Состояние инфекционной заболеваемости и ресурсного обеспечения системы оказания медицинской помощи инфекционным больным в Республике Татарстан

Abstract

Objective. To analyze the incidence of infectious diseases (IDs) and healthcare resources spent on treatment of ID patients in the Republic of Tatarstan (RT) in 2005–2017. Materials and methods. The analysis of ID incidence in the RT was based on the official statistics (report forms No 2 and No12) for 2005–2017. To assess the situation with medical care for ID patients, we used final reports for the ID service of the Ministry of Health of the RT for 2005–2017. Results. Between 2005 and 2017, the prevalence of IDs in the RT decreased by 10.8%; the incidence of IDs decreased by 17% during this period (primarily in adults (18.7%). In rural and urban areas, the incidence decreased by 29.2% and 16.6%, respectively. The number of outpatient ID departments was reduced by 28.8%; the number of hospital beds was reduced by 50.2%; the number of ID specialists was reduced by 27.1%. These reductions limited the availability of healthcare for ID patients. Conclusion. We observed a decrease in the ID incidence in the RT in 2005–2017, as well as a reduction of staff and funding in ID clinics, which reduced availability of specialized medical care to patients with ID. We found a significant correlation between the ID incidence and situation with medical care in specialized healthcare institutions for ID. Key words: infectious disease specialists, incidence of infectious diseases, outpatient departments for infectious diseases, number of beds, mortality