Sakiev K Z, Ibraeva L K, Dyusembaeva N K, Rybalkina D Kh, Drobchenko E A
Gig Sanit. 2016;95(10):950-4.
The article is devoted to the approbation of the modification of the method of the presentation of indices of medical and social losses of the population on an example of environmentally unfavorable Aral Sea region in Kazakhstan. The first step in improvement of the system ofpublic health care is the identification of the most important problems related with the assessment of the disease burden and the adjustment of data of such type in accordance national aims on the decline of medical and social losses in this problem area. So far according to the criteria for the determination of the boundary of ecological catastrophe area one of the indices is the steady gain in the mortality rate. Using the index “Years of Life Lost” (YLL) in medical statistics as a relatively new approach that continues to be improved and its development supposes the improvement in the quality of health statistics. We modified this method consisting in the determination of the coefficient of loss of years. In the given work after comprehensive analysis of the loss of years due to morbidity and mortality on the base of life tables the potential of lost years for the population was determined with bearing in mind of module tables and compared with the loss in years due to the health loss. So far there was declined the dimension of the comprehensive index, there was elevated its comparability with other indices, and the data interpretation has been optimized. Suggested modification can be used for a comprehensive assessment of health state in the execution of epidemiological studies and monitoring of medical and social situation in ecologically unfavorable regions.
本文以哈萨克斯坦环境不利的咸海地区为例,致力于对人口医疗和社会损失指标呈现方法的改进进行验证。改善公共卫生保健体系的第一步是确定与疾病负担评估相关的最重要问题,并根据国家在该问题领域降低医疗和社会损失的目标调整此类数据。到目前为止,根据确定生态灾难区域边界的标准,其中一个指标是死亡率的稳步上升。在医学统计中使用“寿命损失年数”(YLL)这一相对较新且仍在不断改进的方法,其发展意味着健康统计质量的提高。我们对该方法进行了修改,包括确定年损失系数。在这项工作中,在基于生命表对发病和死亡导致的年损失进行综合分析后,考虑到模块表确定了人群的潜在损失年数,并与健康损失导致的年损失进行了比较。到目前为止,综合指标的规模有所下降,与其他指标的可比性有所提高,数据解释也得到了优化。建议的修改可用于在进行流行病学研究和监测生态不利地区的医疗和社会状况时对健康状况进行综合评估。