Àhetov
A.A.,
Central clinical
hospital of Medical centre Operating of RK President’s deal,
Almaty city
ABOUT DYNAMIC AND
STRUCTURAL CHANGES IN INCIDENCE
OF CIVIL SERVANTS
It is known that
indicators of the general and primary incidence, are the most important
indicators of quality of health of the population and efficiency of the
rendered case historical-polyclinic help [1, 2, 3].
Proceeding from
this parcel, dynamics and structure of incidence of the attached civil servants
in 2007-2012 was analyzed and estimated.
As showed the
conducted researches, in analyzed year’s age-specific structure of civil
servants, as a whole, didn’t undergo to considerable changes.
However, the
detailed analysis of their age-specific structure testifies that in 2009 the
share of persons at the age of 76-90 years was smaller, than in 2007 (42,4%
against 39,3%, respectively), and in 2012, in comparison with previous 2007 and
2009, even more decreased and made 38,4%. The share of elderly people at the
age of 90 years also is more senior significantly didn't change and hesitated
ranging from 4,0%-4,1%-3,8%. Thus the share of persons till 63 years increased
and made: 27,0%-in 2007, 33,0%-in 2009 and 38,4% - in 2012.
Thus, it is
established that in hospital the regressive type of the attached contingent
that causes high complexity and intensity of medical care remains.
Explorations
showed that in 2012 in comparison with 2007, among acting civil servants the
essential increase in number of visits in a year (growth + 26,0%) and coverage of
KPMO (height of +2,3%) and, the decrease which has followed it of the general
(-15,4%) and primary (-49,9%) incidences is registered. Among the former civil
servants the average of visits in a year in 2012 increased by 3,6% in
comparison with 2007; coverage of KPMO was former, but, nevertheless,
indicators of the general and primary incidence decreased: respectively
for-7,9% and-37,7%.
It is shown that
in all analyzed years in structure of the general incidence of the former civil
servants, the first ranked place belonged to diseases of bodies of blood
circulation with small fluctuations, both in absolute, and in relative values;
the second ranked place belonged to diseases of GIT (gastrointestinal
tract) and the third - to
diseases of genito-urinary system.
The analysis of
structure of primary incidence of the former civil servants showed that 1
ranked place here belonged to diseases of respiratory organs. The second place in primary incidence
belonged to the traumas, which number in 2007-2012 decreased by 6, 7%.
In 2007 the third
ranked place in structure of primary incidence of the former civil servants was
taken by diseases of digestive organs (11, 8%), and in 2009 and 2012 decrease
in this indicator (respectively, for 6, 2% and 31, 0%) was observed.
When studying
structure of the general incidence of acting civil servants it was revealed
that here, during all analyzed periods, unlike former, on 1 ranked place there
were diseases of digestive organs; on the second - diseases of genito-urinary
system and on the third - an illness of respiratory organs. And in 2009 in
comparison with 2007, growth of studied indicators (respectively was noted:
+28, 5%; 13, 3%; 28, 3%), and in 2012 - their decrease - for 5, 0%; 10, 2% and
9, 2%.
It is established
further that in all studied years, the structure of primary incidence of acting
civil servants differed from that among the former. And 1 ranked place, as well
as among both groups of the attached contingent, diseases of bodies of blood
circulation borrowed, on the 2nd ranked place there were diseases of
respiratory organs, on the third - an illness of genito-urinary system. In 2009
growth of studied indicators, respectively is revealed: for 33,3%; 13,6% and
12,0%; and in 2012 – their relative values decreased, respectively on: 27,1%;
52,3% and 44,2%.
Thus, the
conducted researches showed that dynamic changes in level and structure of the
general and primary incidence of civil servants are important for definition of
the main priorities of preventive, medical and diagnostic and
medico-rehabilitation activity. Thus the main efforts in the organizations of
medical care have to be directed to the former civil servants on improvement of
quality of dynamic supervision, efficiency of the out-patient and polyclinic
and stationary help, and among acting civil servants - early identification of
the prepainful conditions and carrying out timely improving actions.
Literature:
1 . Kamaliyev M. A. Asatova A.B. About social filling
of reforms of health care. - Messenger of HSSH MH of RK. -2012. - Release
8.-¹1-2. - Page 3-5
2 . Shchepin O. P. Influence of health care on a
population state of health//Bulletin of national scientific research institute
of public health of the Russian Academy of Medical Science. 2006. Ed.2. Page
9-13.
3 . Avksentyeva M. V. Organization and assessment of
quality of the treatment-and-prophylactic help to the population/M of V.
Avksentyev, V. M. Alekseev, V.Z.Kucherenko. M: GEOTAR-media, 2008. -560 pages.
Author. Kmn-28s.
In work the
analytical material of dynamics and structure of incidence of the attached
civil servants in 2007-2012gg is presented. It is established that in hospital
the regressive type of the attached contingent that causes high complexity and
intensity of medical care remains; in structure of the general incidence of the
former civil servants 1 ranked place belonged to diseases of bodies of blood
circulation; To 2 diseases of HSSH and 3 diseases of genito-urinary system. It
is shown also that dynamic changes in level and structure of the general and
primary incidence of civil servants are important for definition of the main
priorities of preventive, medical and diagnostic and medico-rehabilitation
activity.
Keywords: incidence, civil servants, structure,
dynamics, priorities, medical and diagnostic, activity.