The analysis was applied concerning distribution of patients' flow depending on nosology forms of diseases and departments of hospital. The integrated value included number of treated patients and duration of treatment. The study established that the main groups of diseases determining the load on corresponding departments of hospital are cerebro-vascular diseases in neurologic department; diabetes mellitus in endocrinology department; pneumonia, chronic bronchitis and asthma in pulmonology department; urolithiasis in urology department; abnormal bleedings of female genitals in gynecology department; trauma of femur in traumatology department; cholelithiasis and cholecystitis in general surgery department. The developed differentiation of patients' flows makes it possible to determine the demand of diagnostic and treatment technologies in the particular hospital.
Malignant malformations morbidity in population of Tomskaya oblast in 1980-2003 is examined. The structure of various localizations of oncological pathology depending on age-specific and gender aspects is presented. Nature of cancer diseases in compliance with genetic, ontogenetic, accumulative and ecologic patterns is discussed. Mean and peak life span, rate of dying out of oncological patients with various localizations of cancer process is established. It is demonstrated that in Tomskaya oblast over studied period on average mean life span came to 5.42 years and peak life span came to 10.8 +/- 0.2 years with annual rate of dying out of patients 9.249%. Study results consider as foundation for in-depth investigation of the role of risk factors in development of oncological pathology, life quality and life span of cancer patients, enhancement of management of medical preventive and curative diagnostic care to patients of this particular profile.
According to a questionnaire of 830 patients and 153 neurologists, both a timely asking for medical care and a timely treatment at specialized neurology hospitals are the key factor that cuts the rate of complications in craniocerebral trauma. Finally, a differential approach to treatment schemes with due respect to a trauma severity, availability of rehabilitation centers and application of new medical technologies, e.g. cranio-sacral therapy, are equally important.
Presents a comparative medico-demographic analysis of the population number and structure, reproduction, mortality, and mean life span at some territories of West and East Siberia in 1990-1995 and predicts these values for up to the year 2005. Main problems of demographic development of Siberian territories are outlined; these processes are to be balanced with the socioeconomic and ecological status of regions. Priority measures are proposed, including development of special programs on reproduction, health promotion, organization of medico-demographic monitoring, etc.
Time course of population mortality in Siberia in 1985-1999, mean life span of men and women, major mortality causes in the neonatal and capable age are presented. Population health loss resultant from mortality, morbidity, and disability is evaluated.
The strategy of the development of public health and medical care is to consider studying of the prevalence of diseases and the pathological affection based both on the evaluation of the cardinal criteria (mortality, disability and morbidity) and the instable criteria. The data research in the various branches of medicine are to be integrated on the basis on the nosologic and syndromal principles of the evaluation of the pathology prevalence. The large-scale generation of such information occurs in the territorial diagnostic centers. These institutions can accumulate and systematize all information data for evaluation and forecasting.
The traumatism remains of major medical social problems not only in the Russian Federation but in the most of the countries. In 2001-2012 dynamics of indices of traumatism was characterized by increasing of level of traumatism from 87 to 93 cases per 1000 of population. In 2012 and later tendency to decreasing of indices of traumatism is observed but there is no enough data to testify single-valued turning point. Despite progress in treatment of the injured, decreasing of lethality and development of rehabilitation programs considerable prevalence of traumatism in the Russian Federation is related to inadequate efficiency ofpreventable efforts ofsociety and health care system concerning issues of decreasing risks for population of getting traumatized. The absence of systemic approach, underestimation of social economic, geographic, climatic factors, demographic characteristics of territory drastically decreases efficiency of implemented preventive activities.
The article analyzes the implementation of major 12 diagnostic and 17 treatment technologies applied during medical care of patients with 12 key nosology forms of diseases in departments of the emergency medical care hospital No 2 of Omsk. It is established that key groups of technologies in the implementation of diagnostic process are the laboratory clinical diagnostic analyses and common diagnostic activities at reception into hospital and corresponding departments. The percentage of this kind of activities is about 78.3% of all diagnostic technologies. During the realization of treatment process the priority technologies are common curative and rehabilitation activities, intensive therapy activities and clinical diagnostic monitoring activities. All of them consist 80.1% of all curative technologies.
