2016 № 3 Provision of medical rehabilitation care for the population of Russian Federation on an outpatient basis
Annotation. Demographic changes in the direction of increasing of older age groups in the population structure, chronicity diseases, disability height, high premature mortality from chronic non-communicable diseases and due to this enormous economic damage to the national economy of the country pose the problem of organizing measures of effective medical rehabilitation of patients to the category modern Russian health priority issues. The results of analysis of medical institutions and professionals activities, that provide assistance for medical rehabilitation in outpatient settings, indicate that there is a low level of cabinets and experts providing assistance on medical rehabilitation in Russia. The low number of visits to the professionals of all profiles in combination with a high coefficient of combining and low understaffing, indicates lack of sending patients for this type of restorative treatment, that is unfairly against a background of increased morbidity, especially chronic and disabling forms of diseases. This, in turn, shows the lack of organizational and legal forms of regulating the flow of patients from the active treatment to the rehabilitation, that leads to the dissatisfaction of the population need for this type of care. The structural analysis of the situation and identify unsolved problems so far give us basis for looking for priority actions for the development of provided medical rehabilitation on an outpatient basis – a necessary condition for the implementation of medical and social functions of the state to preserve and strengthen health of the population.
2017 № 6 Peculiarities of the morbidity of teenagers 15–17 years old in Russian Federation for the period 2000–2015
Adolescent population’s health determines the formation of the nation’s health for the future. Tendency of the general morbidity of adolescents in the dynamics for 2000–2015 in Russia is presented. For the period of study, a significant increase in the overall incidence of adolescents was revealed: from 1730 to 2193 cases per 1000 of the corresponding population (an increase of 26.8%). At the same time, the average annual growth for five-year periods (2000–2005–2010–2015) was 0.4; 5.1; and –0.2%, respectively. The growth trend is also traced for the incidence detected in adolescents for the first time in life: from 1046 to 1341 per 1000 of the respective population (by 28.2%), while the average annual growth over the five-year periods indicated above was 0.5; 5.5; –0.4, respectively. The study showed that the last 15 years were characterized by negative dynamics of the health indicators of the adolescent population. The share of diagnoses registered for the first time in life, from the total morbidity of children of 15–17 years in general for all diseases has not changed (61% in both 2000 and 2015 years), that indicates growth of both acute and chronic pathology in the population
2018 № 8 Base trend on number of Russian children (aged 0–14) require for medical supervision in 2000–2015 years
Growth of Russian children’s incidence is confirmed with many special researches. As has shown the anal¬ysis of Federal statistical observation (form No. 12) for 2000–2015 years, in Russia the number of children at the age of 0–14 years require for medical supervision has grown from 302,6 to 309,0 cases for 1000 per population of the corresponding age (2,1%). The highest increase took place on classes: new growths (105,3%), congenital anomalies (malformations) (63,0%), injuries, poisonings, etc. (56,3%). Decrease in number of the children (0–14 years) require for medical supervision is noted on the following classes: pregnancy, childbirth and postnatal period (–70,0%), separate conditions of the perinatal period (–60,6%), some infectious and parasitic diseases (–59,5%), mental disorders and disorders of behavior (–43,1%). The balance of number of the studied group of children for 2015 year is 6,1% at the expense of bigger number registered (55,3%), in comparison with number of struck off the register (49,2%). At the same time the maximum plus balance was observed on the following classes of diseases: separate conditions of the perinatal period (46,5%), injuries, poisonings, etc. (80,0%), diseases of respiratory organs (21,3). The minus balance of number is noted on classes: some infectious and parasitic diseases (–11,6%), mental disorders and disorders of behavior (–2,4%). The number of children require for medical supervision in Russia for the studied period has grown. As soon as, the health of children and teenagers defines health of future nation, its preservation is an important task, which real¬ization demands development of measures for treatment of diseases of this contingent, and, above all – holding preventive actions with definition of their address introduction (school, the house, healthcare institutions).
2019 № 7 The main trends of the incidence in girls of 15–17 years on the background of high level of chronic pathology
The health condition of the Russian Federation children, including adolescents, has been characterized by negative trends in the past thirty years. The aim of the study is to identify the main trends in the total and for the first time in the life registered incidence in girls 15–17 years old in the Russian Federation, as well as to track the quantity and dynamics of the indicator of chronicity of diseases. The data of form N12 of the federal statistical observation for the period 2000–2017 are analyzed, using the method of descriptive statistics. A significant increase was revealed both in the total incidence of girls (by 56.9%) and for the first time in the life registered incidence (by 63.0%). The maximum increase in total incidence is observed for the most classes of diseases, for example: neoplasms (2.4 times), injuries, poisoning and some other consequences of external causes (2.4 times), congenital anomalies (malformations) (2.3 times), cardiovascular system diseases (2 times), diseases of the musculoskeletal system and connective tissue (2 times). The growth for the first time in life registered incidence was revealed for the overwhelming majority of classes of diseases, for example: injuries, poisoning and some other consequences of exposure to external causes (2.5 times), diseases of the nervous system (2.2 times), cardiovascular system diseases (2 times), neoplasms (2 times), diseases of the ear and mastoid process (2 times), diseases of the musculoskeletal system and connective tissue (1.9 times). High figures of the chronicity index aggregative for all classes of diseases reflect the initially high level of chronic pathology in girls 15–17 years old, what is an unfavorable characteristic of their health condition. An analysis of the chronization index of the diseases among girls aged 15–17 years over the study period revealed its maximum growth for classes of congenital anomalies (malformations) (by 31.1%) and tumors (for 23.0%), and for certain nosologies: menstrual disorders (5.8 times) and renal failure (4.2 times). The health of children, and especially adolescents, determines the health of the nation in the nearest future; therefore, the issues of its preservation and improvement require thorough attention.