All articles by Konovalov O. E.
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2021 № 10 THE MORBIDITY DYNAMICS MODELING AS AN INFORMATIONAL BASE TO MEDICAL CARE MANAGEMENT FOR THE OVER WORKING AGE POPULATION
P u r p o s e o f t h e s t u d y : The substantiation of the need to use modeling of the dynamics of primary and general morbidity of the elderly and old population to improve the management of medical and preventive care for this age group.
R e s e a r c h m e t h o d s : analytical, modeling and mathematical-statistical methods.
R e s e a r c h b a s e . This study was conducted on the basis of the Moscow region with a population of 7,7 million people as of 01.01.2021.
R e s u l t s . Shown, that use of mathematical modeling of the morbidity rate as an information database is one of the most optimal ways for calculating and assessing the needs in the volume of medical care for specific age groups of the population. The use of a nosological approach is proposed, because it allows to assess the required volume of medical care based on the existing pathology not on existing organizational models that may change. Morbidity modeling and forecasting is designed to promote optimization of medical and preventive examinations for elderly and old people in terms of determining the necessary forces and means based on knowledge of the magnitude of the existing need.
C o n c l u s i o n . Taking into account the forecasting data, the use of the proposed models makes it possible to form an idea of the magnitude of the need and to monitor the implementation of state guarantees for the medical provision of elderly and old people. -
2023 № 1 Review of the work of the state dental service of the Tver region in 2021
Taking care of the health of the population of the Tver region is an important direction of social regional policy. The main task of the dental service of the Tver region is to preserve and strengthen the health of the citizens of the Tver region, to increase the role of preventive care of dental diseases, to form a model of organization of the dental industry that ensures the availability and quality of dental care, to increase the efficiency of dental services, the volume, types and quality of which should correspond to the level of morbidity and the needs of the population, advanced achievements of medical science. The aim of the research is the analysis of the statistical data of the stomatological service of the state public health institutions of the Tver region.
Materials and methods. Analysis of the statistical data reflecting demographic indexes, statistics of the stomatological service structure, staffing, distribution of dentists among the institutions of the Tver region, quality of dental care, the main indexes of the stomatological service of the Tver region, indexes of treatment and preventive work.
Results. The present study is devoted to the analysis of the activity of state medical institutions of health care of the Tver region that provide dental care to the population of the Tver region. The indices of the provision of dentists in this region (not taking into account orthopedists and orthodontists) makes 3,82 posts for 10 thousand population (426,25 rates in total). Indicators of provision of the region’s population with dentists are 4,3 positions per adult population of the region. The deficit specialties have been revealed: pediatric dentists, orthodontists, in the regional institutions there is a shortage of orthopedists. The share of occupied staff positions in the specialty of pediatric dentistry was 49%, which reflects the need for training in this area. The difficulties in the organization of preventive examinations of the
children’s population were revealed, and the low percentage of the examined persons.
Conclusions. The municipal, district and regional medical institutions of health care rendering dental treatment to the population are functioning on the territory of the city of Tver and the Tver region in general. The statistical analysis has revealed a number of difficulties that require further action on the part of the medical community and public organizations. It is necessary to develop comprehensive measures to solve the shortage of pediatric dentists at the level of the Ministry of Health and educational institutions. The difficulties of preventive examinations among the population of different groups are highlighted. It is important to strengthen the preventive profile in order to reduce the cases of complicated caries, tooth extraction. Development of hygienic direction will increase awareness of the population
about the peculiarities of dental and oral hygiene, methods of prevention and treatment of dental diseases.