Authors
Shlyafer S. I.
Doctor of Medicine, Chief Researcher, Department of Scientific Foundations of Health Organization1
1 - Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia
Corresponding Author
Shlyafer Sofia Isaakovna; e-mail: sofy@yandex.ru
Conflict of interest
None declared.
Funding
The study had no sponsorship.
Abstract
The aim. To analyze the morbidity data with a first-time diagnosis, to evaluate the results of medical examination of the older than working age population, depending on the place of residence in the Russian Federation for 2015-2019. Material and methods. To study morbidity with a first-time diagnosis, including those identified during medical examination, by classes of diseases in the population older than working age (women aged 55 and older, men – 60 years and older), depending on the place of residence, we analyzed data from Federal statistical observation forms ¹¹ 12 and 1201 «Information on the number of diseases registered in patients residing in the service area of a medical organization» for 2015-2019. Evaluation of the results of the medical examination of urban and rural dwellers older than working age, was based on the information from the federal statistical observation forms ¹¹ 30 and 30-village «Information about the medical organization» for the 5-year study period. The methods used: statistical, analytical. Results and discussion. The nationwide primary morbidity rate for the older than working age population, both for urban and rural dwellers for the period 2015-2019 practically did not change. The main causes for the primary morbidity of the population older than working age were respiratory diseases, trauma, poisoning and some other consequences of external causes, diseases of the circulatory system, genitourinary system, skin and subcutaneous tissue, musculoskeletal system and connective tissue, eyes and their accessory apparatus. When conducting a medical examination of the older than working age population, depending on their place of residence, first-time diagnosed were every fourth disease of the endocrine system, nutritional disorders and metabolic disorders (obesity, etc.), every sixth to seventh disease of the blood, hematopoietic organs and individual disorders involving the immune mechanism (anemia), every seventh (in the rural setting – the ninth) disease of the circulatory system (hypertensive heart disease, etc.). During the study period, with the split by health groups of the entire older than working age population who underwent medical examination, a decrease in the proportion of people who were assigned to groups I and II (by 2,8 and 5,7% respectively) was noted due to the increase in the proportion of people assigned to group III (by 10,3%), among urban dwellers – by 3,0, 6,1 and 10,7%, respectively, rural dwellers – by 2,2, 4,7 and 9,0% respectively. Conclusions. In the Russian Federation, for 5 years, there has been an increase in the proportion of older than working age people who have been assigned to health group III and need additional examination, require dispensary observation by a doctor-therapist and specialist doctors together with carrying out medical, preventive and rehabilitation measures.
Key words
primary morbidity, medical examination, patient older than working age, disease class, health group, place of residence
DOI
References
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