Influence of healthcare resource provision on population mortality rate due to respiratory diseases in the Russian Federation

Respiratory diseases (RD) represent one of the most urgent issues in Russian health care and have high socio-economic significance.The aim. To study the dynamics of total morbidity and mortality in the Russian Federation, as well as the mortality associated with RD in the working-age population in 2015 – 2019.Methods. The official statistical data of the Ministry of Health of the Russian Federation and the Federal State Statistics Service were analyzed.Results. In 2019, the total RD-associated morbidity increased by 5.4%, and the prevalence of pneumonia increased by 29.0% compared to 2015. In 5 federal districts (FD), the morbidity exceeded the average Russian morbidity in 2019 (40,694.7). The maximum level was observed in the North-Western FD (50,224.1). The prevalence of pneumonia (Russia – 524.4) in 4 FDs exceeded the average Russian prevalence. The maximum level was reported in the Far Eastern FD (749.2 cases per 100 thousand of the total population). The RD-associated mortality rate in Russia was 51.8 cases per 100 thousand in 2015 and 41.6 cases per 100 thousand in 2018 (–19.7%). In 2018, the highest RD-associated mortality was observed in the Siberian FD (68.0) and Far Eastern FD (57.8 per 100 thousand people). From January to December 2019, the highest mortality associated with pneumonia in the working-age population was observed in the Far Eastern FD (28.2 per 100 thousand people). The RD-associated mortality rate in the male population was 4.2 times higher than in the female population (26.7 and 6.3, respectively, per 100 thousand persons of matching age).Conclusion. The highest morbidity was found in 2018 and 2019 in the Northwestern FD and Far Eastern FD. The RD-associated mortality in the Siberian FD and Far Eastern FD exceeded the average Russian values. This last observation requires additional research to improve the quality of medical care.

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Study of the impact of available healthcare resources on the population’s mortality rate using the hierarchical linear modelling

Health Care of the Russian Federation ◽

10.47470/0044-197x-2021-65-6-540-548 ◽

2021 ◽

Vol 65 (6) ◽

pp. 540-548

Author(s):

Irina A. Lakman ◽

Venera Maratovna Timiryanova ◽

Galiya Timergazievna Zakiryanova

Keyword(s):

Health Care ◽

Mortality Rate ◽

Resource Availability ◽

Healthcare Resource ◽

Healthcare Resources ◽

Hierarchical Linear Modelling ◽

Linear Modelling ◽

The Russian Federation ◽

Population Mortality ◽

The Impact

Introduction. The uneven development of the medical material and technical base and resources is observed worldwide. At the same time, healthcare resource availability is associated with the territorial characteristics of the population’s mortality rate. In order to reduce mortality, a better understanding of this relationship is needed. The purpose of the study is to assess the impact of healthcare resource availability on mortality, taking into account the hierarchical nesting of municipalities in subjects of the Russian Federation with further funding for health care and demographic indicators. Material and methods. For these purposes, hierarchical linear modelling is used. The assessment was carried out on the data of 265 municipalities attributed to 6 constituent entities of the Russian Federation. The data sources are the Territorial Bodies of the Federal State Statistics Service and the Unified Interdepartmental Information and Statistical System (www.fedstat.ru). Results. As a result of modelling, the health care resources (doctors, medical personnel, beds) at the municipal level were determined to reduce the population mortality rate positively. At the same time, an ambiguous influence of the actual cost of the territorial compulsory medical insurance program was revealed at the regional level. Conclusion. The results obtained correspond to studies devoted to the regional diversity of the population mortality rate and the available healthcare resources. However, they make it possible to determine the influence of factors taking into account the level of their formation (regional, municipal). The proposed models make it possible to improve the quality of managerial decision-making in the health care system since, taking into account the hierarchical nesting, they share the influence of regional and local factors on the variation of municipalities in terms of the mortality rate of the population.

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Dynamic monitoring of changes in medical and demographic indicators in the Republic of Sakha (Yakutia) from 1998 to 2018

Dalʹnevostočnyj medicinskij žurnal ◽

10.35177/1994-5191-2020-4-33-36 ◽

2020 ◽

pp. 33-36

Keyword(s):

Mortality Rate ◽

Population Growth ◽

Russian Federation ◽

Rural Population ◽

Urban Population ◽

Birth Rate ◽

Dynamic Monitoring ◽

Demographic Indicators ◽

The Russian Federation ◽

The Republic

We studied the medical and demographic indicators in the Republic of Sakha (Yakutia) for the last 20 years (1998–2018). A decrease in the population by 4,7 % (р<0,01) was revealed in the Russian Federation in the period 1998–2008, 3,4 % decrease, followed by its growth by 2,8 % (р<0,01); a decrease in the number of rural population in the republic and an increase in the urban population were observed. By the beginning of 2019, in comparison with the 2003 data, an increase in the population by 1.9% (р<0,01), a decrease in the number of able-bodied people in the Republic of Sakha (Yakutia) at the beginning of 2019, as compared to 1998, were revealed, by 8,2 %, in the Russian Federation – by 4,7 % (р<0,01). In the Republic of Sakha (Yakutia) the birth rate remains high, the mortality rate is relatively low, and the natural population growth is maintained.

