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Main arrow Archive of previous Issues arrow ╣5 2013 (33) arrow Current situation, problems and prospects for developing organizational and functional system for primary prevention of chronic non-communicable diseases in St. Petersburg
Current situation, problems and prospects for developing organizational and functional system for primary prevention of chronic non-communicable diseases in St. Petersburg Print
Monday, 11 November 2013

M.V. Avdeeva1,2, Yu.V. Lobzin1,2, V.S. Luchkevich2
1Research Institute for Children's Infections, St. Petersburg
2 Northwestern State Medical University named after I.I. Mechnikov, St. Petersburg

Summary. Prospects for reducing morbidity and mortality from chronic non-communicable diseases are largely determined by effective performance of the primary prevention system.

The aim of the study was to review current situation, problems and prospects for further development of the system for primary prevention of chronic non-communicable diseases.

Methods. Annual reporting forms # 68 źHealth center profile╗ for 22 Saint-Petersburg's adult health centers have been analyzed for 2009-2012.

Results. Increased utilization of adult health centers has been reported for the period under review. The majority of visits to health centers were self-initiated. 65.8% - 80.8% of visitors had risk factors for developing chronic non-communicable diseases. However, the reporting form # 68 does not reflect real state of health of the citizens as it does not include structure of the risk factors and their relationship to chronic non-communicable diseases.

Health centers turned out to have insufficient flow of patients and thus not operating at full capacity. Among workforce problems a high share of stuff with secondary job and low share of physicians with qualification certificates can be mentioned.á

Conclusions. To improve primary prevention of chronic non-communicable diseases regulatory measures should be taken to increase utilization of health centers. Performance evaluation of health centers in terms of primary prevention identified the need to expand the reporting form#68 with information about structure of the risk factors identified.

Keywords: health centers; primary prevention; health protection of the adult population; chronic non-communicable diseases.

References

  1. Avdeeva MV, Lobzin YuV, Luchkevich VS. Assessment of organization and function effectiveness of health centers in primary prevention of socially significant non-communicable diseases. Vestnik Rossiyskoy Voenno-meditsinskoy akademii 2013;(2):169-172 (in Russian).
  2. Avdeeva MV, Samoilova IG. Primary prevention of socially significant non-communicable diseases and its medical and economical efficiency. Gumanitarnye, sotsial'no-ekonomicheskie i obshchestvennye nauki 2013; (2) :143-147 (in Russian).
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  5. Zhukova TV, Kharagurgieva IM, Svintukhovskiy OA. Optimization of health status assessment of healthy individuals in the system of primary health care in relation with social and hygienic monitoring of population health. Gigiena i sanitariya 2012;(6):21-26 (in Russian).
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  8. Krivonos OV, Boitzov SA. Pogosova NV. Providing medical care to adult population in health centers. Guidelines. Moscow: The State Research Center for Preventive Medicine, 2012. 63 p. (in Russian).
  9. Medic VA, Uriev VK. Public health and health care. Moscow: Professional; 2009. 432 p (in Russian).
  10. The State Report źOn the health status of population and activity of health care facilities in St. Petersburg in 2011╗. St. Petersburg. źBeresta╗ Publishing House: 2012. 240 ­. (in Russian).
  11. Order of the Ministry of Health and Social Development of the Russian Federation of 2009 August 19 ╣597Ý źOn the organization of the health centers to promote healthy lifestyles in the citizens of the Russian Federation, including a reduction in alcohol and tobacco consumption╗ Rossiyskaya gazeta. The Federal Issue ╣5007. 2009 September 30 (in Russian).
  12. Rastorgueva TI, Polozova OV. Current issues of health center activity in the Russian Federation. Byulleten' Natsional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya 2012;(6):121-123. (in Russian).

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