PROVIDING REHABILITATION ACTIVITIES TO PATIENTS WHO UNDERWENT CARDIOVASCULAR EVENTS IN THE ASTRAKHAN REGION

2021 ◽  
pp. 88-94
Author(s):  
Ermolaev D.O. ◽  
Ermolaeva Yu.N. ◽  
Zolotokopova Zh.Yu.
Keyword(s):  
Cardiovascular Diseases ◽  
Adult Population ◽  
Circulatory System ◽  
Medical Rehabilitation ◽  
General Situation ◽  
Insurance Fund ◽  
Rehabilitation Care ◽  
Coronary Syndrome ◽  
Annual Reporting ◽  
Rehabilitation Measures

The relevance of the study is explained by the need to increase attention to the situation with acute cardiovascular diseases and the creation of an accessible system of medical rehabilitation for patients with cardiovascular diseases in the region. The aim of the study is to analyze the provision of rehabilitation measures for patients who have suffered cardiovascular accidents in the Astrakhan region. Materials and methods - based on the data of the annual reporting statistical forms No. 12 "Information on the number of diseases registered in patients living in the service area of the medical institution" and No. 14 "Information on the activities of the hospital", the calculation and analysis of indicators of general and primary morbidity was carried out ( on appeal), hospitalized morbidity, hospital mortality, the need for rehabilitation measures and their provision of adult patients aged 18 years and older with diseases of the circulatory system, including cardiovascular accidents in the Astrakhan region. Results and discussion - the article shows the general situation with the incidence of diseases of the circulatory system of the adult population, including acute coronary syndrome and acute cerebrovascular accident in dynamics from 2014 to 2020, discloses the organizational and structural aspects of the existing system of organizing rehabilitation care in the region. The results of assessing the satisfaction of the needs of the adult population of the region in neuro- and cardiac rehabilitation by medical organizations licensed for medical activities with an indication of the work (services) for medical rehabilitation and participating in the federal and territorial program of state guarantees of free provision of medical care to citizens in the region are presented. It was revealed that less than half of those in need receive medical rehabilitation assistance at the expense of the mandatory medical insurance fund. Proposals have been formulated to increase the availability of rehabilitation care for patients who have undergone cardiovascular accidents. Conclusion. The obtained research data can be used for further organizational, methodological and coordination work to provide modern medical and rehabilitation care to patients with acute cardiovascular accidents at the regional level.

ANALYSIS OF THE AVAILABILITY AND EFFICIENCY OF MEDICAL CARE PROVIDED TO PATIENTS IN THE PROFILE "MEDICAL REHABILITATION" IN ASTRAKHAN REGION

2021 ◽  
pp. 23-29
Author(s):  
Ermolaev D.O. ◽  
Ermolaeva Yu.N. ◽  
Mordovсev N.A.
Keyword(s):  
Medical Care ◽  
Medical Insurance ◽  
Medical Rehabilitation ◽  
Federal State ◽  
Insurance Fund ◽  
Rehabilitation Care ◽  
Rehabilitation Potential ◽  
Annual Reporting ◽  
Day Hospitals ◽  
Somatic Diseases

