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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.
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