scholarly journals Avoidable mortality in the Russian regions

Stanovnistvo ◽  
2011 ◽  
Vol 49 (2) ◽  
pp. 1-23
Author(s):  
T.P. Sabgajda ◽  
A.E. Ivanova ◽  
V.G. Semenova ◽  
G.N. Evdokuskina
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Malignant Tumors ◽  
Avoidable Mortality ◽  
Death Rates ◽  
Regional Health Care ◽  
Quality Of Medical Care ◽  
The Difference ◽  
Death Cases

The current trends of avoidable mortality, which is an integral indicator of health system performance, were analyzed. The paper discusses the regional heterogeneity of levels and trends in avoidable mortality in the Russian Federation. Also, it contains the analysis of impact of the financial costs of public health on avoidable mortality in regions with different levels of economic development. The last 20-years period was studied, which includes a stage of crisis as well as a social recovery phase. The official data of the State Statistics Committee were analyzed. In Russia, all death cases are registered in accordance to the international classification ICD-10. Special computer program summarizes death cases from preventable causes, and calculates the standardized rates for the population aged from 5 to 64 years. The old European standard of population age structure is used. Estimates of avoidable mortality were made in accordance with the European approach, under which avoidable mortality accumulates deaths of persons aged from 5 to 64 years due to 34 causes and 4 classes of causes. These 38 causes are divided into 3 groups according to three levels of diseases prevention. The level of avoidable mortality in the different regions varies up to 8 times. That is comparable to the difference between Russia and the countries of European Union in 1994. This gap is due to the coexistence of different stages of epidemiological development among the regions in Russia. When death rates increased, it is shown that mortality from causes which are preventable by measures of primary and tertiary prevention increased to a greater extent than mortality from the causes which depend from measures of secondary prevention. Therein, the largest growth of observed mortality was due to low quality of medical care in case of males (group 3), and due to causes which are preventable by measures of primary prevention in case of females (group 1). When mortality was reduced, the rates of change for causes in groups 1 and 3 were approximately the same for both sexes. Avoidable mortality due to late detection of malignant tumors (group 2) has been changed the least. Preventable component defines over 80% of the regional differences in death rates. In 2009, the level of avoidable mortality differed more than fourfold among different regions of the Russia. Similarly, the difference in the level of unavoidable mortality was 1.3-fold and 1.7-fold, for males and females respectively. Proportion of deaths from preventable causes in the total sum of death cases varies from 40% till 75%. Funding for comprehensive programs of public health to a greater extent stimulates the reduction in mortality from preventable causes of the first group. Mortality connected with quality of medical care is more determined by socio-political situation in the country than by regional health care expenses. Based on these results, it is concluded that the action plans to reduce mortality in Russia must have a strong regional specificity, different targets and indicators. Using the proportion of preventable causes, it is possible to separate the regions into groups with different ratios of death determinants, which, therefore, require different approaches to reduce mortality.

scholarly journals ANALYSIS OF SELF-RATED HEALTH BY RESIDENTS OF THE UNTSUKUL DISTRICT, REPUBLIC OF DAGESTAN (ON RESULTS OF THE QUESTIONNAIRE SURVEY)

2018 ◽  
Vol 13 (3) ◽  
pp. 107-119
Author(s):  
Patimat A. Bekshokova ◽  
Gayirbeg M. Abdurakhmanov ◽  
Kerim S. Bekshokov ◽  
Patimat I. Gabibova ◽  
Kazbek K. Bekshokov ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Rural Settlements ◽  
Medical Activity ◽  
Self Rated Health ◽  
Medical Institutions ◽  
Public Health Institutions ◽  
Quality Of Medical Care ◽  
Health Institutions

Aim.To carry out a comparative analysis of self-rated health, medical activity, and satisfaction with the quality of medical care in public health institutions by residents of rural settlements of the Untsukul district, Republic of Dagestan.Methods.The study was conducted by the method of questioning 2643 respondents, among them 1453 women and 1181 men.Results.According to the results of the survey, the majority of the interviewed residents of Untsukul district (68.2%) are satisfied with their health. Medical activity of the population at the time of the study was 60.6%. As to respondents who applied to the medical institutions of the Untsukul district during this period, 13.5% are not satisfied with the quality of medical care in public health institutions, 23.5% are fully satisfied, 30% are not fully satisfied.Conclusion.A social survey in the form of a questionnaire is one of the most effective methods of obtaining information about the self-rated health of the population. Timely analysis of medical activity of the population, its satisfaction with the quality of medical care will improve the efficiency of the health system.

scholarly journals Evaluation of the quality of medical care in a multiprofile Federal center

2009 ◽  
Vol 15 (2) ◽  
pp. 170-180
Author(s):  
Y. Kasherininov
Keyword(s):  
Medical Care ◽  
High Technology ◽  
Regional Health ◽  
Simple Method ◽  
Coronary Syndrome ◽  
Regional Health Care ◽  
Quality Of Medical Care ◽  
Treatment Procedures ◽  
Federal Center

A simple method of evaluating the quality of medical care is presented. Using offered form and expert findings it is possible to make a quantitative conclusion assessing different stages of the diagnostic and treatment procedures, comparing different departments and workers, and analyzing co-elaboration between multitype Federal centre and regional health care system of Russian federation in performing high-technology treatment and diagnostics. There are several examples showing comparative sample check examination between different cardiology departments, and an example of an expert evaluation of an acute coronary syndrome case is given.

