[The analysis of need in medical care of elder able-bodied women with diseases of blood circulation system].

M D Vasiliev, A V Fedyaeva, M A Yakushin, S N Cherkasov
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Abstract

The purpose of the study is to analyze demand in medical care at diseases of circulatory system in women in age groups of 50-64 years old. The database of cases of medical care support of population age groups 50-64 years (the database of calls of Territorial Foundation of Mandatory Medical Insurance of the Moscow region) was used as primary information source. After correlation analysis of dependencies between indicators of demand in modeling, four indicators were left, three of them were volumetric and one frequency. Three blocks were used as basic causes included in Class IX "Diseases of the circulatory system" (ICD-10 version 2014-2016): 1. I10-I15 (Hypertensive diseases [Diseases characterized by high blood pressure]); 2. I20-I25 (Coronary heart disease); 3. I60-I69 (Cerebrovascular diseases). The study demonstrated that dynamics of frequency and volume indicators of medical care demand among women in age groups of 50-64 years testifies that in age range of 50-60 years there is linear or close to linear increase of demand, after which trend of increasing demand changed to downward one. The data obtained testify that age (as variable) explains considerable proportion of all fluctuations of volume of medical care in demand in women of 50-64 years. This result can be considered quite satisfactory for applying proposed model in planning volumes of medical care. It is noted that decreasing of demand increase rate is observed at age of termination of employment of majority of female population.

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[患有血液循环系统疾病的高龄健全妇女的医疗护理需求分析]。
本研究旨在分析 50-64 岁年龄组妇女循环系统疾病的医疗需求。主要信息来源是 50-64 岁年龄组人口医疗支持案例数据库(莫斯科地区强制性医疗保险领土基金会呼叫数据库)。在对建模中需求指标之间的相关性进行分析后,剩下四个指标,其中三个是体积指标,一个是频率指标。三个区块被用作第九类 "循环系统疾病"(ICD-10 2014-2016 年版)中的基本病因:1.I10-I15(高血压疾病[以高血压为特征的疾病]);2.I20-I25(冠心病);3.I60-I69(脑血管疾病)。研究表明,50-64 岁年龄组妇女医疗保健需求频率和数量指标的动态变化证明,在 50-60 岁年龄段, 需求呈线性或接近线性增长,之后需求增长趋势转为下降。获得的数据证明,年龄(作为变量)在 50-64 岁妇女医疗需求量的所有波动中占相当大的比例。这一结果对于在规划医疗服务量时应用所建议的模型是非常令人满意的。值得注意的是,在大多数女性人口终止就业的年龄段,需求增长率有所下降。
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CiteScore
0.40
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234
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