The relevance of the study due to the need to pay more attention to the effective planning of health care volumes under the compulsory health insurance and the creation of an accessible system of medical rehabilitation for adults in the region. The purpose of the study is to analyze the availability and effectiveness of medical care provided to adults in the "medical rehabilitation" profile within the framework of compulsory medical insurance in the Astrakhan region. Materials and methods - on the basis of data from the Federal State Statistics Service, the territorial fund of compulsory medical insurance in the Astrakhan region, annual reporting statistical forms No. 30, 14, 14-DS, the calculation and analysis of indicators of the optimal volume of medical care for the profile of medical rehabilitation was carried out, taking into account the profile of the disease (the number of hospitalizations per one inhabitant per year, funding per unit of the volume of medical care) of adult patients aged 18 years and older. Results and discussion - the article presents the results of assessing the planned and actual indicators of the volume of medical care for medical rehabilitation for adults, taking into account the profile of diseases in the conditions of round-the-clock and day hospitals of medical organizations participating in the territorial program of state guarantees of free provision of medical care to citizens in the region in 2019. It was revealed that at the expense of the compulsory medical insurance fund, the largest proportion of treated patients in rehabilitation beds is noted among those who receive medical services for neuro- and cardiac rehabilitation. However, rehabilitation care for critically ill patients with scores on the rehabilitation routing scale of 5 and 6 points, with a high rehabilitation potential, as well as for other categories of patients with somatic diseases, remains inaccessible. Conclusion. The obtained research data can be used for further organizational and methodological work to increase the availability and efficiency of medical rehabilitation care for adults, the development of available routing schemes, selection procedures, digitalization of the management of patient flows sent to medical rehabilitation within the framework of compulsory medical insurance at the regional level.

Emergencies in diseases of the circulatory system of the adult population of the Khabarovsk krai: the current status and trends

2021 ◽  
Vol 89 (3) ◽  
pp. 16-25
Author(s):  
K.P. Topalov ◽  
◽  
T.V. Zaitseva ◽  
T.G. Trembach ◽  
◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cerebral Circulation ◽  
Adult Population ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
Current Status ◽  
Newly Diagnosed ◽  
Khabarovsk Krai ◽  
Coronary Syndrome ◽  
Status And Trends

The indicators of morbidity of the adult population of the Khabarovsk Krai with diseases of the circulatory system and mortality caused by these diseases in 2002–2019 were studied. Special attention is paid to urgent pathology - acute coronary syndrome and acute disorders of cerebral circulation. It was found that acute coronary syndrome and acute disorders of cerebral circulation in the region account for about 75–85% of all newly diagnosed diseases of the circulatory system - ischemic heart disease, cerebrovascular diseases; they result in up to 32% of deaths from diseases of the circulatory system

Emergencies in diseases of the circulatory system in the adult population of the Khabarovsk Territory: the current status and trends Part 3. Acute disorders of cerebral circulation

2021 ◽  
Vol 90 (4) ◽  
pp. 37-42
Author(s):  
K.P. Topalov ◽  
◽  
T.E. Zaitseva ◽  
T.G. Trembach ◽  
◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cerebral Circulation ◽  
Adult Population ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
Current Status ◽  
Newly Diagnosed ◽  
Khabarovsk Krai ◽  
Coronary Syndrome ◽  
Status And Trends

The indicators of morbidity of the adult population of the Khabarovsk Krai with diseases of the circulatory system and mortality from them in 2002–2019 have been studied. Special attention is paid to urgent pathology – acute coronary syndrome and acute disorders of cerebral circulation. It was found that acute coronary syndrome and acute disorders of cerebral circulation in the region account for about 75–85% of all newly diagnosed diseases of the circulatory system – ischemic heart disease, cerebrovascular diseases; they give up to 32% of deaths from diseases of the circulatory system

Features of the passage of rehabilitation routes by disabled people due to diseases of the circulatory system

2001 ◽  
Vol 82 (2) ◽  
pp. 145-148
Author(s):  
S. V. Chagarova
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
Circulatory System ◽  
Full Measure ◽  
Disabled People ◽  
Rehabilitation Programs ◽  
Rehabilitation Measures ◽  
The Individual

The conditions of passing rehabilitation routes by invalids with cardiovascular diseases are studied. The lowest inclusion of invalids by various rehabilitation measures is stated among invalids aged up to 29. They are rarely directed to rehabilitation by physicians of corresponding specialities and are often forced to pay for their treatment in full measure. The data obtained are used to develop the methodical recommendations directed to the optimization of the medicosocial examination and rehabilitation, to increase the efficary of the individual rehabilitation programs made for invalids with cardiovascular disease.