Analysis of Some Indicators Characterizing the Quality of Medical Care for Children with Cancer in the South Federal District of the Russian Federation: An Ecological Study

2018 ◽  
Vol 5 (4) ◽  
pp. 238-247
Author(s):  
M. Yu. Rykov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Malignant Tumors ◽  
Federal District ◽  
The South ◽  
Children With Cancer ◽  
Number Of Children ◽  
Quality Of Medical Care ◽  
The Russian Federation

Background. Improving the quality of medical care is based on a coordinated policy at the federal, regional and municipal levels in the field of health. The implementation of this goal is based on a regular assessment of the current state of the healthcare system in the Russian Federation.Objective. Our aim was to analyse of the main indicators characterizing medical care for children with cancer in the South Federal District.Methods. The operative reports for 2017 of the executive authorities in the sphere of health protection of 8 subjects of the Russian Federation that are part of the South Federal District of the Russian Federation have been analyzed.Results. The number of children were 3 216 797 people (aged 0–17 years), the number of children’s oncological beds is 272 (0.8 per 10 thousand children aged 0–17 years), the average number of days of berth employment in the year is 289.9 bed days. In 4 (50%) subjects of the department of pediatric oncology are absent, in 1 (12.5%) — there are no children’s oncological beds. The number of doctors providing medical care to children with cancer is 50, of them 42 (84%, 0.1 per 10 thousand children aged 0–17 years) have a certificate of a pediatric oncologist. In 2 (25%) subjects, there are no pediatric oncologists. Incidence of malignant tumors was 13.9 (per 100,000 children aged 0–17 years), prevalence was 86.5 (per 100,000 children aged 0–17 years), mortality was 2.5 (per 100,000 children aged 0–17 years), a one-year mortality rate of 4.7%. 8% of patients were actively detected. 104 (23.2%) of primary patients were sent to medical organizations of federal subordination, 4 (0.9%) of primary patients left the territory of the Russian Federation.Conclusion. The analysis revealed a number of defects: incorrect information contained in the reports, low incidence (detectability) of patients, including during planned preventive examinations, staff shortages and non-rational use of bed facilities.

Monitoring the opinions of resident physicians on the state of healthcare system, quality of medical care, and readiness for professional activity in current conditions

2020 ◽  
Vol 26 (4) ◽  
pp. 205-210
Author(s):  
Nataliya A. Kasimovskaya
Keyword(s):  
Medical Care ◽  
Healthcare System ◽  
Medical Profession ◽  
Medical Personnel ◽  
Professional Activity ◽  
System Quality ◽  
Resident Physicians ◽  
Regional Health Care ◽  
Quality Of Medical Care

Despite the ongoing reforms, the staff shortage in the healthcare system and the loss of medical personnel in the field still negatively affect the quality of medical care. The article presents the results of monitoring the opinions of future resident physicians of the current organization and the quality of medical care and their readiness for professional activity, as well as their views to the healthcare system needs. It has been established that every third graduate was not ready for the profession before entering the residency, 36.7% considered their future profession to be nonprestigious, only half of the residents (50.3%) considered the medical profession to be highly paid, and personal aptitude (53%) and abilities (40%) were considered the leading factors in choosing the profession. The residents evaluated the quality of medical care at a high level only in a clinical setting (69.7%), and they do not plan to work in regional health care but prefer to stay in Moscow (60.3%). To preserve the healthcare system human resources, it is advisable to develop a program for managing risk factors for the professional environment, starting with training of personnel at the institute of higher education.

Slave Mortality: Analysis of Evidence from Plantation Records

1979 ◽  
Vol 3 (3-4) ◽  
pp. 86-114 ◽  
Author(s):  
Richard H. Steckel
Keyword(s):  
North America ◽  
Medical Care ◽  
Slave System ◽  
Physical Treatment ◽  
Death Rates ◽  
Mortality Experience ◽  
Demographic Performance ◽  
Quality Of Medical Care ◽  
Mortality Analysis

Since the inception of slavery in North America the free population has been concerned with the mortality of the slave population. Slaveowners were concerned with mortality for purposes of estimating the profitability of slave investments. Opponents of slavery and the slave trade used actual and presumed slave mortality experience as arguments for abolishing the system. Death rates were viewed as a measure of demographic performance that reflected the quality of slave life. It was argued that death rates reflected, and were in part determined by, such factors as diet, physical treatment, and the quality of medical care and housing—all under the control of the slaveowners. Consequently, information on deaths was used as a standard for evaluating the severity of the slave system and for assessing regional and international differences in slavery. In the postbellum period, scholars researched and debated various issues in slave mortality. The modern discussion includes issues in the levels and determinants of slave mortality, but research has concentrated on levels, possibly due to inadequate data for extensive research on determinants of mortality.

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