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.
2013 № 1 Utilitarian analysis of the health care effectiveness in the group of patients with disabilities after coronary bypass surgery («Chelyabinsk State Medical Academy» of Federal Agency for Healthcare and Social Development the Russian Federation, Chelyabinsk, Russia)
Summary. The research is based on the analysis of the register of patients operated on for CHD in the period 2000–2009 in Chelyabinsk interregional cardiac center on the basis of the Chelyabinsk Regional Clinical Hospital. Utilitarian analysis of cardiac surgery may play a crucial role in making organizational, clinical and financial decisions. The purpose — to carry out clinical and economic analysis with the use of the utility index («utility») DALY's (disability adjusted life years) in patients with coronary artery disease after coronary bypass surgery. The result — the values obtained allowed to conclude that a decrease in the degree of disability potentially duration of the life quality increases.