Articles with tag: «chronic non-communicable diseases»
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2023 № 3 Retrospective analysis of the form of industry statistical observation №131/o regarding the registration of risk factors for development chronic non-communicable diseases
To monitor, assess, analyze and register the prevalence of behavioral and biological risk factors, the form of industry statistical reporting No. 131/o “Information on preventive medical examination and medical examination of certain groups of the adult population” is used.
The quality and reliability of the primary statistical data presented in Form No. 131/o determines the further planning and implementation of preventive measures within the framework of interdepartmental interaction and cooperation with broad segments of the population.
The reliability and quality of statistical materials collected during the medical examination of certain groups of the adult population should guarantee the adoption of adequate management decisions on the development of preventive medicine and the basis for improving the effectiveness of the public health system.
Purpose: to conduct a retrospective analysis of the orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting № 131/o “Information on preventive medical examination and medical examination of certain groups of the adult population” for the period from 2013 to 2021, in terms of providing primary data on the registered risk factors.
Material and methods. Content analysis of orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting № 131/o for 2013, 2015, 2020; reporting forms № 131/o; orders regulating the procedure for preventive medical examination and medical examination of certain groups of the adult population for the period from 2012 to 2021.
Results. A retrospective analysis of the orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting № 131/o for the period from 2013 to 2021, in terms of providing primary data on the registration of risk factors, showed that, despite the shortcomings, only this form allows you to study and analyze information on the prevalence of risk factors and on this basis to identify priority areas for the prevention of chronic non-communicable diseases. That is, the analysis of form № 131/o allowed us to conclude that it is necessary not only to reconsider approaches to the organization of medical examinations and the collection of primary data, but also to modernize the concept of the largest preventive measure carried out within
the framework of the state health system.
Conclusions. A retrospective analysis of the orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting No.131/o for the period from 2013 to 2021, in terms of providing primary data on the registration of risk factors, showed that, despite the shortcomings, only this form allows you to study and analyze information on the prevalence of risk factors and on this basis identify priority areas for the prevention of chronic non-communicable diseases. The analysis of form No. 131/o allowed us to conclude that it is necessary not only to reconsider approaches to the organization of medical examinations and the collection of primary data, but also to modernize the concept of the largest preventive measure carried out within the framework of the state health system. -
2023 № 4 Approaches to the integral efficiency assessment of primary prevention measures in management decision-making
Standard indicators currently used to evaluate efficiency of various prevention measures do not determine the impact of these measures on public health indicators and achievement of target results.
P u r p o s e of this study is to develop approaches of integral assessment efficiency evaluation of public health system primary prevention measures.
M a t e r i a l s a n d m e t h o d s . The analysis was conducted in Omsk region municipal districts during the period from 2018 to 2022. The materials for this research were data from reporting forms of federal sectoral monitoring, morbidity of the population data, information about prevention measures volume and quality. The method of integral efficiency assessment was used. This method is based on arithmetic mean of the selected general indices of measures that include individual indices of public health measures efficiency. Efficiency assessment of measures aimed at population alcohol consumption reduction is used as an example.
R e s u l t s . Individual indices that evaluate retail alcohol sales rate, the proportion of persons with risk factors, their involvement in dispensary supervision, involvement of the population in preventive measures, were created to assess the overall index of measures aimed at alcohol consumption reduction. Individual indices are presented with baseline and target values. The analysis of the dynamics of actual indicators of the volume of alcohol consumption reduction measures is given. Integral index of prevention measures efficiency is the arithmetic mean of the general indices, including six components of primary prevention of chronic non-communicable diseases that have a significant impact
on public health indicators, including: tobacco consumption reduction, obesity prevalence, proportion of the population with physical activity increase, rational nutrition, healthy lifestyle. The closer the integral index is to the value of 1, the more effective preventive measures are. The integral index of primary prevention measures efficiency in Omsk in 2022 is at 0,46 points.
C o n c l u s i o n . Implementing the integral efficiency assessment method allowed to use unified approach in evaluation of the current primary prevention of chronic non-communicable diseases measures model, to conduct a comparative evaluation of measures aimed at strengthening public health in Omsk region municipal districts, showed the direction of additional measures to improve the efficiency of the process as a whole. -
2021 № 1 Environment and Public Health: Actual Issues of Health Care Organization and Medical Education
The priorities of scientific and technological development of the Russian Federation, established by Decree of
the President of the Russian Federation № 642 of 01.12.2016, provide for the improvement of health-saving technologies, which in this article have been considered from the standpoint of their focusing on reducing health risks caused by the adverse impact of environmental factors, including by increasing the functional and adaptive reserves of the body.
The article analyzes in order to improve regulatory legal documents in the field of improving the prevention of chronic
non-communicable diseases, the formation of a healthy lifestyle and hygienic education of the population. Also, a critical
analysis of the state of educational activities provided at the state level in the field of higher professional education and
postgraduate training of medical workers in the direction (specialties): medical and preventive care, medical care, public
health and healthcare.
Concluded that to ensure scientific and technological development of the country's need to expand educational and
enlightening activities on issues of ensuring sanitary and epidemiological welfare of the population, hygiene, public
health and organization of health care in health care organizations, and also outside in all major sectors of economy
and business, in the sphere of organized tourism and recreation, SPA, fitness centers, educational organizations, sports,
social welfare and life of the population, especially in terms of prevention, that in accordance with Federal Law № 323 of
21.11.2011 "On the basics of protecting the health of citizens in the Russian Federation" provides for measures to eliminate the harmful influence of environmental factors. Proposals and additions to the relevant state regulatory documents of the Russian Federation that have already been approved and are currently under development are given. -
2021 № 5 Health centers – a tool for improving the prevention of chronic non-communicable diseases in the Russian Federation
There are Health Centers in Russia that deal with the early diagnosis and prevention of risk factors for chronic non-communicable diseases (NCD).
M a t e r i a l a n d m e t h o d s : the data of 9505 visitors who applied to the Health Centers of Tomsk were analyzed.
Purpose to identify the most significant combinations of risk factors for the development of NCD among visitors to Health Centers.
R e s u l t s : 70% of people had two or more behavioral risk factors. Two or more metabolic risk factors were identified in 37% of people. The prevalence of combinations of behavioral risk factors remains almost constant in all age groups, while the prevalence of metabolic risk factors significantly increases starting from the age of 30–34 years. The combination of physical inactivity and inappropriate nutrition is most significant for the development of high blood pressure, hypercholesterolemia and excess body weight in persons under 30 years of age. Individuals under 30 years of age have a higher risk of developing coronary artery disease and diabetes in the presence of combinations of metabolic risk factors (excess body weight, increased blood pressure and hypercholesterolemia). The risk of developing hypertension, ischemic heart disease and diabetes mellitus significantly increases with an increase in BMI for each unit, starting from a BMI of 22 kg/m2. It is noteworthy that this is still within the normal range. The risk of developing hypertonic disease and coronary artery disease significantly increases with an increase in cholesterol for every 0.5
mmol/l, starting from normal values.
C o n c l u s i o n s : the primary goal of preventive measures should be persons under 30 years of age without metabolic risk factors and with a combination of behavioral factors.