Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»279710.69541/NRIPH.2024.04.001Научная статьяMortality of doctors of pre-retirement age in the republic of TatarstanGilmanovAnas A.gilmanov.anas@gmail.comhttps://orcid.org/0000-0002-5505-6277NigmatullinaDinara H.dinara-meer@mail.ruhttps://orcid.org/0009-0008-5796-224XSherputovskyVladimir G.Vladimir.Sherputovsk@tatar.ruhttps://orcid.org/0009-0003-7910-088XAberkhaevaLilia S.Liliya.Aberhaeva@tatar.ruhttps://orcid.org/0009-0004-3041-9336VasilievMikhail D.vasilev.m.d@yandex.ruhttps://orcid.org/0000-0003-1646-7345RusskikhSergey V.russkikh1@mail.ruhttps://orcid.org/0000-0002-3292-1424Kazan State Medical UniversityN. A. Semashko National Research Institute of Public HealthState 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”27112024451006052025Copyright © 2025,2025<p>The continuing shortage of medical personnel in the country, along with changes in pension legislation, make it very relevant to study the health of doctors and preserve their work activity. This is especially true of doctors of pre-retirement age, the morbidity and mortality among whom is high in the working age.<br />The purpose of the study is to study the structure, dynamics and mortality rate of doctors of pre-retirement age in the Republic of Tatarstan.<br />Materials and methods. The study was conducted in the period from 2018 to 2022. The pre-retirement age group corresponded to the age range of 5059 years for female doctors and 5564 years for men. The number of doctors of the studied age group was taken from the Federal Register of Medical Workers. The study of the mortality of doctors was carried out by copying the data into a specially designed card from the Medical death Certificate. 295 cases were analyzed for the period 20182022. Statistical analysis was carried out by the Stattech 3.1.0 software package.<br />Results. Over a 5-year period, the number of doctors in the study group decreased by 1,190 people or by 31.6%. The number of male doctors decreased by 239 people or 21.9%, and female doctors by 951 people or 35.6%. Over the period from 2018 to 2020, the mortality rate among male and female doctors increased sharply against the background of the coronavirus pandemic by 3.8 times. From 2018 to 2022, 295 doctors of pre-retirement age died, which is 7.8% in relation to the entire study group and 24.8% in relation to those who left the register of doctors in 5 years.<br />Conclusions. The data obtained indicate a two-fold higher mortality rate of doctors of pre-retirement age compared to the population of this age group.</p>public healthmedical determinant of public healthpersonnel componentmedical personnelhuman potential of health caredoctor's potentiallabor resourceworking agedoctors of pre-retirement agemortalityrisk factorsобщественное здоровьемедицинская детерминанта общественного здоровьякадровый компонетмедицинские кадрычеловеческий потенциал здравоохраненияпотенциал врача, трудовой ресурструдоспособный возрастврачи предпенсионного возрастасмертностьфакторы рискаGolovko E.A., Nesina I.A., Smirnova E.L., Poteryaeva E.L., Figurenko N.N., Demeshko K.O. Analysis of the health status of medical workers based on the results of mandatory periodic medical examinations. Medical Bulletin of the South of Russia. [Meditsinskiy vestnik Yuga Rossii]. 2022;(4):22—27 (in Russian).Kosarev V.V., Babanov S.A. Occupational diseases of medical workers. Samara: LLC «Etching»; 2014. P.231—233 (in Russian).Sokolovskaya T.A. Demographic problems and health status of the elderly population. Gerontology. [Gerontologiya]. 2013;1(1):60—67 (in Russian).Larina V.N., Glibko K.V., Kupor N.M. The state of health and morbidity of medical workers // Medical business. [Lechebnoe delo]. 