The article presents information on trends in hospital morbidity of child population in Moscow, as well as morbidity of children in the first year of life. Authors used population data and information from Form No. 14 of the Federal statistical observational study “Information on the activities of the medical organization departments providing inpatient medical care” between 2014 and 2021.In addition to the general indexes, the article presents categories of diseases that were significantly affected by changes in the lifestyle of children during the COVID-19 pandemic. Significant fluctuations in the incidence of infectious diseases are worth noting as they are certainly related to both fragmentations in groups of children during the pandemic, and proper nutrition, which led to positive changes in hospital morbidity due to gastrointestinal disorders. Changes in education, social isolation, better control over hygiene by the government, society and parents has led to unprecedented positive dynamics in morbidity rates of certain diseases. It is worth noting that the COVID-19 infection during pregnancy didn’t lead to expected high increases in morbidity rates associated with diseases in the perinatal period.In addition to hospital morbidity, the article presents data on mortality in 24-hour inpatient facilities, as well as changes in the proportion of emergency admissions of patients under 18 to Moscow state hospitals.
Introduction. The article provides information about the disease incidence in adolescents in Moscow, the indicators of general and primary disease incidence rates including some particular disease groups, as well as the analysis of their chronicity. The article provides information about the impact of the COVID-19 pandemic on disease incidence trends in general and in some particular disease groups. Materials and methods. The data was obtained from Rosstat open data, Federal Statistical Observation Form No. 12 “On the number of diseases registered in patients residing in the provision area of a medical organization” from 2015 to 2021. Results and conclusion. Isolation of adolescents, which is the most socially active group of children, affected both particular diseases and disease groups in general. Some diseases that are not acute and do not require emergency care are presented in the statistics data for 2021, thus reflecting a certain cumulative effect. It is worth noting that the pandemic has significantly influenced the incidence of injuries, intoxication and infectious diseases. In addition to disease burden in particular disease groups, throughout the study period the chronicity rates of diseases of the musculoskeletal system and connective tissue (4.6% on average), mental diseases (4.5%), diseases of the eye and its accessory parts were quite high (4.5%) in Moscow. For citation: Podchernina AM, Main incidence trends in adolescents aged 15–17 years in Moscow, including COVID-19 pandemic. City Healthсare. 2022;3(4): 42–53 doi:10.47619/2713-2617.zm.2022.v.3i4;42–53
An analysis was made of the structure and number of medical workers (doctors and paramedical personnel) of the Moscow healthcare system for the period 2017-2021. The analysis showed that the number of medical full-time positions over the same period increased by 13.6%, and regular positions of nursing staff by 8.9%. The provision of the population (per 10 thousand population) with doctors increased by 13.0% from 35.6 in 2017 to 40.2 in 2021. The provision of the population with nurses decreased by 2.4% from 58.4 in 2017 to 57.0 in 2021. Among medical workers, the number of individual doctors, over the same period, increased by 15.5%, and the number of individuals of paramedical personnel decreased by 3.4%. The staffing of medical rates (by positions), in general, decreased by 2.4% from 82.5 in 2017 to 80.5 in 2021, and the rates of nursing staff decreased by 9.7% from 87.4% in 2017 to 79.0% in 2021. The part-time ratio was 1.1 for medical positions and for positions of paramedical personnel. Issues related to low staffing and the coefficient of part-time employment for individual medical positions and positions of paramedical personnel require further resolution.
Introduction. The incidence of diseases of the circulatory system among the working-age population continues to be a nationwide problem that has worsened during the COVID-19 pandemic. In Moscow, the restrictions imposed during the COVID-19 pandemic, both for the population and for medical organizations of the Moscow Healthcare Department, have become one of the reasons for the deterioration of health and an increase in the incidence of the working-age population.Aim. Analysis of the dynamics of indicators of general and primary morbidity by diseases of the circulatory system and individual nosologies of working-age population of the city of Moscow for the period 2014-2021.Materials and methods. As materials, we used Moscow Healthcare Department data (morbidity according to the data of negotiability, reporting form of the Federal Tax Service N 12) for 2014-2021, analytical and statistical methods of research, indicators of time series were used.Results. In Moscow in 2014-2021 general and primary morbidity of the working-age population in the diseases of the circulatory system decreased by 3,6% and 23,8%, diseases characterized by high blood pressure by 5.7% and 3,4%, cardiac ischemia by 13,9% and 33,4%, cerebrovascular diseases by 4,9% and 19,5%. In 2020-2021 the increase in the level of general morbidity in the class was 10,6%, diseases characterized by high blood pressure - 9,2%, cardiac ischemia - 8.1%, cerebrovascular diseases - 22%, against the background of a decrease in primary morbidity in the class by 9,3%, diseases characterized by high blood pressure by 6,3%, cardiac ischemia by 22,1%, cerebrovascular diseases by 10,2%. The number of people of working age under dispensary observation by class increased by 24,6%, diseases characterized by high blood pressure by 12,9%, cardiac ischemia by 24,6%, cerebrovascular diseases by 2 times.Conclusion. The current trends in the incidence of diseases of the circulatory system in the working-age population reflect the effectiveness of the implemented state programs and preventive measures in the metropolis, including in the context of the COVID-19 pandemic, the state of public health and adherence to prevention and treatment.
The article assesses the availability of dental care for the population in the capital's clinics of the Moscow Healthcare Department for 2021. Particular attention is paid to the analysis of staffing and indicators of therapeutic and preventive measures in the dentistry of the capital. In addition, the study analyzed in detail the activities of dental clinics in the context of the administrative districts of Moscow.
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