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[作为评估社会福利和医疗服务质量手段的流行病学研究(以心肌梗死发病率分析为例)]

[Epidemiological studies as an instrument for assessment of society welfare and quality of medical service (examplified by of analysis of myocardial infarction morbidity)].

作者信息

Takhauov R M, Karpov A B, Semenova Iu V, Litvinenko T M, Butyrin S Iu

出版信息

Kardiologiia. 2009;49(2):52-6.

Abstract

Dynamics of incidence of myocardial infarction among adult (older than 20 years) population of Seversk in 1998-2006 was studied according to WHO program "Myocardial Infarction Register" updated in concordance with criteria of Joint European Society of Cardiology/American College of Cardiology Committee for the Redefinition of Myocardial Infarction (2002). Incidence of myocardial infarction in the studied population had steady tendency to growth with equal contribution of such components as first and recurrent myocardial infarction what was related to progressive aging of population. Hospital myocardial infarction mortality showed steady tendency to decline evidencing for improvement of quality of medical service.

摘要

根据世界卫生组织“心肌梗死登记册”计划,并按照欧洲心脏病学会/美国心脏病学会联合委员会心肌梗死重新定义标准(2002年)进行更新,对1998 - 2006年斯韦特斯克20岁以上成年人群中心肌梗死的发病率动态进行了研究。在所研究人群中,心肌梗死的发病率呈稳定增长趋势,首次心肌梗死和复发性心肌梗死等因素的贡献相当,这与人口的逐渐老龄化有关。医院心肌梗死死亡率呈稳定下降趋势,证明医疗服务质量有所改善。

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