2019 № 1 The main trends in the incidence of injuries, poisoning and some other effects of external causes in the constituent entities of the Russian Federation
Injuries, poisonings and some other causes of external causes make an indisputable significant contribution to the morbidity structure of the population of the Russian Federation. Despite the decline in the share of morbidity from external causes for 2005–2016, this cause still consistently occupies the second ranking position, causing enormous economic, and knowing a high level of violent mortality, and medico-demographic damage. Despite the positive trend of reducing the incidence of external causes, a number of subjects of the Russian Federation with extremely high values, as well as negative growth dynamics, were identified. For 2005–2016, the most negative trend in the increase in incidence from external causes was found in the Moscow Region, the Kurgan Region, the Altai Territory, the Bryansk Region, the Republic of Sakha. Of particular interest to the organizers of health care should be those areas of the Russian Federation in which low incidence rates are registered, and a positive trend of decline. It is necessary to analyze the systems of organization of medical care and medical prophylaxis, and to use subjects with the lowest incidence rates from external causes as an example in order to improve measures aimed at reducing morbidity.
2019 № 2 Dynamics of morbidity indicators during the reform of the Health Care System of the Russian Federation from 2006 to 2016
Over the past 10 years, it has been possible to achieve positive changes in a number of indicators of public health and resource provision of the health care system. Modernization and reform of the health care system of the Russian Federation today is still not completed and is in the process of implementation. With the aim to study the changes in the state of health of the population against the background of the reform of the health care system of the Russian Federation, taking place in 2006–2016 was used the method of continuous observation based on the forms of state statistical observation. The study showed that over 10 years the death rate of the population decreased by 13%. If in 2006, 2,166,703 people died, then in 2016, 1,891,015 people died. Over 10 years, the life expectancy of Russians has increased by more than 5 years and in 2016 it has exceeded 71.9 years, reaching 77 for women and 66.5 years for men. The analysis of the morbidity over a ten-year period showed a tendency to increase. Thus, the rate of growth of incidence was 3%, and a prevalence of 7%. At the same time, the incidence increased in all Federal Districts, except Central Federal Districts. Over the past ten years, the prevalence of mental and behavioural disorders has decreased by 19%, infectious and parasitic diseases by 17%, diseases of the skin and subcutaneous tissue by 8%. The main line of development of health care system was chosen the strengthening of its preventive orientation, with the primary development of mass and cost-effective community-based forms of activity. In general, the reform of the Health Care System over the past 10 years has had a positive impact on the health status of the Russian population in all age groups.