial asthma of light degree and medium severe degree (p=0.03) were detected by a positively accepted method (examination of pulmonologist/allergist, clinical and instrumental examination, 2008). Clinical efficacy of treatment of children with bronchial asthma as residents in regional respiratory centre has been proven. For ten years the number of children with BA decreased by 25%, the number of bronchial asthma patients with moderate current (p=0.03) decreased and the number of patients with medium severe degree bronchial asthma (p=0.01) significantly increased. In 2013, the patients of the main group observations received adequate basic therapy bronchial asthma; number of children with asthma decreased in 2 times (p=0.03); the calls in the ambulance and the need for hospitalization decreased more than 2 times (p=0.03); the number of children with controlled bronchial asthma increased from 26 to 64% (p=0.05).
bronchial asthma, children, regional center as the sanatorium type, villagers, remote areas
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