[Indicators of the complex evaluation of health status of the rural population of the Novgorod district].

Abstract

General morbidity rate (according to the number of visits to medical institutions) among urban population of Novgorod Region constituted 1092.7 visits per 1,000 population including 968.2 ambulatory visits (per 1,000 population) and 124.5 visits to in-patient facilities (for diseases unknown to ambulatory and out-patient institutions during one year period). Among hospital diagnoses of which ambulatory network of institutions had no information 36.8 percent accounted for chronic diseases. As the result of medical examinations conducted additionally 2585.4 chronic diseases and conditions (for which nobody sought care during a year) were identified (per each 1,000 persons examined). Out of these diseases 1438.2 cases or 55.6 percent were identified by experts as requiring either treatment or follow-up (per 1,000 examined). Actual morbidity of urban population constituted 2530.9%. The data of complex evaluations of urban population health indicate that healthy and practically healthy people (those having risk factors) constitute 24.0%, sick--76.0%. Among children the proportion of healthy and practically healthy constituted 70.8%, sick--29.2%. With age the ratio is changing towards reducing the proportion of the healthy and increasing the proportion of the sick. The data obtained were used by us for determining the norms of population requirements in all kinds of medical care, formulating complex and target programmes of regional public health development for the future.