Comparative Analysis of the Main Social Health Determinants of Life Expectancy and Infant Mortality in Ukraine and Poland

Gutor, Taras; Zaremba, N; Kovalska, Oksana; Moskviak-Lesniak, Dzvenyslava Je; Gerasymovych, Iryna M; Kobyletskyy, Oleh Ja; Nahurna, Yaryna

doi:10.36740/wlek202103235

Cited by 11 publications

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“…Íàâåäåí³ ðåçóëüòàòè ïðåäñòàâëå-í³ ÿê àáñîëþòí³ ÷èñëà (ê³ëüê³ñòü ðåíòãåíîëî-ã³÷íî¿ àïàðàòóðè), ñåðåäí³ ïîêàçíèêè (íàâàíòàaeåííÿ íà 1 ë³êàðÿ, íà 1 àïàðàò) òà â³äíîñí³ ïîêàçíèêè (ê³ëüê³ñòü äîñë³äaeåíü íà 10 òèñÿ÷ íàñåëåííÿ). Îö³íêó äèíàì³êè ïðîâåäåíî çà äîïîìîãîþ ïîêàçíèêà òåìïó ïðèðîñòó/ñïàäó (Ò ïð , %) [5]. [2,3].…”

Section: ìàòåð³àë ³ ìåòîäèunclassified

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Analysis of X-Ray Diagnostic Service Activities in Lviv Region for the Period of 2015-2020 Years

Shcherbata¹,

Kovalska

2022

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The aim of this work was to assess the current state of the X-ray diagnostic service in the Lviv region, namely, to identify existing problems and elaboration of ways to solve them. Material and Methods. A retrospective analysis of the current state of the X-ray diagnostic service in the Lviv region was carried out in comparison with the data throughout Ukraine for 2015-2020 years. The information was received according to the data of the State Statistics Service of Ukraine. Results and Discussion. Analysis of changes in the total number of X-ray diagnostic apparatuses in the Lviv region for 2015-2020 years showed a slight downward trend in their number. Thus, as of the end of 2020 year, the total number of such apparatuses on the balance of regional health care institutions was equal to 452 units, which is 7,38% less than in 2015year. In the Lviv region and in Ukraine as a whole, there was a decrease in the number of devices of X-ray image amplifiers (X-ray IA) ((by -10,96% and -5,28%) and fluorographs (by -23,08% and - 17,49% respectively). At the same time, there was a significant increase of angiographic apparatuses (by +66,67% and +81,54%), CT scanners (by+40,00% and +26,32%), and mammography machines (by +33,33% and +12,46% respectively). The number of carried-out diagnostic fluorograms for 1 operating apparatus in the Lviv region during the studied period was decreasing, and the same trend persisted in 2020 year as well: Тgrowth2018/2015=-5,07%, Тgrowth2020/2019=-7,64%, just like the quantity of diagnostic fluorograms for one position of a radiologist: Тgrowth2018/2015=-11,76%, Тgrowth2020/2019=-20,78%. While the number of CT per one operating device and on one position of a radiologist in the Lviv region for the last 5 years significantly increased and in 2020 year was equal to 10605 studies /1 device and 220 studies/1 physician, but only in the last year, the growth was by +29,16% and +41,03%, although the number of operating tomographs remained unchanged for the last 5 years (n=5). Such a significant positive trend is explained by intensive work of the X-ray diagnostic service during the Cоvid-19 pandemic. Conclusions. The decreased frequency of the fluorographic and radiological studies and the increase of the number of diagnostic CT scanners in the Lviv region have been determined. A number of problems in the work of the X-ray diagnostic service have been identified, the most important of which are the significant overload of radiologists, particularly, during the Cоvid-19 pandemic and lack of modern equipment. Modern healthcare is competitive and therefore, in the conditions of today's needs, the development of the most modern visualization technologies is very important, the key of which are computed tomography and magnetic resonance imaging in the field of radiation diagnostics.

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Section: ìàòåð³àë ³ ìåòîäèunclassified

“…The following data are presented as absolute numbers (number of X-ray equipment), the averages (workload per doctor, per apparatus) and relative indicators (number of studies per 10 thousand of people). The dynamics was assessed using growth/decline rate indicator (Ò growth , %) [5].…”

Section: Analysis Of X-ray Diagnostic Service Activities In Lviv Regi...mentioning

confidence: 99%

Analysis of X-Ray Diagnostic Service Activities in Lviv Region for the Period of 2015-2020 Years

Shcherbata¹,

Kovalska

2022

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“…Ùîðîêó ó ö³ëîìó ñâ³ò³ íàðîäaeóºòüñÿ ïðèáëèçíî 15 ì³ëüéîí³â íåäîíîøåíèõ íåìîâëÿò, öå ñêëàäàº ïîíàä 11% ³ç ê³ëüêîñò³ óñ³õ ñâ³òîâèõ ïîëîã³â [7]. Ïåðåä÷àñí³ ïîëîãè º ïðè-÷èíîþ ïåðèíàòàëüíî¿ òà íåîíàòàëüíî¿ ñìåðò-íîñò³ íåìîâëÿò [8], âàaeêî¿ çàõâîðþâàíîñò³ òà ñìåðòíîñò³ ä³òåé â³êîì äî 2 ðîê³â [9] òà çàëèøàþòüñÿ ïåðøî÷åðãîâîþ ïðîáëåìîþ, ùî âèìàãàº ïîøóêó øëÿõ³â ¿¿ âèð³øåííÿ [10,11]. Ìåòà ðîáîòè: îá´ðóíòóâàííÿ åï³äåì³î-ëîã³÷íî¿ ñêëàäîâî¿ â ïðîöåñ³ îïðàöþâàííÿ ìîäåë³ ïîïåðåäaeåííÿ íåâèíîøóâàííÿ âàã³ò-íîñò³ ñåðåä ae³íîê Óêðà¿íè.…”