2018;(4):18—24 (in Russian).Bektasova M.V., Kaptsov V.A., Sheparev A.A. Organization of medical care for employees of multidisciplinary medical institutions of Primorsky Krai. Akadem. railway of Western Siberia. [Akadem. zh-l Zapadnoy Sibiri]. 2013;(2):47—48 (in Russian).Trufanova N.L., Novikova I.I. Working conditions and health status of doctors of a large medical organization. Occupational medicine and industrial ecology. [Meditsina truda i promyshlennaya ekologiya]. 2019;59(9):777—778 (in Russian).Akimova N.A., Andrianova E.A., Devlicharova R.Yu., Medvedeva E.N. Psychosocial risk factors in the professional activity of nursing staff. Bulletin of St. Petersburg State University. Sociology. [Vestnik SPbGU. Sotsiologiya]. 2018;11(4):420—438 (in Russian).Aluttis C., Bishaw T., Frank M.W. The workforce for health in a globalized context-global shortages and international migration. Glob Health Action. 2014;13(7):1—7.Filip R., Gheorghita Puscaselu R., Anchidin-Norocel L., Dimian M., Savage W.K. Global Challenges to Public Health Care Systems during the COVID-19 Pandemic: A Review of Pandemic Measures and Problem. J. Pers Med. 2022;7(12):1—5.Gupta N., Dhamija S., Patil J., Chaudhari B. Impact of COVID-19 pandemic on healthcare workers. Ind Psychiatry J. 2021;(30):282-S284.Arnsten AF. T., Shanafelt T. Physician Distress and Burnout: The Neurobiological Perspective. Mayo Clin Proc. 2021;(3):763—769.Tan Z., Khoo DW. S., Zeng L.A., Tien J.C., Lee AK. Y., Ong Y.Y. et al. Protecting health care workers in the front line: Innovation in COVID-19 pandemic. J. Glob Health. 2020;10(1):1—4.Covid-19: protecting health-care workers. Lancet. 2020;1—5.Barranco R., Ventura F. Covid-19 and infection in health-care workers: An emerging problem. Medico-Legal J. 2020;88(2):65—66.Russkikh S.V., Larionov A.V., Vasiliev M.D. Methodical approach to the construction of the index of doctors' confidence in their activity. Problems of social hygiene, public health and history of medicine. [Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny]. 2023;31(спецвыпуск 2):1183—1188 (in Russian). DOI: 10.32687/0869-866X-2023-31-s2-1183-1188 (in Russian).Vasiliev M.D., Russkikh S.V., Magomedova A.M., Faizullaev A.H., Arsenina Y.V., Vorobyova A.V. Motivation and stimulation of activity of medical workers to preserve their health in order to prolong professional longevity. Bulletin of the Medical Stomatological Institute. [Vestnik Meditsinskogo stomatologicheskogo instituta]. 2023;64(1):35—36 (in Russian).Russkikh S.V., Moskvicheva L.I., Tarasenko E.A., Makarova E.V., Vasiliev M.D., Arsenina Y.V., et al. Measures to improve job satisfaction of oncologists in ambulatory oncological care centers. Population Health and Habitat — ZNiSO. [Zdorov'e naseleniya i sreda obitaniya — ZNiSO]. 2023;31(7):15—25 (in Russian). DOI: 10.35627/2219—5238/2023-31-7-15-2 5Vasilieva T.P., Larionov A.V., Russkikh S.V., et al. Methodological approaches to measuring public health as a medical and social resource and the potential of society. Population Health and Environment. [Zdorov'e naseleniya i sreda obitaniya]. 2022;30(11):7—15 (in Russian). DOI: 10.35627/2219—5238/2022-30-11-7-15Vasilieva T.P., Larionov A.V., Russkikh S.V., Zudin A.B., Gorenkov R.V., Vasiliev M.D., Kostrov A.A., Khapalov A.A. Methodological approach to organizing public health monitoring in the Russian Federation. Public health and habitat. [Zdorov’e Naseleniya i Sreda Obitaniya]. 2022;30(7):7—17 (in Russian). DOI:10.35627/2219—5238/2022-30-7-7-17VasilievaT.P., LarionovA.V., RusskikhS.V., et al. State of public health in the subjects of the Russian Federation during a large-scale epidemiologic challenge on the example of the COVID-19 pandemic. Population Health and Habitat — ZNiSO. [Zdorov'e naseleniya i sreda obitaniya — ZNiSO]. 2023;31(3):7—16 (in Russian). DOI: 10.35627/2219—5238/2023-31-3-7-7-X