Gaas E.N., Modestov A.A.
City policlinic ¹1, Krasnoyarsk

The goal of the work is to study analytical opportunities of the MHI data for more profound examination of the population morbidity . In the article, the results of the analysis of population visiting a doctor are analyzed in comparison with the statistical report data using as an example cardiovascular diseases with a wide spectrum of diagnoses with taking into consideration patients’ age and gender, the number of disease cases during one year, disease duration, the number of visiting a doctor and cost of services provided.

The study has shown that unlike the principles of generating the statistics of diseases MHI statistics generalizes not disease cases but cases of references to medical care. Such approach overestimates essentially (in several times) the level of morbidity and deforms its structure due to greater representation of mild disease cases, which most often are the reasons of visiting a doctor. So, the leading positions in morbidity in people younger than 30 years and senior employable-age persons of 45-59 years hold the diseases, which are characterized by hypertension; they include from 40% to 50 % of references to medical care with blood circulation diseases . So, MHI statistics cannot be used as an information source to study morbidity with an existing approach to data collection.

At the same time, the MHI approach makes it possible to assess the distribution of medical care by various kinds of pathology in time and financial indicators. The analysis has shown that in all groups of employable-age population the diseases with high disability and lethal risks are not considered as high-priority at distribution of medical care provision. Even for the senior employable-age population of 45-59 years, the expenses for heart attack treatment are 0.3 % of the total expenses for treatment of cardiovascular pathology, expenses for stenocardia treatment are 3.3 %. Such a distribution of time and financial expenses becomes the factor of early disability and premature mortality in persons with the given pathology.

The current situation is largely defined by the ideology of the municipal order, which is based exclusively on volumetric and financial indicators and states the importance of performing the plan on volumes of medical care provided in health care facilities instead of reduction in population health losses.

Key words: by-person morbidity data, cardiovascular diseases , employable- age population.

References

1. Badalyants IE. Mediko-ekonomicheskaya kharakteristika statsionarnoy pomoshchi litsam pozhilogo i starcheskogo vozrasta v sisteme OMS Samarskoy oblasti [Medical and economic pattern of in-patient management for elderly and geriatric patients within the system of obligatory medical insurance in Samara Region]. Problemy sotsialnoy gigieny, zdravookhraneniya i istorii meditsiny 2008;(5):37-40.
2. Vasileva TP, Taranov AM, Chumakov AS, Trofimov VV, Frolova TI, Kalashnikov NM, Kostin VG, Dubachinskiy LYa. Sotsialno-gigienicheskie faktory, opredelyayushchie dostupnost meditsinskikh uslug raznogo profilya v usloviyakh OMS [Social hygienic factors determining availability of medical services of various profiles in the system of obligatory medical insurance]. Byulleten Natsionalnogo nauchno-issledovatelskogo instituta obshchestvennogo zdorovya RAMN 2005;(4):32-36.
3. Daraev YuD. Opyt optimizatsii raskhodov na okazanie meditsinskoy pomoshchi v sisteme OMS [Our experience of optimal restructuring of expenses for medical services in the system of obligatory medical insurance]. Byulleten natsionalnogo nauchno-issledovatelskogo instituta obshchestvennogo zdorovya RAMN 2005;(4):54-56.
4. Ivanova AE, Modestov AA, Sabgayda TP. Podkhody k Kontseptsii Zdravookhraneniya v novykh ekonomicheskikh realiyakh. [Approaches to the Concept of public health under new economic conditions]. Reformy rossiyskogo zdravookhraneniya v usloviyakh globalnogo ekonomicheskogo krizisa: bremya resheniy. [In: Shevyakov AYu, editor. Reforms of Russian public health under global economic crisis and the burden of decision-making]. Proceedings of a Roundtable Discussion; 2009 feb 19; Moscow. Moscow; 2009. p. 24-33.
5. Provedenie kliniko-ekonomicheskogo analiza potrebleniya lekarstvennykh sredstv pri dopolnitelnom lekarstvennom obespechenii v sisteme OMS (proyekt) [Fulfillment of clinical and economic analysis on consumption of medicaments in additional medicaments delivery though the system of obligatory medical insurance (pilot study)]. Problemy standartizatsii v zdravookhranenii 2006;(10):28-46.
6. Sabgayda TP, Yanin VN, Todyshev AYu, Evdokushkina GN. Stoimost statsionarnogo lecheniya bolezney organov dykhaniya i sistemy krovoobrashcheniya v gendernom aspekte (po dannym OMS Krasnoyarskogo kraya) [Cost of hospital treatment of respiratory and blood circulation diseases under gender aspect (using the compulsory medical insurance data in Krasnoyarsk territory)]. Sotsialnye aspekty zdorovya naseleniya [Online scientific journal] 2009 [cited 2010 May 19];11(3). Available from: http://vestnik.mednet.ru/content/category/5/42/30/
7. Sabgayda TP, Kondrakova EV, Redko AN. Podkhody k otsenke ekonomicheskoy effektivnosti meropriyatiy, napravlennykh na snizhenie smertnosti ot upravlyaemykh prichin [Approaches to evaluation of economic efficiency of the actions for diminishing mortality from controllable causes]. Zdravookhranenie Rossiyskoy Federatsii 2009;(2):23-28.
8. Starodubov VI, Kondrakova EV, Ivanova AE. Predotvratimost poter zdorovya naseleniya - kriteriy otsenki deyatelnosti organov mestnogo samoupravleniya [Avoidable loss in population health as a criterion for the assessment of local administration validity]. Sibirskoe meditsinskoe obozrenie 2009;5(59):94-98.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*