Main directions of improvement of pulmonological care to population and their efficiency in the territory of the Amur Region

Aim. There was made the analysis of the organization and provision of a complex of organizational, methodological, diagnostic and preventive measures aimed at developing and improving pulmonological care to the population with the consolidated participation of health authorities, medical organizations, scientific and educational institutions, conducted on the basis of the regional target program "Respiratory health of the population of the Amur Region".

Materials and methods. For the organization of the study there were used the methods of structural and comparative analysis, predictive modeling, analysis of time series, statistical and information and analytical methods, databases of the Ministry of Health of the Russian Federation and the Federal State Statistics Service (Rosstat).

Results. It has been found out that the improvement and increase of the effectiveness of specialized medical care for the population should be aimed at strengthening and developing the personnel and material and technical potential of health care, introducing innovative technologies in the field of timely diagnosis, treatment and prevention of diseases. As a result of the analysis, it was shown that complex treatment-and-prophylactic and organizational-methodical work aimed at improving the quality of medical care to patients of the pulmonary profile is reflected in the dynamics of the population respiratory health indicators, which are the main indicators of the effectiveness of program activities. For the period from 2005 to 2017 mortality rates due to respiratory diseases decreased by 46.4%, including those from chronic respiratory diseases by 25.3%, and from pneumonia 3.4 times. At the same time, the mortality rate of the population in the age group younger than the working age is 3.4 times lower than the mortality rate in the Far Eastern Federal District and 2.6 times less than the similar indicators of the Russian Federation as a whole. Analysis of the dynamic series of primary diseases of the respiratory organs and the predictive model of dynamics showed that linear trends in the Amur Region are more progressive than the dynamics in the country as a whole, which indicates positive processes for the timely diagnosis of diseases and the availability of medical care to the patients of pulmonary profile.

Conclusion. Therefore, purposeful work to ensure the availability and quality of medical care for patients with a pulmonary profile, and the development of a system of respiratory health care using integrated regional programs, as shown by the analysis, are the basis for achieving positive results in the system of organizing pulmonological care for the population and improving the efficiency of medical care for patients with respiratory pathology.

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