Provision of People of Retirement Age with High-Tech Medical Care is One of the Most Important Trends of Healthcare Development

Abstract

BACKGROUND: The problem of demographic aging of the population is becoming increasingly important in the world. First of all, it is associated with a decline in the share of diseases with the acute course and an increasing number of chronic diseases. There is an increasing risk of initiation of diseases that require not only primary medical and rehabilitation care, but also high-tech care. AIM: Analyze the scope and structure of high-tech medical care (HTMC) rendered to people above the working age living in the Astrakhan region. MATERIALS AND METHODS: The study was carried out using a continuous method, with subsequent statistical processing. The observation period covered 2010 to 2019. This study included 21271 cases of HTMC rendered to people of the retirement age. A statistical research method was used with calculation of the relative values and analysis of the dynamic series. RESULTS: Showed 2.8-fold increase in the volume of HTMC rendered to people older than the working age. The main profiles were cardiovascular surgery, traumatology and orthopedics and oncology, which accounted for more than 4/5 of all cases of HTMC. In the total structure of people who received this type of medical care during the study period, the share of rural residents averaged 27.2%. Concerning the structure of outcomes of HTMC, in the absolute majority of patients (96%) despite the advanced age, improvement and recovery were achieved. It should be noted that ¾ of the total number of cases were managed in medical organizations in the city of Astrakhan, the rest of the patients were managed outside the city. CONCLUSION: The negative aspect is poor availability of HTMC for people living in rural areas and a limited number of profiles for which HTMC is provided within the region. This, in turn, leads to prolonged waiting for HTMC, and also to the need for long transportation of patients, which is not always possible.