T.P.Sabgayda 1, N.B.Pavlov2
1 - Federal Public Health Institute , Moscow
2 - City stomatologic polyclinic, Nizhnevartovsk
The goal of the work is the
analysis of efficiency of health preventive measures on the base of the
existing data of statistical reporting.
Results of activity of the Centers for health prevention have been
analyzed in comparison with dynamics of population mortality caused by
preventable reasons for the period of 2005-2009 in the subjects of the
Russian Federation. The study have been made with using the data of
official state statistics on population mortality(¹Ñ51), activity of the
Centers for health prevention (¹170), as well as activity of health
care facilities and medical personnel (¹47).
The decrease in mortality caused by preventable reasons in the
Russian population registered after 2005 is correlated with an
improvement in population social and economic well-being rather than
with facilitating preventive function of public health services. Death
cases caused by preventable reasons have made 56.4 % among men in the
ages from 5 till 65 and 53.3 % in women of the same ages. The
preventable mortality has decreased by 28.1 % in men and 26.3 % in women
since 2005. The coefficients of correlation between preventable
mortality and real available monetary incomes of the population during
2003-2009 have been 0.98 for men and 0.99 for women. A reduction in
preventable mortality rate was registered together with an increase in
morbidity close to all-Russia indicators in the subjects of the Russian
Federation where the number of preventive programs and projects realized
by the Centers for health prevention was high.
Resource provision and activity of the Centers for health prevention
was essentially decreased during the period examined. The number of
Centers has been reduced by 29.8 %, the number of staff employment by
18.9 %; employment of medical personnel by 8.4 %; volume of actually
received resource provision by 97.4 %. The number of researches aimed at
studying the population information awareness about risk factors of
noncommunicable diseases was decreased by 76.6 %, study of sanitary
culture of the population – by 52.9 %, study of behavioral risk factors
of noncommunicable diseases – by 41.6 %. The number of health promotion
services provided to the population has decreased in four times and more
, the number of consultations carried out– in 1.9 times, the number of
patients in the Centers for health prevention – in 2.8 times.
Thus, the results of the analysis have shown that the statistical
reporting data have not been used: a disparity in the data given in
various tables of the reporting forms testify to an absence of
verification of the information. The objects and tasks of the Centers
for health prevention are interpreted over a wide range, they are
overloaded with functional duties.
Key words: efficiency of health preventive
measures; indicators of preventive activity; primary prevention;
preventable mortality; verification of statistical reporting data;
prevalence of morbidity risk factors.
References
-
Amlaev KR, Frantseva VO, Shalina EP, Khoroshilova
EYu. Metodicheskoe rukovodstvo po meditsinskoy profilaktike
[Guidelines for medical prevention. On the
site of municipal center for medical prevention in the town of
Stavropol]. [Internet]. 2007 [cited 2010
Sep 14]. Available from:
http://www.zor-da.ru/muz/metodichsekie-materialy/new-metodicheskoe-rukovodstvo-po-meditsinskoj-profilaktike
-
Golikova TA. Sostoyanie i sovershenstvovanie
narkologicheskoy sluzhby RF. Tezisy konferentsii "Narkologiya-2010",
Moskva, 5 oktyabrya 2010. [The current
condition and future improvement of narcology service in RF.
In: Proceedings of Conference on Narkologiya-2010] Moscow 2010 Oct 5
[cited 2010 Dec 25]. Available from:
http://www.minzdravsoc.ru/health/prevention/21
-
Goncharova OV. Uchrezhdeniya, deyatelnost
kotorykh napravlena na formirovanie ZOZh [Establishments
for developing healthy mode of life]
[Internet] [cited 2010 Dec 25]. Available from:
http://www.mednet.ru/ru/zdorovyj-obraz-zhizni/uchrezhdeniya-deyatelnost-kotoryx-napravlena-na-formirovanie-zozh/kabinety-zdorovogo-rebenka.html
-
Danilov EO. Pravovye osnovy stomatologicheskoy
praktiki. [Juridical foundations of
stomatology practice] Sankt-Petersburg:
Sankt-Petersburg institut of stomatology; 2002. 176 p.
-
Denezhnye dokhody naseleniya [Pecuniary
incomes of population] [Internet] [cited
2010 Dec 25]. Available from:
http://bi.gks.ru:8080/DDB/showcharts.jsp?report=UR001_1p&project=BIPortal_cen_3.bip.
-
Zabirov KI, Maksimov VA, Marchuk NV. Kachestvo
zhizni bolnykh balanopostitom [QOL in
patients affected by balanopostitis].
Vrach 2008;(5):25-29.
-
Kuznetsov PP. Meditsinskiy
informatsionno-analiticheskiy tsentr kak instrument strategicheskogo
menedzhmenta v zdravookhranenii [Center of
medical information and analysis as means for strategic management
in public health]. Moscow: RAMN; 2003. 124
p.
-
Predotvratimaya smertnost v Rossii i puti eye
snizheniya. Pod red. Mikhaylovoy YuV i Ivanovoy AE. [Mikhaylova YuV,
Ivanova AE, editors. Avoidable mortality
in Russia: ways to reduce mortality here].
Moscow: TsNIIOIZ; 2006. 308 p.
-
Prikaz MZMP RF ¹ 364 ot 22 dekabrya 1995 g. «O
merakh po razvitiyu meditsinskoy profilaktiki v Rossiyskoy
Federatsii» [Order No. 364 of Russian
Federal Ministry of Public Health from Dec.22, 1995. On measures for
developing medical prevention in Russian Federation].
