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Medical and Social Expert Evaluation and Rehabilitation最新文献

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Analysis of newly diagnosed disabilities dynamics among medical workers in the Irkutsk region from 2003 to 2021 period 2003-2021年伊尔库茨克州医务工作者新诊断残疾动态分析
Pub Date : 2024-03-14 DOI: 10.17816/mser625899
Natalya V. Rybchenko, Oksana N. Vladymyrova
BACKGROUND: The specificity of the professional activities of medical workers is one of the main reasons for their high morbidity, including due to the influence of unfavorable factors in the working environment. The need to reduce labor losses in the industry necessitates the study and analysis of the disability status of doctors within the framework of long-term observation. AIM: A study of the dynamics of primary disability indicators of doctors working in their specialty in the Irkutsk region at the time of examination, in comparison with the primary disability of the adult population of the Irkutsk region for 19 years from 2003 to 2021. MATERIALS AND METHODS: An observational retrospective continuous study of primary disability indicators of working doctors in the Irkutsk region for 19 years (2003–2021) was conducted. Analytical, statistical, data copying, and expert assessment methods were used. RESULTS: During the study period, 1,703 people working as doctors in the Irkutsk region were recognized as disabled for the first time. The average long-term intensive rate of primary disability of doctors for 19 years averaged 75.4 (±7.55) per 10 thousand working doctors, which is 17% lower than the same indicator for the adult population of the region. The following diseases took the first place among doctors during 2003–2011: diseases of the circulatory system, and over the past ten years since 2012 — malignant neoplasms. CONCLUSIONS: The level of primary disability in physicians responds more quickly and sensitively to changes in social legislation, and is less affected by changes in the number of physicians in the region than the corresponding rates in the adult population of the region as a whole. The nosological structure of doctors disabled mainly coincides with the indicators of the adult population.
背景:医务工作者职业活动的特殊性是其高发病率的主要原因之一,其中包括工作环境中不利因素的影响。为了减少该行业的劳动力损失,有必要在长期观察的框架内对医生的残疾状况进行研究和分析。目的:研究在伊尔库茨克州从事本专业工作的医生在接受检查时的一级残疾指标动态,并与伊尔库茨克州 2003 年至 2021 年 19 年间成年人口的一级残疾情况进行对比。材料与方法:对伊尔库茨克州在职医生 19 年(2003-2021 年)的初级残疾指标进行了观察性回顾性连续研究。研究采用了分析、统计、数据复制和专家评估等方法。结果:在研究期间,伊尔库茨克州有 1703 名在职医生首次被认定为残疾。19 年来,医生初次残疾的长期密集率平均为每万名在职医生 75.4 (±7.55),比该地区成年人口的同一指标低 17%。在 2003-2011 年期间,以下疾病在医生中占首位:循环系统疾病;自 2012 年以来的十年间,占首位的是恶性肿瘤。结论:与整个地区成年人口的相应比率相比,医生的初级残疾程度对社会立法的变化反应更快、更敏感,受该地区医生数量变化的影响也更小。残疾医生的分类结构主要与成年人口的指标相吻合。
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Medical and Social Expert Evaluation and Rehabilitation
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