The aim: Conducting an analysis of indicators of the dynamics and prevalence of the main classes of chronic non-infectious diseases of the contingent attached to a multidisciplinary health care institution of the population contingent, to determine the main predictive trends of morbidity for the formation of a strategy for the prevention of diabetes complications, in particular, one of the most dangerous complications - diabetic retinopathy. Materials and methods: In our work, we used the bibliosemantic method and structural-logical analysis. During 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 State Scientific Institution «Scientific and Practical Center of Preventive and Clinical Medicine» of the State Administrative Department. Our main focus is on the prevalence of diabetes and its complications. Conclusions: The stability of the dynamics of the general morbidity indicators for the most common nosological forms of diseases of the main rating classes of diseases indicates the effectiveness of measures for the prevention and early diagnosis of diseases among the attached contingent. The levels of coverage of dispensary supervision of patients of SIS «SPC PCP» SAD are quite high (more than 90%). Performing preventive dynamic observations of patients with diabetes and diabetic retinopathy and observing the basic principles of integrated management allows to improve the results of treatment and the prognosis of the course of the disease, because the onset of retinopathy often occurs without obvious symptoms. An important factor is the constant updating and implementation of medical and technological documents for the constant improvement of the quality of medical care.
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 conduct an analysis and generalization of scientific publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine. Materials and methods. An analysis and generalization of scientific research and publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine has been carried out. Methods were used: systematic approach, bibliosemantic, analytical. Results and discussion. According to medical statistics, the most common eye pathology is inflammatory eye diseases, which in 80% of cases lead to temporary disability. Age-related macular degeneration occupies the leading position in the world ranking of causes of blindness. On average, the incidence is about 15 people per 1,000 population, increasing significantly with age, for example, in the age group from 52 to 64 years it is 1.6%, from 65 to 74 years - 15%, from 75 to 84 years - 25% , and among people over 85 years old – 30%. The strategic areas of WHO activity are embodied in the national health care policy of Ukraine. When developing programs to preserve and improve the health of the population of disabled age at the state and regional levels, attention should be paid to measures against the most common age-related pathology. In addition, issues of ensuring the availability of high-quality ophthalmic care remain unresolved; the activity of the ophthalmology service in conditions of deficit of budget funding of the health care system; reduction of the cost of ophthalmic care against the background of maintaining its high quality; modernization of the system for managing the efficiency and quality of ophthalmic care, etc. Conclusions. The analysis of the domestic and foreign experience in the theory and practice of quality assurance and management in health care, its types, approaches and methods showed that one of the priority directions of the development of the domestic health care system at present is the creation and development of the management system of health care , in particular in the system of ophthalmological care for the population.
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