DYNAMICS OF THE INCIDENCE OF DISEASES OF THE CIRCULATORY SYSTEM AMONG ADULTS AND CHILDREN IN VORONEZH

2020 ◽  
pp. 40-44
Author(s):  
Berezhnova T.A. ◽  
Kolyagina N.M. ◽  
Klepikov O.V. ◽  
Kulintsova Ya.V.
Keyword(s):  
Cardiovascular Diseases ◽  
Health System ◽  
Medical Care ◽  
Adult Population ◽  
Circulatory System ◽  
The Past ◽  
City District ◽  
Leading Position ◽  
Adults And Children ◽  
Access To Medical Care

Relevance. Over the past decade and at the present time, diseases of the circulatory system continue to occupy a leading position. Despite the implementation of Federal and regional programs aimed at improving the level of cardiological care and reducing the mortality of adults and children, the assessment of the level and dynamics of diseases of the circulatory system remains an urgent task for the health system. Aim: to analyze the dynamics of the incidence of diseases of the circulatory system of adults and children in Voronezh. Material and methods. In order to allow territorial comparison of morbidity levels, relative indicators were calculated per 1000 population of the corresponding age (children, adults). The assessment of the level of morbidity was carried out by analyzing medical and statistical data on the population's access to medical care over a five-year period. Results. This study is devoted to the assessment of the incidence of diseases of the circulatory system, which was carried out by analyzing medical statistics on the population's access to medical care for five years. It was found that the average long-term level of cardiovascular diseases in the Voronezh city district is 24.79±1.40 cases per 1000 children under 14 years of age, and 403.14±21.36 cases per 1000 adults 18 years and older for the adult population. Over the past 5 years (2014-2018), there has been an increase in the incidence of both children and adults. Conclusion. Thus, knowledge of information about the morbidity of adults and children makes it possible to rationalize the resources of the urban health system to improve the availability and quality of medical care for people with cardiovascular diseases at the pre-hospital stage.

scholarly journals Prediction of 8-year risk of cardiovascular diseases in Korean adult population

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sung Hyouk Choi ◽  
Seung Min Lee ◽  
Su Hwan Kim ◽  
Minseon Park ◽  
Hyung-Jin Yoon
Keyword(s):  
Cardiovascular Diseases ◽  
Prediction Models ◽  
Adult Population ◽  
Characteristic Curve ◽  
Brier Score ◽  
Coronary Syndrome ◽  
Insurance Claims Data ◽  
Health Insurance Claims Data ◽  
Cox Proportional Hazard Regression ◽  
Better Than

AbstractAlthough many prediction models for cardiovascular diseases (CVDs) have been developed and validated for Western populations, the development of CVD prediction models for Asians has been slow. Our cohort study retrospectively analyzed the incidence of CVD that occurred between January 1, 2009, and December 31, 2016, in all Koreans who underwent national health screening. This dataset included 21,581,796 adults between the ages of 40 and 79 years (10,412,947 men, 11,168,849 women) without CVD at baseline. The primary outcome, CVD, was defined as the development of any of the following: acute coronary syndrome, cerebral infarction, and cerebral hemorrhage, as defined with health insurance claims data. The prediction model was constructed by Cox proportional hazard regression and validated with tenfold cross-validation. The performance of the models was evaluated through Harrell’s C-index and Brier score. The discrimination of the models was assessed by the area under the receiver operating characteristic curve (AUROC). Our model showed an AUROC of 0.762 in men and 0.811 in women. The Brier score of our model was 0.018 in men and 0.010 in women, which was better than the pooled cohort equation (PCE). Our novel model performed better than the FRS and PCE for Koreans.

