Guseva N K, Sokolov V A, Sokolova I A, Doiutova M V
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2013 Mar-Apr(2):16-8.
The article deals with the results of the study of complex of medical demographic and social economic indicators of Nizhny Novgorod oblast during 1989-2010. The results are as follows. The policlinics' net reduced by 2.25 times, including by 10.6 times in rural area and by 12.6 times of ambulatories of community hospitals. The indicators of physicians' supply of oblast population decreased too especially in urban area. The annual number of visits to physicians per capita decreased by 1.36 times. The number of calls of out-patients to physicians of emergency medical care increased by 1.5 times. The morbidity with temporarily disability and primary registration as a disabled person decreased by 1.45 times, including able-bodied citizen by 1.54 times. In Nizhny Novgorod oblast, the rate of decrease of indicators of primary disability during 2006-2009 overpassed the corresponding federal indicators by 1.45 times. The population mortality increased by 1.43 times. The accessibility and quality of ambulatory polyclinic care significantly impacts on the levels of mortality and social security of population and can be used as an indicator of social risks in the region.
本文探讨了1989 - 2010年下诺夫哥罗德州医学人口统计学和社会经济指标综合研究的结果。结果如下：门诊诊所净数量减少了2.25倍，其中农村地区减少了10.6倍，社区医院门诊部减少了12.6倍。该州为居民提供医疗服务的医生数量指标也有所下降，尤其是在城市地区。人均每年看医生的次数减少了1.36倍。门诊患者呼叫急救医疗医生的次数增加了1.5倍。因暂时残疾和初次登记为残疾人的发病率下降了1.45倍，其中健全公民的发病率下降了1.54倍。在下诺夫哥罗德州，2006 - 2009年期间一级残疾指标的下降率比相应的联邦指标高出1.45倍。人口死亡率上升了1.43倍。门诊综合诊所医疗服务的可及性和质量对人口死亡率和社会保障水平有显著影响，可作为该地区社会风险的一个指标。
