Mortality dynamics and scope of high technology medical care availability: regional specificities

Abstract

In recent years, the demographic situation in Russia has been demonstrating a positive downward trend in the mortality rate. However, this rate is still much higher than in developed European countries. Social policies of the Russian State are increasingly focused on reducing the level of mortality, morbidity, and disability, as well as enhancing the availability and quality of medical care, especially the high-tech medical services. Effective use of the potential availability in the regional medical organizations, as well as building momentum in high-tech medical care, which would be equivalent to services provided in the federal medical centers, will help bring high-tech medical services closer to the population, thereby contributing to the improvement of access to such services. Development of this type of medical care will in the future yield medical and social results enhancing the quality of life, preserving the health of citizens, and consolidating results achieved in demographic policies. The objective of this study was to explore regional characteristics of the mortality rate dynamics and maturity of high-tech medical care services. Research methods involved statistical, system, and comparative analyses. Results of in-depth statistical series analyses of the mortality rate and structure carried out in the Astrakhan region in 2010 through 2017 were correlated with the scope of high-tech medical care provided as a whole and in separate fields of medicine. Correlation analysis of results was carried out, and results revealed a strong inverse correlation between factors under study ( r х /y / у =−0.85; m r ±0.22) with a significance test value of 3.9 ( p >99%). Diseases of the circulatory system rank first in the list of mortality causes, while in the structure of the high-tech medical care, cardiovascular pathologies account for the greatest proportion of services provided; thus, revealing a strong inverse correlation ( r х / y =−0.77; m r ±0.26) with the significance test value of 3.0 ( p >95%).