2022 № 3 Epidemiology of disability of the able-bodied population in Tver on the example of surgical patients
The health of the nation is the main marker of the successful development of the state. Maintaining and improving the health of citizens are the main tasks of social policy in every country. Morbidity and disability are among the main indicators of the state of public health. They reflect the demographic situation and the level of socio-economic development of the country.
Every year the number of persons with disabilities increases, which makes the problem of disability of the able-bodied population extremely relevant. Monitoring of disability, as one of the medical and demographic indicators, is the basis for ensuring the protection of the health of citizens. Research on the epidemiology of disability is the key to preventing an increase in the number of disabled citizens. In addition, it plays an important role in the distribution of the state budget to improve the quality of life of people with an assigned disability group and to carry out preventive measures aimed at reducing the impact of risk factors for disability.
Purpose. Assessing the degree, structure and dynamics of disability among residents of the city of Tver using the example of surgical patients observed in the “City Clinical Hospital No. 7”, and detection the main number of diseases that caused the setting of a disability group.
Methods. An analysis was carried out regarding the data on the official reports of the surgical department polyclinic No. 1 of the state budgetary healthcare institution “City Clinical Hospital No. 7” in Tver for the period from 2010 to 2020. The dynamics of the frequency of registration of persons with disabilities was studied among surgical patients, the main groups of diseases that caused disability were identified, the structure of disability by groups was analyzed. The degree of reliability of the obtained data was assessed.
Results. The growth of citizens with disabilities in the outpatient surgical department increased 3,3 times from 2010 to 2020. The dynamics was wave-like. There was a sharp rise in the number of people who received a disability group for the first time from the beginning of 2010 to the end of 2013. The indicators did not change much from 2014 to 2020. However, the dynamics of the percentage of the working population among persons with disabilities developed in inverse proportion. Those who received a disability group for the first time mainly had pathologies of the musculoskeletal system and vascular diseases.
Conclusion. Based on the data of the surgical department of the polyclinic in the city of Tver, the number of persons with
disabilities tends to increase. It requires constant monitoring. The number of persons with disabilities tends to increase. It was illustrated through an example of a study in Tver. All that leads to a decrease in the able-bodied population and an increase in social inequality. It is an urgent problem in the region.
2020 № 2 Improving the quality of organization and provision of medical care for children with injuries in order to reduce their disability
Children’s disability is an urgent medical and social problem of modern society, one of the main characteristics
of public health and social well-being of the country. This article provides additional data on the main trends in primary
childhood disability, depending on the age and type of injury, type of injury and a damaging factor; presents a medium-
term prognosis of primary childhood disability due to injuries for the Kursk region. The types of psychological status of a
family with a child with an injury are determined, and their effect on the implementation of measures for its rehabilitation in
various types of injuries is studied. The results obtained indicate the importance of an individual approach to each specific
family with a child with an injury, and the need for work aimed at achieving optimal treatment outcomes and preventing
the formation of disability. A scheme has been developed for the interaction of various organizations and departments
involved in the prevention of childhood injuries and the comprehensive rehabilitation of children with the consequences of
injuries. A scheme of the relationship between the types of rehabilitation and the level of adaptation (somatic, psychological,
socio-environmental) of children with the consequences of injuries under the age of 12 years is proposed.
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 № 2 Evaluation of the economic efficiency of building workforce disabled after coronary bypass surgery (based approach «cost-benefit of loss») («Chelyabinsk State Medical Academy» of Federal Agency for Healthcare and Social Development the Russian Federation, Chelyabinsk, Russia)
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. The present article is concerned with estimation of the potential loss of employment due to disability of patients after coronary bypass surgery. Purpose — the calculation of economic damage from the underproduction of the gross regional product of the Chelyabinsk region in case of disability of the patients with coronary artery disease after coronary bypass surgery. These results allowed us to estimate lost profits for the disabled after coronary artery bypass grafting in total economic loss.
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.