The regional provision of population with specialized medical care according to profile of cardiovascular surgery

Abstract

The diseases of circulatory system take leading position in structure of mortality. The efficiency of development of scientifically-proved and modern models of medical care support is to be based on data of monitoring of level, dynamics and structure of corresponding pathology. The accessibility and timeliness of high-tech medical care support directly depends on degree of influence of relevant regional characteristics.The purpose of study was to estimate demand and accessibility of specialized high-tech medical care to residents of the Astrakhan Oblast related to leading nosological forms of diseases of circulatory system.The monographic, statistical, logical and system analysis methods were applied. The research was carried out applying continuous methodology and included data from reporting forms № 12 and № 14 in the Astrakhan Oblast in 2010-2019. The Absolute and average values, extensive indicators that model structure as well as methods of dynamic numbers derivation were applied. The mathematical methods based on specialized statistical software STATISTICA 10 were implemented too.The indicator of circulatory system general morbidity decreased up to 8,5% in 2010-2019. The leading positions are taken by cerebrovascular diseases (29,2%), ischemic heart diseases (23,8%) and diseases characterized by increasing of blood pressure (17,8%). The indicator of general morbidity of these nosological forms increased up to 16,9% and primary morbidity up to 43,9%. The average long-term level of prevalence comprised 55,3±1,23%0. At that, specialized medical care within the mentioned direction decreased from 44,9% to 30,0% and implementation of high-tech medical care increased from 2,2% to 4,0%.