Regional Features of the Incidence of Diseases of the Circulatory System in the Population of the Orenburg Region

2021 ◽  
pp. 4-9
Author(s):  
EL Borshchuk ◽  
DN Begun ◽  
YuV Varennikova ◽  
Duisembaeva AN
Keyword(s):  
Cardiovascular Diseases ◽  
Information Technologies ◽  
Medical Information ◽  
Adult Population ◽  
Circulatory System ◽  
Practical Implementation ◽  
Orenburg Region ◽  
National Healthcare ◽  
Regional Features ◽  
Regional Project

Introduction: At present, National Healthcare and Demography Projects are being implemented in the Russian Federation and in the Orenburg Region, including the Regional Project for Prevention of Cardiovascular Diseases. Within the National Healthcare Project, the task has been set to reduce the mortality rate from diseases of the circulatory system to 450 per 100,000 population by the year 2024 (from 573.6 per 100,000 population registered in 2018). The regional goal is 477 per 100,000 population in 2024 (against 635.5 per 100,000 population in the year 2018). However, practical implementation of the project shows that in 2019–2020, the targets were not achieved. It is, therefore, important to monitor this indicator and to assess preventable losses associated with diseases of the circulatory system by all possible means including with the use of information technologies. Our objective was to establish regional features of the structure, dynamics, and rates of diseases of the circulatory system among the population of the region and to determine municipalities with high rates of cardiovascular disorders. Materials and methods: We used data of the Russian statistical collections “Medical and Demographic Indicators”, “Morbidity of the Population of Russia”, and annual information and analytical collections of the Orenburg Medical Information and Analytical Center for the years 2009–2018 to conduct a time series analysis. Results: We observed an increase in the incidence rate of diseases of the circulatory system in the population of the Orenburg Region over the ten-year period. The maximum regional rate of 67.0 ± 1.8 per 1,000 population was registered in 2018 while the minimum rate was observed in 2009 and equaled 27.0 ± 0.27 per 1,000 population. Conclusion: The study period was characterized by an increase in the incidence of diseases of the circulatory system accompanied by a statistically significant decrease in the prevalence of cardiovascular diseases in the adult population of the Orenburg Region. The diseases related to high blood pressure ranked first.

scholarly journals DYNAMICS FOR MORBIDITY OF THE CIRCULATION SYSTEM DISEASES IN ADULT POPULATION OF THE MOSCOW REGION

2019 ◽  
pp. 4-8
Author(s):  
R.S. Goloshchapov-Aksenov ◽  
V.Yu. Semenov ◽  
D.I. Kicha ◽  
A.V. Ivanenko
Keyword(s):  
Public Health ◽  
Adult Population ◽  
Circulatory System ◽  
Moscow Region ◽  
Circulation System ◽  
High Morbidity ◽  
Coronary Syndrome ◽  
Circulatory System Diseases ◽  
The Russian Federation ◽  
High Level

Circulatory System Diseases (CSD) are the leading causes of high morbidity and mortality of the adult population in many countries, including in the Russian Federation and largely determine public health status. The aim of the work is to analyze the dynamics of the general and primary morbidity of CSD and coronary heart disease (CHD) in the adult population of the Moscow Region for 2008–2016. We used the data of Rosstat for 2008–2016. The indicators of the total and primary morbidity of CSD and CHD of the adult population were determined. A high level and dynamics of an increase in the morbidity of CSD and CHD in the Moscow Region for the 2008 – 2016 period, which determine the high need for endovascular care, especially for patients with acute coronary syndrome, have been established.

On the issue of criteria for recognition of occupational disease as an insured event in health care workers

2020 ◽  
pp. 618-619
Author(s):  
L. V. Dovgusha ◽  
N. N. Petruhin
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Occupational Disease ◽  
Occupational Diseases ◽  
Medical Rehabilitation ◽  
Care Workers ◽  
Rehabilitation Measures ◽  
Professional Capacity ◽  
Insured Event

The publication deals with cases of occupational diseases in medical workers, in which the degree of loss of professional capacity is not determined, but patients need medical rehabilitation measures.

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