2018 № 2 Potential years of a life lost and economic losses due to the alcohol-attributable mortality in the near-arctic regions of the european north of Russia
Background. High level of premature alcohol-attributable mortality and associated economic losses are the con- sequences of considerable alcoholization of the population of the near-arctic regions in Russia. Aim of the study is to assess potential years of a life lost and economic losses due to the alcohol-attributable mortality in the Murmansk, Arkhangelsk regions and the Komi Republic in 2006–2015 years. Methods. Potential years of a life lost due to the premature deaths from alcohol-attributable conditions were calculated using brief tables of mortality (survival) for the five-year age intervals. This data was used to estimate the scale of the “actual” (annual) and “prospective” economic losses. Results. Distribution of the potential years of a life lost due to the premature deaths from alcohol-attributable conditions had the inverse “po- lar-equatorial gradient” (the maximum values of the indicator were in the Arkhangelsk region and the Komi Republic; and the minimum values were in the Murmansk region). Men and women aged 30–49 were at the group of a high risk. Positive dynamics in the values of the indicator in the group of elderly persons was associated with an increase in the life expec- tancy of the population. In 2006–2015 total “perspective” economic losses due to premature alcohol-attributable mortality in Murmansk region amounted to 5.5 billion rubles, Arkhangelsk region – 9 billion rubles, Republic of Komi – 11.7 billion rubles. Conclusions. In 2006–2015 alcohol-attributable mortality remained a leading cause of a significant demographic and economic damage to the population of the near-arctic regions of the European North of Russia. Application of the results. Obtained results can be used to develop programs for medical prevention and the healthy lifestyle formation, justi- fication of measures aimed at increasing the efficiency of regulation of the regional alcohol market.
2022 № 1 Assessment of economic losses due to the development of infection in the surgical intervention area
The development of infection in the field of surgical intervention is inextricably linked with financial costs and the public reputation of the institution. The medical and preventive institution needs to allocate additional funds from the hospital budget for diagnostic studies, as well as for medicines for the treatment of frolicking purulent-septic complications. As a result, medical and preventive institutions experience annual additional economic losses.
P u r p o s e of the study is to assess the economic damage caused to medical and preventive institutions due to the development of infections in the field of surgical interventions.
M a t e r i a l s a n d m e t h o d s . In the course of this study, an analysis of domestic and foreign literature sources on the issue of economic damage from purulent-septic complications in surgical practice was carried out.
R e s u l t s . The damage caused by the development of infections in the area of surgical intervention is quite significant, and even the introduction of new technologies and therapies does not relieve patients from their possible appearance. The estimated costs of infection of the surgical intervention area vary depending on the region, the type of operation and the degree of infection.
Economic analysis in this case is necessary to study the activities of organizations from the point of view of evaluating their work in order to monitor and subsequently better manage the processes of supplying the institution itself with material resources, as well as the use of internal reserves and their rational use.
F i n d i n g s . The distribution of funds in medical and preventive facilities should be carried out rationally to ensure the full-fledged activity of the institution. In the absence of measures taken to prevent the development of nosocomial infections, infections of the surgical intervention area may occur after a certain period of time after the patient is discharged from the hospital, thereby contributing to the spread and contamination of healthy people, which from a socio-economic point of view is unprofitable.