Aim. To analyze the change over time in the mortality level, mortality reasons and age and sex related features in urban population of elderly (elder than 60 years) people in 2001-2010 using the data of Republican medical informational and analytical centre of the Healthcare Ministry of the Republic of Tatarstan. Methods. Logical and systemic analysis, statistical grouping, comparative method were used. Results. During the studied period, men had 1.5 times higher level of mortality compared to women. There was an 4.7% increase in overall mortality rate (males - 4.6%, females - 5.1%). The leading reason for death were cardiovascular diseases, with malignancies and external factors on the second and third place. Since 2008, respiratopy diseases had occupied the third position for the leading reasons for death in men, gastrointestinal diseases - in women. The increase in overall mortality rate was due to people over 80 years, there was a reliable trend for mortality rate reduction in other groups. The mortality associated with gastrointestinal diseases has increased. Conclusion. The observed mortality trends require to draw a special attention to the problems of the oldest population; more detailed analysis, detection of the exact reasons and efforts to decrease the mortality associated with gastrointestinal (in men) and respiratory (in women) diseases are the principal tasks.

Aim. To assess the morbidity of elderly patients according to 3-year data of patient’s visits to out-patient clinics and polyclinics in Kazan. Methods. 250 patients’ charts were randomly picked at out-patient clinics and polyclinics in Kazan, containing data about diseases, forcing to seek for medical care from 2008 to 2010. Logical and system analysis, statistical grouping, a comparison method were applied. Results. The morbidity rate in elderly people according to the 3-year data was 7332.0 by 1000. Thus, every elderly patient had visited a doctor 2.4 times a year on average. The number of consultations with exacerbation of chronic diseases was 3.7 times more frequent compared to acute diseases. Most frequent reasons for seeking medical advice were cardiovascular diseases, with urogenital diseases on the second place and gastrointestinal diseases on the third place. Respiratory diseases and neoplasms were on the fourth and fifth places, respectively. Studying the number of visits depending on employment showed that it was significantly lower in employed elderly patients, and higher in employed females and unemployed males. Conclusion. The change of approaches to the management of elderly out-patients is needed, considering not only gender and sex differences, but also employment.