Peculiarities of the organization and accessibility of ophthalmological assistance to the population of the Voronezh area taking into account the data on incidence and causal factors

Abstract

Purpose of the study was to develop methods for predicting and optimizing the mechanisms for providing ophthalmological assistance to the population of the Voronezh Region based on a statistical analysis of the relationship between indicators of the state of ophthalmic health of the population, quality and accessibility of medical care.Materials and methods. The data on ophthalmological morbidity, resources of the ophthalmological service, outpatient and inpatient care provided to patients with ophthalmopathology were analyzed.Results. The article presents the results of the analysis of the main indicators of the activity of the ophthalmological service of the Voronezh region, based on the data of regional sectoral statistics of the Voronezh region in recent years. The problems of the personnel resource of the ophthalmological service, the effectiveness of the use of hospital beds, as well as problems of an administrative nature are discussed. On the basis of a systematic analysis of the incidence of the organ of vision, the prevalence and organization of medical care to the population, criteria are proposed for a quantitative and qualitative assessment of risk factors for the development of a pathology of the organ of sight. Based on the structural analysis of ophthalmologic morbidity, a complex of nonlinear prognostic models for the interaction of medical and social risk factors of ophthalmopathology with clinically established diseases of the organ of vision has been developed and tested. The developed regression model allowed us to separate the indicators by priority and to highlight the most significant ones. A logical prognostic model of dependence on disability based on existing risk factors has been formed.Conclusions. The clinical and epidemiological analysis helped to develop a regional target program to improve eye care for the population of the region and to outline the main measures to optimize the organization of eye care to the population of the Voronezh region in order to increase its availability and quality. Based on the results obtained, practical recommendations have been developed for improving medical and social care for patients with diseases of the organ of vision, taking into account the possibility of preventive measures in the early stages, to prevent the development of complications.