A.E. Ivanova¹, S.E. Golovenkin², A.Yu. Mikhailov^1
1 - Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
² - Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk

Summary. Need for increasing effectiveness of demographic policy in terms of improved heath and reduced mortality makes the study topic relevant.

The aim of the study is to substantiate criteria for evaluating effectiveness of policy measures aimed at reducing mortality and to determine effects of measures aimed at reducing loss due to diseases of the circulatory system.

Methods and data. The authors used official statistics and survey of patients with diagnosed diseases of the circulatory system (356 patients of 40-60 years) in three Russian regions to evaluate measures aimed at reducing mortality associated with diseases of the circulatory system based upon suggested by the authors specially designed criteria.

The study showed that in general, markers substantiated by the authors indicate effects of measures aimed at reducing loss associated with diseases of the circulatory system.

Results. Statistical markers of effectiveness include the following: formation of a positive trend or increased positive dynamics against the background of implementation of corresponding measures; rapid decrease in mortality from causes that are mainly dependable upon healthcare performance (ischaemic heart disease and cerebrovascular diseases in comparison with “other heart diseases”); increased median age of death from ischaemic heart disease and cerebrovascular diseases; reduced share of “other” and “unspecified” diagnosis in the structure of ischemic heart disease and cerebrovascular diseases; rapid decrease in mortality associated with diseases of the circulatory system in the regions that have initiated implementation of measures as early as at the “pilot” stage of implementation.

According to the social survey, markers include the following: awareness about new measures aimed at developing cardiological care; use of new medical and informational technologies by the informed respondents; positive appraisal of changes in access to and quality of medical care by the respondents.

The analysis also showed that despite clear achievements that prove effectiveness of the implemented measures there are also some problems.

Further detailed analysis of those problems helped to obtain important information necessary for adjusting policy measured aimed at reducing mortality.

Keywords. Effects of policy measures; medical and organizational technologies; markers and criteria of effectiveness.

References

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