The aim: To conduct an analysis of the dynamics and prevalence of the main classes of chronic non-infectious diseases of the population contingent attached to a multidisciplinary health care institution, to determine the main predictive trends of morbidity for the formation of a strategy for the prevention of the development of these pathologies and their complications. Materials and methods: We used methods of structural and logical analysis, bibliosemantic. In the course of the research, we analyzed individual indicators of the health status of patients over 18 years of age, who are attached for medical care to the SIS «Research and Practical Center of Preventive and Clinical Medicine» SAD, and constructed predictive trends for 5 years. Results: The conducted retrospective analysis made it possible to state that the health of the adult population, which is attached for medical care to the SIS RPCPCM SAD during 2009-2021, is stable, without negative dynamics and a forecast expectation of deterioration over the next 5 years, which is confirmed by the analysis of forecast trends of dynamic changes in indicators of general and primary morbidity, as well as the prevalence of diseases. Conclusions: The stability of the dynamics of indicators of the total incidence of the most common nosological forms of diseases of the main rating classes of diseases indicates the effectiveness of preventive measures, detection of bridges and early diagnosis of diseases among the attached contingent.

The aim: To substantiate conceptual directions and organizational technology of medico-social monitoring of obesity and risk factors of its development in schoolchildren at the level of health care institution. Materials and methods: Modern strategies and recommendations for the prevention of obesity in children, local normative documents for the organization of preventive medical examinations of children where analyzed. The basis for developing a functional-structural model of medical and social monitoring of obesity in children based on the results of own research, its concept and organizational technology are developed on the basis of methodology of systematic approach and systematic analysis using informationanalytical method. Results: In the procecc of monitoring we saw the health of children and the harmony of their physical development, nutrition and lifestyle, hereditary risk factors for overweight, and the dynamics of the child’s physical development. The program of medical and social monitoring of obesity in schoolchildren allows to check among the attached for medical care children the risk factors for the development of overweight, predict health disorders that are associated with it, plan preventive programs. Conclusions: The model of organization of medico-social monitoring of obesity in children is developed for the health care institution, the peculiarities of which are: – enhancing the role of primary care physicians in the provision of medical assistance to the pediatric population in monitoring the health of children and implementing of preventive measures; – involveming parents in monitoring of the risk factors for overweight and preventing obesity at the individual level.

The aim: To elaborate prognostic criteria to assess the risk of excessive body weight development among schoolchildren on the basis of hereditary and behavioral predictors. Materials and methods: 90 parents of school age children were interviewed by means of the social study method. Results: Hereditary status (1 and 2 congeniality degree to type 2 diabetes mellitus, arterial hypertension, excessive body weight, cases of myocardial infarction and/or stroke available among relatives) and behavioral characteristics (peculiarities of diet and physical activity of a child) were studied among school age children. The risks promoting development of an excessive body weight under conditions of hereditary and behavioral factors were assessed. The prognostic matrix elaborated enables to predict development of an excessive body weight of a child under a comprehensive effect of unfavorable hereditary and behavioral characteristics with a high accuracy (AUC = 0,88, Std. Dev. = 0,0451). Conclusions: The method elaborated enables to find children with the risk of an excessive body weight development and introduce individualized prophylaxis measures in order to prevent development of obesity and diseases associated with an excessive body weight.

The aim. To analyze the main indicators of dental care to the population, the system of financial support for dental care in Ukraine and to study modern WHO initiatives to improve dental care for the population, increase its availability and quality. Methods – system approach and system analysis, bibliosemantic, content analysis. Results. Over the past decades, the country has revealed a significant deterioration in the dental status of the population due to the unsatisfactory state of preventive activities, changes in the financing of the dental industry. Taking into account the current WHO initiatives to protect oral health, it is promising to improve the existing forms of interdisciplinary cooperation of doctors of various practices to prevent the development of dental diseases, improve interdisciplinary education in the prevention of the most common diseases of the oral cavity of doctors of various specialties. Formation of motivation among the population to preserve dental health and provide it with preventive services, introduction of new forms of financing of the dental industry, in particular, at the expense of social insurance, the introduction of public-private partnership, increasing the state's responsibility for dental care to socially vulnerable segments of the population will help reduce the financial burden for the patient when receiving dental services in the conditions of modern realities in the system of financing dental care.