DOI: 10.21045/2071-5021-2016-52-6-1

Chechenin G.I¹., Zhilina N.M¹., Dureev V.N²., Kripalskiy L.N².
¹Novokuznetsk State Institute of Postgraduate Medical Education, Ministry of Health of the Russian Federation, Novokuznetsk
²Novokuznetsk Post-mortem Anatomy Bureau, Novokuznetsk

Contacts: Natalia Zhilina, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Problems mainly include the following ones: incomplete knowledge of the situation with public health; low validity of basic data and information for prediction and effective decision making to reduce preventable health loss in the population; insufficient use of available information from registers and databases for making tactical and strategic decisions.

The study purpose – is to analyze existing information on disease prevalence and crude mortality (exemplified by Novokuznetsk city); to evaluate validity of medical statistics and develop recommendations to improve data validity.

The following methods were used: system analysis; expert review; empirical, clinical; morphological and statistical methods.

Results of the analysis of computer databases on disease prevalence and crude mortality of the Novokuznetsk population in 1980-2012 allowed to identify crucial issue with medical statistics validity affecting healthcare quality and performance.

Principal measures to increase validity of clinical and post-mortem diagnosis for patients’ standard electronic medical records include the following: a) to develop and implement a unified organizational and functional model of pathology service at the level of the big industrial city; b) to develop methodological guidelines on completing medical documents; c) to set up and put into operation an automated workplace of post-morbid anatomist (“Lethality”), allowing to create an electronic form of the death certificate ensuring complete filling in of all items in the document.

The study results can be used to identify priority issues and develop priority directions for reducing preventable health loss at the federal and regional levels.

Keywords: diagnosis; validity; verification; system; crude mortality; disease prevalence; measures; computer databases.

References

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