-
Prilozhenie ¹ 3 k prikazu MZ RF ¹ 295 ot 6
oktyabrya 1997 g. «O sovershenstvovanii deyatelnosti organov i
uchrezhdeniy zdravookhraneniya v oblasti gigienicheskogo obucheniya
i vospitaniya naseleniya Rossiyskoy Federatsii» [Order
No.295 of Russian Federal Ministry of Public Health from Oct.6,
1997. Appendix No.3. On improving activity of boards and
establishments of public health for hygienic education and
instruction of the population of Russian Federation
-
Prikaz MZ RF ot 21.03.2003 ¹ 113 «O
sovershenstvovanii ambulatorno-poliklinicheskoy pomoshchi naseleniyu
Rossiyskoy Federatsii» [Order No. 113 of
Russian Federal Ministry of Public Health from Mar.21, 2003. On
improving out-patient care of population of Russian Federation].
-
Prikaz MZ RF ot 23.09.2003 ¹ 455 «O
sovershenstvovanii deyatelnosti organov i uchrezhdeniy
zdravookhraneniya po profilaktike zabolevaniy v Rossiyskoy
Federatsii» [Order No. 455 of Russian
Federal Ministry of Public Health from Sept.23, 2003. On improving
activity of boards and establishments of public health for diseases
prevention in Russian Federation].
-
Prikaz Minzdravsotsrazvitiya Rossii ot 19 avgusta
2009 g. ¹ 597í «Ob organizatsii
deyatelnosti tsentrov zdorovya po formirovaniyu zdorovogo obraza
zhizni u grazhdan Rossiyskoy Federatsii, vklyuchaya sokrashchenie
potrebleniya alkogolya i tabaka» [Order
No. 597í of Russian Federal Ministry of
Public Health and Social Development from Aug.19, 2009. How to
commit Health Centers for developing healthy mode of life in
citizens of Russian Federation]].
-
Solomonov AD. Nauchnye osnovy monitoringa
zdorovya naseleniya na regionalnom urovne (na primere Stavropolskogo
kraya) [Regional level monitoring of
state of health of population as it is in Stavropol Land:
Scientific foundations] [PhD
Dissertation]. Stavropol; 1998. 301 p.
-
Starodubov VI, Soboleva NP. Strategiya
profilaktiki zabolevaniy v usloviyakh reformirovaniya
zdravookhraneniya [Strategy for disease
prevention in reformed public health].
Ekonomika zdravookhraneniya
2002;(1):5-10.
-
Teylor FU. Printsipy nauchnogo menedzhmenta. Per.
s angl. [Principles of scientific
management (translated from English)].
Moscow: "Zhurnal "Kontrolling"; 1991. 81 p.
-
Tsentry zdorovya [Health
Centers] [Internet] [cited 2010 Dec 25].
Available from: http://www.takzdorovo.ru/db/healthcenter/index/
-
Barbarodo P, Lucrezi D, Prospero E, Annino I.
Improvement of knowledge, attitude, and behavior about oral health
in a population of alcohol addicted persons. Alcohol and Alcoholism
2008;43:347-350.
-
Delvaux
M, Etienne A.M, Bartsch P, Louis
R. Stop smoking help: a need. Rev Med
Liege 2005;60(11):863-866.
-
Field MJ, Gold GM, eds. Summarizing Population Health: Directions
for the Development and Application of Population Metrics. Institute
of Medicine, Washington, DC: National Academy Press; 1998. 112 p.
-
Holland WW. European Community "Atlas of Avoidable Death".
Second edition. Volume one. Commission of the European Communities
Health Services Research Series No 6. Oxford Medical Publications;
1991. 124 p.
-
Korda
RJ, Butler JR. Effect of healthcare on mortality: trends in
avoidable mortality in Australia and comparisons with Western
Europe. Public Health 2006;120(2):95-105.
-
Lagasse R, Humblet PC, Lenaerts A, Godin I, Moens
GFG. Health and social inequities in Belgium. Soc Sci Med.
1990;31:237-248.
-
Mackenbach JP, Bouvier-Colle MH, Jougla E.
Avoidable mortality and health services: a review of aggregate data
studies. J Epidemiol Community Health 1990;44:106-111.
-
Marshall SW, Kawachi I, Pearce N, Borman B.
Social class differences in mortality from diseases amenable to
medical intervention in New Zealand. Int L Epidemiol.
1993;22:255-261.
-
Rutstein DD, Berenberger W, Chalmers TC, Child
GC, Fischmen AP, Perrin EB. Measuring the quality of medical care. N
Engl J Med. 1976;294:582-588.
-
Tunstall-Pedoe H, Vanuzzo D, Hobbs M. Estimation
of contribution of changes in coronary care to improving survival,
event rates, and coronary heart disease mortality across the WHO
MONICA Project populations. Lancet 2000;355:688-700.
-
Ware JE, Sherbourne CD. The MOS 36-item
short-form health survey (SF-36). 1. Conceptual framework and item
selection. Medical Care 1992;30:473–483.
-
Westerling R. Commentary: evaluating avoidable
mortality in developing countries--an important issue for public
health. Int J Epidemiol. 2001;30(5):973-975.
- Westerling R. Decreasing gender differences in
"avoidable" mortality in Sweden. Scand J Public Health
2003;31(5):342-349.
Views: 24406
|