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The aim. To analyze the morbidity data with a first-time diagnosis, to evaluate the results of medical examination of the older than working age population, depending on the place of residence in the Russian Federation for 2015-2019. Material and methods. To study morbidity with a first-time diagnosis, including those identified during medical examination, by classes of diseases in the population older than working age (women aged 55 and older, men – 60 years and older), depending on the place of residence, we analyzed data from Federal statistical observation forms №№ 12 and 1201 "Information on the number of diseases registered in patients residing in the service area of a medical organization" for 2015-2019. Evaluation of the results of the medical examination of urban and rural dwellers older than working age, was based on the information from the federal statistical observation forms №№ 30 and 30-village "Information about the medical organization" for the 5-year study period. The methods used: statistical, analytical. Results and discussion. The nationwide primary morbidity rate for the older than working age population, both for urban and rural dwellers for the period 2015-2019 practically did not change. The main causes for the primary morbidity of the population older than working age were respiratory diseases, trauma, poisoning and some other consequences of external causes, diseases of the circulatory system, genitourinary system, skin and subcutaneous tissue, musculoskeletal system and connective tissue, eyes and their accessory apparatus. When conducting a medical examination of the older than working age population, depending on their place of residence, first-time diagnosed were every fourth disease of the endocrine system, nutritional disorders and metabolic disorders (obesity, etc.), every sixth to seventh disease of the blood, hematopoietic organs and individual disorders involving the immune mechanism (anemia), every seventh (in the rural setting – the ninth) disease of the circulatory system (hypertensive heart disease, etc.). During the study period, with the split by health groups of the entire older than working age population who underwent medical examination, a decrease in the proportion of people who were assigned to groups I and II (by 2,8 and 5,7% respectively) was noted due to the increase in the proportion of people assigned to group III (by 10,3%), among urban dwellers – by 3,0, 6,1 and 10,7%, respectively, rural dwellers – by 2,2, 4,7 and 9,0% respectively. Conclusions. In the Russian Federation, for 5 years, there has been an increase in the proportion of older than working age people who have been assigned to health group III and need additional examination, require dispensary observation by a doctor-therapist and specialist doctors together with carrying out medical, preventive and rehabilitation measures.

The important direction of the National Project “Health Care” are improvement of primary health care system, including introduction of hospital-replacing technologies.The purpose of the study is to evaluate functioning of hospital-substituting form of home medical care (home hospitals) to population of the Russian Federation in 2006-2020.The normative legal documents regulating activities of stationary-substituting form of home medical care (home hospitals) for adults and children, reporting forms of sectoral statistical observation № 14ds for 2006-2018 were analyzed. In 2019-2020, unified data on functioning of day hospitals and home hospitals and composition of patients treated there of medical organizations providing medical care on out-patient basis was filled in form № 14ds. The in-depth analysis permitted to extract information about activities of home hospitals for adults and children and to study their functioning in dynamics for 15 years. The content analysis, statistical and analytical methods were applied.The examination of data for 2006-2020 established increasing of number of treated adult patients in home hospitals up to 27.9% and children up to 15.0%.The distribution of the number of treated adults and children in hospitals at home per 1000 of the corresponding population by subjects indicates their significant fluctuation.For 15 years, it has been established that in the structure of treated adult patients, the proportion of people with diseases of the circulatory system has decreased from 62.2 to 31.5%, the musculoskeletal system and connective tissue - from 11.7 to 7.4%; in children - with respiratory diseases from 81.9 to 63.4%, some infectious and parasitic diseases - from 7.7 to 3.0%, diseases of the digestive system - from 3.6 to 3.2%.In the country for 2019-2020 in hospitals at home, the number of treated adults significantly increased by 1.8 times, children - by 2.3 times, the composition of those treated has changed, which is associated with the treatment of patients with a new coronavirus infection COVID-19 in them under conditions re-profiling of the majority of medical organizations into infectious diseases hospitals.

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