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Epidemiological characteristics of staphylococcal meningitis in Russian Federation

Medical alphabet ◽

10.33667/2078-5631-2021-18-51-54 ◽

2021 ◽

pp. 51-54

Author(s):

G. V. Beloshitskiy ◽

I. S. Koroleva ◽

M. A. Koroleva

Keyword(s):

Staphylococcus Aureus ◽

Mortality Rate ◽

Bacterial Meningitis ◽

Russian Federation ◽

Common Cause ◽

Probability Of Death ◽

The Russian Federation ◽

Epidemiological Characteristics

Staphylococcal meningitis (SM) ranks fourth in the etiological structure of purulent bacterial meningitis in the Russian Federation. The most common cause of staphylococcal meningitis is Staphylococcus aureus, which accounts for 68 % of all cases. This meningitis is characterized by a higher mortality rate (30 %) than staphylococcal meningitis of other types of Staphylococcus (13 %) and mainly affects people over 25 years of age. With increasing age, the probability of death increases, and among people over 65 years of age, the mortality rate reaches 44 %.

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The structure of mortality and potential years life lost from respiratory diseases of the population of economically active age (15-72 years) of the Russian Federation in 2019

Vrach ◽

10.29296/25877305-2021-11-01 ◽

2021 ◽

Vol 32 (11) ◽

pp. 5-10

Author(s):

E. Bolotova ◽

I. Samorodskaya ◽

A. Dudnikova

Keyword(s):

Russian Federation ◽

Respiratory Diseases ◽

The Russian Federation

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Chronic respiratory diseases and risk factors in 12 regions of the Russian Federation

International Journal of Chronic Obstructive Pulmonary Disease ◽

10.2147/copd.s67283 ◽

2014 ◽

pp. 963 ◽

Cited By ~ 57

Author(s):

Alexander Chuchalin ◽

Nikolai Khaltaev ◽

Nikolay Antonov ◽

Dmitry Galkin ◽

Leonid Manakov ◽

...

Keyword(s):

Risk Factors ◽

Russian Federation ◽

Respiratory Diseases ◽

Chronic Respiratory Diseases ◽

The Russian Federation

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Regional obstetric monitoring in the Sverdlovsk region. Innovative tools for reduction of maternal and perinatal mortality rate

V F Snegirev Archives of Obstetrics and Gynecology ◽

10.18821/2313-8726-2016-3-1-33-36 ◽

2016 ◽

Vol 3 (1) ◽

pp. 33-36

Author(s):

Nikolay O. Ankudinov ◽

S. G Ababkov ◽

N. A Zil’ber ◽

A. V Zhilin ◽

A. V Kulikov

Keyword(s):

Mortality Rate ◽

Medical Care ◽

Perinatal Mortality ◽

Russian Federation ◽

Automated System ◽

Pregnancy And Childbirth ◽

Emergency Situations ◽

Pregnant Females ◽

Perinatal Mortality Rate ◽

The Russian Federation

According to the State program of the Russian Federation «Health care development» till 2020 approved by the decree of the Russian Federation government dated 24.12.2012 N 2511-p, the principle of the cluster approach became the one of the directions of informatization of healthcare. Subsystem perinatal cluster is the continuous monitoring of pregnant women. Its main advantage is the formation of a unified information space of the hospitals in the region that allows you to reliably group out pregnant females according to the risk of complications of pregnancy and childbirth, to determine the routing for all the patients. The goal of the system is a significant improvement of the assistance within a cluster (group), the formation of a standardized approach to the medical care, management of emergency situations in the occurrence of life-threatening conditions, the reduction of maternal and perinatal mortality rate. Computerization of medical care in obstetrics was implemented in the automated system «Program monitoring for pregnant females».

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Demographic situation in Saratov oblast

POPULATION ◽

10.19181/population.2021.24.4.5 ◽

2021 ◽

Vol 24 (4) ◽

pp. 58-70

Author(s):

Oleg Rybakovsky

Keyword(s):

Mortality Rate ◽

Young People ◽

Russian Federation ◽

Birth Rate ◽

Saratov Oblast ◽

Demographic Situation ◽

Sex Structure ◽

The Russian Federation ◽

Age And Sex ◽

Regions Of Russia

The article summarizes the results of the reproduction and migration development of Saratov oblast n in the 20th — early 21st centuries. The origin of demographic waves in the age and sex structure of the population of the region over a century is substantiated. It is shown what demographic and social consequences led to such development of the region, in which depopulation has not stopped since 1992. There are identified the features of the current migration situation in Saratov oblast. The circle of close migration partners of the region and changes in its migration ties over 50 years is revealed. The character of the exchange of population with other regions of Russia is examined. The main factors of the negative demographic situation in the region are considered. The primary factor is the low level of socio-economic development, wages and incomes of the population. As a consequence, together with high proportion of the urban population and poor ecology this results in a low birth rate and a higher mortality rate than the national average. The latter factor is associated not only with the more "old" (than in the Russian Federation as a whole) age and sex structure of the population of the region. The unfavorable socio-economic situation in the region also generates an increased mortality rate for separate classes and causes of death. Indirectly, this is evidenced by a significantly higher (than in the Russian Federation as a whole) mortality of the population of Saratov oblast from diseases of the digestive system and from alcohol poisoning. In addition, the outflow of young people to economically more developed regions of the country and the decline in fertility leads to a decrease in the proportion of women in the most active childbearing age, which causes an even greater decline in the birth rate. And decrease in the share of young people as a whole leads to an increase in the pension burden on the able-bodied population and to a further decrease in the incomes of the entire population of the region. A general conclusion is made that it is necessary to more actively and effectively pursue a policy of equalizing the socio-economic and demographic development of the regions of Russia. It is necessary to create zones of advanced development not only in the Far East or in the Arctic. It is necessary to develop the economy and the social sphere in all underdeveloped regions of Russia at a faster pace.

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