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.
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.
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.