Section: âñòóïunclassified

“…Every year, approximately 15 million premature babies are born worldwide, which is more than 11% of all births worldwide [7]. Premature birth is the cause of perinatal and neonatal mortality of infants [8], severe morbidity and mortality of children under 2 years of age [9] and remains a priority problem that requires finding ways to solve it [10,11].…”

Section: Introductionmentioning

confidence: 99%

Dynamics of Miscarriage Among the Female Population of Fertile Age in Ukraine and in Lviv Region in 2014-2021

Timchenko

Gutor

2022

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Aim. The research aims at rationalizing of the epidemiological component in the process of developing a model for preventing miscarriage among the female population of Ukraine. Materials and Methods. A retrospective analysis of the indicators of miscarriage among the female population of Ukraine and Lviv region for the period from 2014 to 2021 was carried out. Statistical data of the Center for Medical Statistics of the Ministry of Health of Ukraine were used, namely Form No. 21 "Report on medical care for pregnant women, women in labor and women giving birth". The study uses the methods of a systemic approach and structural-logical analysis, medical-statistical analysis, namely the calculation of chain (relative to the previous year) indicators of a dynamic series: absolute growth, growth rate and increment rate. Results and Discussion. A decrease in the female population of fertile age by 13.03% in Ukraine and by 5.81% in Lviv region was noted in the analyzed period of 2014-2021, while the number of spontaneous abortions in Ukraine decreased by an average of 3.45% per year, and grew in Lviv region in 2015, 2018, 2019 and 2020 by 5.72%, 6.87%, 19.29% and 6.59%, respectively. The rates of spontaneous abortions per 1,000 women of fertile age in Lviv region were twice as low as in Ukraine. Over the analyzed 8-year period, the share of premature children among all live births increased from 4.68% to 5.68% in Ukraine, and from 4.18% to 5.65% in Lviv region, respectively; these indicators in Lviv region were smaller compared to the indicators in Ukraine. The share of premature babies among stillbirths averaged 63.07% in Ukraine and 67.69% in Lviv region, had a growing trend, and the indicators in Lviv region were higher every year compared to the indicators in Ukraine. The ratio of the total rate of miscarriage to the total number of pregnancies (cases of miscarriage per 100 pregnancies) increased from 5.50 in 2014 to 6.22 in 2021 in Ukraine and from 3.57 to 4.72 in Lviv region respectively. Conclusions. There was a trend of annual increase in the index of the ratio of the total miscarriage rate to the total number of pregnancies, the share of prematures from the total number of live births and the share of premature births from the number of stillbirths in the analyzed 8-year period, both in Ukraine and in Lviv region. The analyzed indicators of the share of premature newborns from the total number of live births in Lviv region were lower every year, and the share of newborns from the total number of stillbirths was higher compared to the average annual indicators in Ukraine. The dynamics of spontaneous abortions showed a clear trend towards an annual decrease in Ukraine and their increase in 2015, 2018-2020 in Lviv region. The rate of spontaneous abortions among women of fertile age in Lviv region from 2014 to 2021 was annually half as low compared to the average annual levels of this indicator in Ukraine.

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“…Cancer survival, functional indicators and quality of life are the most important results for a patient with PC. Patients with newly diagnosed PC at an early stage are faced with a difficult choice of different treatment options and they must take both goals, survival and optimization of the quality of life, into account [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Medical and Social Substantiation of the Problem of Quality of Life of Patients With Prostate Cancer

Zub

Толстанов²

2022

Proc Shevchenko Sci Soc Med Sci

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Introduction. Prostate cancer (PC) is one of the most common cancers among men over 50. Nowadays in Ukraine, the number of new cases of PC tends to increase according to statistics. Objectives. The aim of the study is to identify the main problems in the life quality of patients with PC (C61) to optimize medical care for them. Methods. The main aspects of the quality of life of PC patients are studied by means of EORTC QLQ-C30 and EORTC QLQ-PR25 questionnaires. Results. In Ukraine, as of the pre-war period (November 2021 – February 2022), the quality of life of patients with PC amounted to 52.31 on a 100-point scale. The worst indicators within the functional scale QLQ-C30 belonged to the subscale “Role functioning” (65.44). According to the QLQ-C30 symptoms scale, the highest score among the complaints of Ukrainian patients is fatigue (48.58). Given the results of our research on the QLQ-PR25 symptom scale, patients with PC were the most worried about “Urinary symptoms”, with a score of 38.54 out of 100. According to the functional scale QLQ-PR25, the worst indicators were for “Sexual activity”, which is equal to 32.22 points on a 100-point scale. Conclusions. It is important to create socio-psychological support for patients with PC and their families, which will include the development and implementation of standardized psychological care at all stages of diagnosis, treatment and rehabilitation.

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Comparative Analysis of the Main Social Health Determinants of Life Expectancy and Infant Mortality in Ukraine and Poland

Cited by 11 publications

References 2 publications

Analysis of X-Ray Diagnostic Service Activities in Lviv Region for the Period of 2015-2020 Years

Analysis of X-Ray Diagnostic Service Activities in Lviv Region for the Period of 2015-2020 Years

Dynamics of Miscarriage Among the Female Population of Fertile Age in Ukraine and in Lviv Region in 2014-2021

Medical and Social Substantiation of the Problem of Quality of Life of Patients With Prostate Cancer

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