A 21-YEAR DYNAMICS IN CONTRIBUTION OF MORTALITY FROM CURABLE DISEASES TO THE DECREASE IN LIFE EXPECTANCY IN THE KRASNOYARSK TERRITORY

A. Mironova, P. Astanin, A. Narkevich, K. Vinogradov, A. A. Tarasov
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Abstract

Significance. One of the strategic priorities of the Russian domestic policy is to increase life expectancy to 78 and 80 years in 2024 and 2030, respectively. High mortality from curable diseases that contributes to the decrease in life expectancy in the Krasnoyarsk Territory can be associated with low access to timely medical care. The current policy in the economic and social spheres should contribute to reducing mortality from curable diseases, which ultimately should result in the increased life expectancy. The purpose of the study is to analyze dynamics in contribution of mortality from curable diseases to the decrease in life expectancy in the Krasnoyarsk Territory to evaluate the current situation and identify prospects for increasing life expectancy. Material and methods. Contribution to the decrease in life expectancy was calculated according to the method of assessing eliminated reserves. To assess dynamics in the analyzed indicators, the total and average annual growth and loss rates, expressed as a percentage, were calculated. Results. The study has assessed contribution of mortality from curable diseases to the decrease in life expectancy calculated during the study. The assessed contribution makes it possible to evaluate possible reserves of the Krasnoyarsk Territory healthcare system cat can be mobilized using modern and effective medical interventions, including secondary prevention and treatment, to decrease mortality in the light of the target values of life expectancy established at the federal level. A special focus in the Krasnoyarsk Territory should be placed on mortality from diseases of the circulatory system, neoplasms and diseases of the digestive system associated with curable causes. Conclusion. Improving quality of treatment and secondary prevention of such curable diseases will make it possible to improve life quality and decrease premature deaths resulting in the increased life expectancy in the Krasnoyarsk Territory.
克拉斯诺亚尔斯克地区可治愈疾病死亡率与预期寿命下降之间的21年动态关系
的意义。俄罗斯国内政策的战略重点之一是在2024年和2030年分别将预期寿命提高到78岁和80岁。克拉斯诺亚尔斯克地区可治愈疾病的高死亡率导致预期寿命缩短,这可能与获得及时医疗服务的机会少有关。目前在经济和社会领域的政策应有助于减少可治愈疾病的死亡率,这最终应导致预期寿命的延长。这项研究的目的是分析克拉斯诺亚尔斯克地区可治愈疾病造成的死亡率对预期寿命缩短的影响,以评价目前的状况并确定预期寿命延长的前景。材料和方法。对预期寿命减少的贡献是根据评估被淘汰的储备的方法计算的。为了评估所分析指标的动态,计算了以百分比表示的总年增长率和平均年损失率。结果。该研究评估了可治愈疾病的死亡率对研究期间计算的预期寿命减少的贡献。摊款使我们能够评估克拉斯诺亚尔斯克地区医疗保健系统的可能储备,这些储备可以利用现代和有效的医疗干预措施,包括二级预防和治疗,根据联邦一级确定的预期寿命目标值来降低死亡率。在克拉斯诺亚尔斯克地区,应特别关注循环系统疾病、肿瘤和与可治愈原因有关的消化系统疾病造成的死亡率。结论。提高这类可治愈疾病的治疗质量和二级预防,将有可能改善生活质量,减少过早死亡,从而提高克拉斯诺亚尔斯克地区的预期寿命。
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