Assessment of loss of health of the population of an older age group

Abstract

Introduction. The problems of preserving the health of the older generation are especially significant for society and determine the need to search for key indices of medical and social well-being. The purpose of the study is to develop a method for assessing the health losses of the population of the older age group and to test using the example of the Siberian Federal District. Material and methods. For a comprehensive assessment, the following groups of indices were used: the life expectancy, mortality, morbidity, chronic diseases, cumulative disability in group 60+. An integrated assessment of health by the sum of normalized indices by the average value for the Siberian Federal District (NP) is proposed. There was using cluster analysis. Results. Dysfunctional territories (NP≥3) include: Altai Territory, Altai Republic, Irkutsk Region. 4 clusters were identified, of which the 1st cluster has the highest mortality and morbidity rates. Levels of life expectancy, the coefficient of chronicity of diseases in the IV cluster is higher than in II cluster. Cluster III is characterized by the lowest mortality, morbidity, against the background of minimal life expectancy and high cumulative disability. Discussion. The value of the proposed method is limited by the completeness of information on indices of health loss, the different availability of medical care in the territories. Conclusion. The proposed approach to assessing health losses in a group of older people has shown medical and demographic problems in the Siberian Federal District to be very different, which determines a differentiated approach to maintaining public health.