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Dispenserization and morbidity of doctors of pre-retirement age in the Republic of Tatarstan
- Authors: AnasA. Gilmanov A.A.1, Nigmatullina D.H.1, Vasiliev M.D.2,3, Russkikh S.V.2,3
- Affiliations:
- Kazan State Medical University
- N. A. Semashko National Research Institute of Public Health
- State Budgetary Institution of the City of Moscow “Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow”
- Issue: No 3 (2024)
- Section: Общественное здоровье и организация здравоохранения
- URL: http://bulleten-nriph.ru/journal/article/view/2844
- DOI: https://doi.org/10.69541/NRIPH.2024.03.017
- Cite item
Abstract
Morbidity among doctors of pre-retirement age is a serious problem that can have a negative impact on their performance and the quality of medical care provided. Studies show that doctors who have reached the pre-retirement age have a higher risk of developing a number of diseases, including cardiovascular diseases, diabetes and arthritis. This is due to the fact that in their work they are in daily contact with various factors of an infectious and non-infectious nature, and age-related changes reduce the capabilities of the immune system and are characterized by the accumulation of stress that accompanies professional activity.
The purpose of the study is to evaluate the results of dispensary examination and morbidity of doctors of pre—retirement age in the Republic of Tatarstan.
Materials and methods of research. The object of the study is doctors of pre—retirement age in the Republic of Tatarstan. The number of doctors of pre-retirement age, men 55—64 years old and women 50—59 years old, according to the Federal Register of Medical Workers of the Republic of Tatarstan in 2018 amounted to 3,768 people, including 1,093 men and 2,675 women. Dispensary examination was studied according to the records of preventive dispensary examination (dispensary examination) (form No. 131/y), and morbidity was studied according to the medical records of a patient receiving medical care on an outpatient basis (form No. 025/y) for 5 years by a continuous method. The processing of the material was carried out using mathematical statistics methods: the assessment of differences between two independent samples in terms of the level of any feature measured quantitatively was carried out by the Mann — Whitney criterion (with abnormal distribution), qualitative indicators — using the criterion χ2 from the StatTech software package. Intensive and average indicators and errors of the average were calculated.
Results. In the Republic of Tatarstan, only 12% of male doctors and 11% of women doctors of pre-retirement age undergo dispensary examinations annually. The primary and general morbidity of male doctors is higher than that of female doctors. During the studied five-year period, the overall morbidity of male doctors increased by 25%, and that of female doctors by 28%, and the primary morbidity by 31% and 49%, respectively.
Conclusions. Doctors of pre-retirement age, regardless of gender, demonstrate low medical activity in relation to dispensary examinations. Only slightly more than 10% of doctors of pre-retirement age in the Republic of Tatarstan undergo annual dispensary examination. At the same time, among them there is a significant growth dynamic of primary and general morbidity, in the structure of which circulatory diseases, endocrine diseases, coronavirus infection and neoplasms occupy the leading places.
About the authors
Anas A. AnasA. Gilmanov
Kazan State Medical University
Author for correspondence.
Email: gilmanov.anas@gmail.com
ORCID iD: 0000-0002-5505-6277
Russian Federation, Kazan, Russian Federation
Dinara H. Nigmatullina
Kazan State Medical University
Email: dinara-meer@mail.ru
ORCID iD: 0009-0008-5796-224X
Russian Federation, Kazan, Russian Federation
Mikhail D. Vasiliev
N. A. Semashko National Research Institute of Public Health;State Budgetary Institution of the City of Moscow “Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow”
Email: vasilev.m.d@yandex.ru
ORCID iD: 0000-0003-1646-7345
Russian Federation, 105064, Moscow, Russian Federation;
Moscow, Russian Federation
Sergey V. Russkikh
N. A. Semashko National Research Institute of Public Health;State Budgetary Institution of the City of Moscow “Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow”
Email: russkikh1@mail.ru
ORCID iD: 0000-0002-3292-1424
Russian Federation, 105064, Moscow, Russian Federation;
Moscow, Russian Federation
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