Dynamic Changes in Health Indicators of the Population of the Siberian Federal District

Abstract

HighlightsThe results of the study revealed a recent increase in the mortality of the rural population in the Siberian Federal District, and in Russia in general, which required a separate study to identify its causes. Thus, new management solutions should be developed to improve the resource capacity of the healthcare system in the context of the COVID-19 pandemic. AbstractBackground. Currently, the main strategic goals include increasing life expectancy, reducing mortality rates of the country`s population and improving medical and demographic indicators. This task is becoming especially relevant in rural areas.Aim. To analyze changes in public health indicators of the rural population in the context of the COVID-19 pandemic using the Siberian Federal District data.Methods. The research methods that were used in this study are as follows: statistical and comparative analysis, and generalization on the basis of prior experience. For the analysis the statistical data and reports from the Ministry of Health of Russia, Federal State Statistics Service, and the Siberian Federal District were selected.Results. The analysis of demographic indicators in the Siberian Federal District for the period from 2018 to 2021 showed higher mortality rates compared to the national average, especially in the Altai Territory (1.2 times higher). In 2020 the overall incidence in rural areas both in the Russian Federation as a whole and in the Siberian Federal District decreased for almost all types of diseases (respiratory diseases -2.4%, digestive diseases -13.4%, diseases of the circulatory system -5.3%, infectious and parasitic diseases -11.8%, malignancies -5.3%, injuries and poisoning -5.2%) compared to 2019, whereas there was a growth of the indicator in 2021 in the district being 14% higher than in the Russian Federation. The incidence rate of new coronavirus infection (COVID-19) and life expectancy at birth in the rural population are given, but it should be noted that although the incidence rate of COVID-19 in 2021 in the Omsk region was lower than the national average, mortality from this disease remains the highest in the Siberian Federal District and it exceeded the national average by 1.4 times. To assess the availability of medical care in rural areas, the indicators of the availability of medical personnel and hospital beds were analyzed, showing a steady downward trend.Conclusion. The results of this study make it possible to identify new directions and initiatives for the development of management strategies to improve the resource capacity of the healthcare system at the federal and regional levels.