Analysis of the trend in the morbidity of the population of the Russian Federation considering the factors affecting the availability of general medical services

Introduction. The morbidity is one of the key indicators used to assess the level of public health and demonstrating the level of accessibility of medical care to the population and the effectiveness of primary health care.

The aim was to analyze the trend in the morbidity of the population in the Russian Federation, considering factors affecting the availability of general medical services, in the context of the subjects of the Russian Federation.

Material and methods. The study based on information from the federal static observation form No. 12 “Information on the number of diseases registered in patients living in the service area of a medical organization” for 2018–2021.

Results. In the Russian Federation from 2018 to 2021, general morbidity increased by 2.6%, while newly identified morbidity increased by 9.4%. The Ivanovo region had the largest rate of rise in general morbidity (24.9%), Stavropol Krai — the highest newly identified morbidity (34.7%). When assessing the influence of various factors on the level of morbidity using the method of stable regression, the level of provision of the population with doctors was revealed to have the greatest influence, which is confirmed by the presence of a strong direct dependence.

Limitations. The data from the federal static observation form No. 12 “Information on the number of diseases registered in patients living in the service area of a medical mamnagement” for 2018–2021 for 85 subjects of the Russian Federation were examined to determine the morbidity of the population of the Russian Federation that is able-bodied and over the working age.

Conclusion. The morbidity rate in the Russian Federation during the period under review tends to increase. It is an integral indicator of the availability of medical care and the detection of diseases, which influenced by a variety of factors, including the availability of primary care doctors, the strength of the medical managemorganization, the degree of hospitalization, the average number of visits to doctors.

Compliance with ethical standards: the study does not require the submission of the conclusion of the biomedical ethics committee or other documents.

Contribution of the authors:
Chigrina V.P. — collection and processing of material, writing the text, compilation of the list of literature, responsible for the integrity of all parts of the manuscript;
Khodakova O.V. – research concept and design, editing of the article;
Tyufilin D.S. — research concept and design, editing of the article, approval of the manuscript final version;
Artamonov G.A. — processing of material;
Medvedev V.A. — processing of material;
Kobyakova O.S. — editing of the article, approval of the manuscript final version;
Deev I.A. — editing of the article, approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: December 30, 2022
Accepted: April 12, 2023
Published: August 30, 2023