Management in health care
  • 2015 № 5 Risk factor for mortality from cardiovascular diseases: the expert estimation doctors of various specialties

    No statistically significant differences in the average score evaluation by physicians of different specialties of each indicator (p > 0,05 for each item). Average effect on mortality from cardiovascular diseases comorbid somatic pathology according to the doctors is 3,5±1,5, and more than a third of experts evaluated the contribution of comorbid somatic pathology in maximum 5 points. Average impact of comorbid psychopathology — 2,7±1,4; comorbid diseases caused by alcohol and drug use — 3,5±1,5; failure to doctor's recommendations — 4±1,3; ignorance of the major risk factors for the Ivory Coast, or the rejection of their correction — 3,8±1,4; ignorance of the main manifestations (symptoms) of life-threatening diseases or complications requiring first aid and emergency medical services — 3,9±1,4. Almost 50% of specialists have put the maximum score in the answers to the last two questions. Аccording to doctors at the level of regional mortality from BSK is strongly influenced by physical and mental comorbid pathology, ignorance of the risk factors, symptoms and methods of providing emergency assistance in the Ivory Coast.

    Authors: Samorodskaya I. V. [7] Boytsov S. A. [7] Vatolina M. A. [2] Barbarash O. L. [1] Ovcharenko O. N. [1] Bykovskaja T. J. [1] Kovalenko T. N. [1]

    Tags: cardiovascular disease4 mortality13 risk factors3

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  • 2014 № 6 Problems of evaluation and interpretation of indicators of morbidity, morality and disability from diseases of the circulatory system (Federal State Budgetary Institution <State Research Center for Preventive Medicine under the Ministry of Health of the Russian Federation>, Moscow, Russia; South Ural State Medical University under the Ministry of Health of the Russian Federation, Chelyabinsk, Russia)

    The article examines the differences in the approaches to their assessment of morbidity, mortality and disability caused by diseases of the circulatory system (SBR). On mortality from BSK affect coding errors and selecting the cause of death, the lowest frequency of autopsies on the background of high mortality outside hospitals. Indicators of overall morbidity due to peculiarities of the collection of statistical information is significantly more than the population , while the actual number of sick people is unknown. On disability rates have a significant impact not only and not so much the degree of violation of physical state as psychological characteristics and evaluation of subjective perception of disease by patients and physicians; social factors, regulatory documents. These factors lead to the problems of comparing mortality, morbidity and disability between the Russian Federation and other countries, and between regions of the Russian Federation, the complexity of the information support for management decision-making in health and health care organization.

    Authors: Samorodskaya I. V. [7] Boytsov S. A. [7] Vatolina M. A. [2] Efros L. A. [3]

    Tags: alzheimer's disease1 cardiovascular disease4 daly2 disability3 disease3 mortality13 years of life lost1 yld1

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