I.N. Ilchenko¹, O.V. Kazarina^2
1I.M.Sechenov First Moscow State Medical University, Department of Public Health and Preventive Medicine, Moscow
²Federal Clinical Research Center for Otorhinolaryngology, Federal Bio-Medical Agency, Moscow

Abstract. Vocal apparatus disorders and laryngopathy in particular constitute an important medical problem due to increased load upon vocal apparatus of children and adults in the context of technological progress. Delivery of high quality care to patients with laryngopathy is a pressing priority of the modern otorhinolaryngology and phoniatrics.

The aim of the study was to analyze and evaluate levels of laryngopathy morbidity based on medical care-seeking at health care facilities that provide phoniatric services and compare those data with official statistics of the Ministry of Health. The study used data on laryngopathy morbidity based on medical care-seeking at health care facilities in 40 regions of the Russian Federation in 2008-2011 as well as information from the state reporting of 17 regions of the Russian Federation on the level and structure of laryngopathy.

The results show that over the study period the detection rate among adults was 1.5 – two times higher compared to children’s detection rate due to low access to phoniatric care for children. However, rates of increase of children’ laryngopathy morbidity exceeded the same rate among adults by 1.5-2.5 times. This was due to the fact that new organizational units providing phoniatric care to children were opened.

Data from state statistical form #12 on laryngopathy in three federal districts are 2 times lower than morbidity rates registered in health care facilities which is accounted for by defects in statistical data collection that calls for improvement.

Results of the study can be used to develop phoniatric care standards and target programs aimed at improving organization of care delivery to patients with vocal apparatus disorders.

Keywords: vocal apparatus disorders; laryngopathy; phoniatric care; morbidity.

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