Показатели первичной медико-санитарной помощи населению с учетом медико-демографических особенностей региона.

Abstract

One of the pertinent issues in practical healthcare is the enhancement of the organization of primary medical and sanitary assistance (PMSA) to the population. The evaluation of the quality, completeness, and adequacy of PMSA is inherently linked to medicodemographic indicators such as population size, age structure, and life expectancy. Additionally, issues related to the accessibility of PMSA for the population are of considerable importance. This study aims to conduct a statistical analysis of indicators of primary medical and sanitary assistance, including consideration of the medicodemographic characteristics of the region. This involves the analysis of specific demographic indicators in the Republic of Tatarstan over the past decade, an examination of the number of outpatient clinic visits in the regions and cities of the Republic of Tatarstan during the period 2018–2022, an assessment of the population’s provision with outpatient and polyclinic institutions (OPI) in Kazan and the regions of the Republic of Tatarstan during the period 2018–2022, and an analysis of the number of paramedical obstetric points in the Republic of Tatarstan during the period 2018–2022. It was observed that in the Republic of Tatarstan, there is an increase in population size and life expectancy during the studied period. The dynamics of the number of visits to OPI during the period from 2018–2022 revealed a pattern of reduced attendance during the COVID‑19 pandemic, followed by an increase in the indicator to levels comparable to the pre-COVID era. It was also noted that in the Republic of Tatarstan as a whole, there is an overall increase in the provision of OPI by 3.4% during the period from 2018 to 2022, and in Kazan, the increase is 8.6%. Intra-regional differentiation of the regions of the Republic of Tatarstan was identified, with areas exhibiting positive and negative trends in attendance and provision indicators for OPI.