DYNAMICS IN HEALTH STATUS OF URBAN POPULATION OF THE OLDER RETIREMENT AGE AND INCIDENCE RATE OF THEIR OUTPATIENT VISITS IN 2011-2020

V. Kapitonov, N.L. Subbotina
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Abstract

Increase in chronic pathology with age and polymorbidity that is characteristic of the elderly, increase the cost of diagnosis and treatment, both for the healthcare system and individual patients. Therefore, analysis of health status of population of the older retirement age and incidence rate of their outpatient visits is relevant and beyond any doubt. Purpose of the study: To analyze dynamics in health status of urban population of the older retirement age and incidence rate of their outpatient visits in 2011-2020 based on the data analysis on outpatient visits in 2011-2020. Material and methods. Materials of state statistics and summary form of the state statistical observation No. 12 for the city of Krasnoyarsk in 2011-2020 were used as sources of information. The analysis used absolute and relative values, ratio coefficients, dynamic series indicators and their growth rates (loss). Results. The analysis showed increased share of people of the older retirement age in the total adult population, resulting in their increased share in the structure of medical care seeking by adults. There is a decrease in the crude disease incidence by 21.1% and previously diagnosed diseases by 30.2% against the background of the decreased rate of disease chronicity from 4.4 to 2.6. The incidence rate of outpatient visits shows that the share of people of the older retirement age uptakes 1.5 times more outpatient services compared to people of working age. Conclusion: Increased incidence rate of outpatient visits by people of the older retirement age is accounted for by their increased share in the total structure of the adult population; decreased crud incidence among people of the older retirement age was due to a 30.2% decline in the rate of previously diagnosed diseases; growth rates of disease incidence among people of the older retirement age and working age population are similar, 19.2% and 19.9 %, respectively; there is a decrease in the coefficient of disease chronicity among people of the older retirement age from 4.4 in 2011 to 2.6 in 2020, while the coefficient of the degree of chronicity of patients has not changed; on average, the share of people of the older retirement age uptakes 1.5 times more outpatient services compared to the similar share of people of working age.
2011-2020年城镇老年退休人口健康状况及门诊率动态
慢性病理随着年龄的增长而增加,老年人的特征是多发病,这增加了医疗保健系统和个体患者的诊断和治疗成本。因此,分析高龄退休人群的健康状况及其门诊就诊的发生率是有意义的,是不容置疑的。研究目的:通过2011-2020年城市老年退休人口门诊数据分析,分析2011-2020年城市老年退休人口健康状况及门诊就诊率的动态变化。材料和方法。2011-2020年克拉斯诺亚尔斯克市国家统计资料和第12号国家统计观察表作为信息来源。分析方法包括绝对值和相对值、比值系数、动态序列指标及其增长率(损失率)。结果。分析显示,退休年龄较大的人在成年总人口中所占比例增加,导致他们在成年人寻求医疗保健的结构中所占比例增加。在疾病慢性率从4.4下降到2.6的背景下,原始疾病发病率下降了21.1%,以前诊断的疾病下降了30.2%。门诊诊断率表明,退休年龄较大的人所占的门诊诊断率是工作年龄人口的1.5倍。结论:高龄退休人群门诊就诊率的上升是由于其在成年人口总结构中所占比例的增加所致;在退休年龄较大的人群中,由于以前诊断出的疾病比率下降了30.2%,艾滋病发病率下降;退休年龄较大的人和工作年龄人口的疾病发病率增长率相似,分别为19.2%和19.9%;老年退休人群的疾病慢性化系数从2011年的4.4下降到2020年的2.6,而患者的慢性化程度系数没有变化;平均而言,退休年龄较大的人所占比例是工作年龄的人所占比例的1.5倍。
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