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»284410.69541/NRIPH.2024.03.017Научная статьяDispenserization and morbidity of doctors of pre-retirement age in the Republic of TatarstanAnasA. GilmanovAnas A.gilmanov.anas@gmail.comhttps://orcid.org/0000-0002-5505-6277NigmatullinaDinara H.dinara-meer@mail.ruhttps://orcid.org/0009-0008-5796-224XVasilievMikhail 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”01102024310811527052025Copyright © 2025,2025<p>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.<br />The purpose of the study is to evaluate the results of dispensary examination and morbidity of doctors of preretirement age in the Republic of Tatarstan.<br />Materials and methods of research. The object of the study is doctors of preretirement age in the Republic of Tatarstan. The number of doctors of pre-retirement age, men 5564 years old and women 5059 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 2 from the StatTech software package. Intensive and average indicators and errors of the average were calculated.<br />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.<br />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.<br /><br /></p>doctors of pre-retirement agemorbiditydispensary examinationmedical personnelpotentiallabor resourcepublic healthврачи предпенсионного возрастазаболеваемостьдиспансеризациямедицинские кадрыпотенциалтрудовой ресурсобщественное здоровье[Larina V.N., Glibko K.V., Kupor N.M. Health status and morbidity of medical workers. Medical business. [Lechebnoe delo]. 2018;(4):18—23 (in Russian).][Russkikh S.V., Moskvicheva L.I., Tarasenko E.A., Timurzieva A.B., Makarova E.V., Tyranovets S.V. et al. Relationship of emotional burnout with job satisfaction in oncologists of therapeutic and surgical profiles. Organizational Psychology. [Organizatsionnaya psikhologiya]. 2023;13(1):9—34 (in Russian). DOI: 10.17323/2312-5942-2023-13-1-9-34][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 5][Sergeeva I.V., Tikhonova E.P., Andronova N.V., Kuzmina T.Yu., Zotina G.P. Morbidity of medical workers with infectious diseases, is it related to professional activity. Modern problems of science and education. [Sovremennye problemy nauki i obrazovaniya]. 2015;(6):1—5 (in Russian).][Bolotnikova N.I. Medical and social analysis of emergency medical care in a city with a population of half a million. Bulletin of the RUDN. Series: Medicine. [Vestnik RUDN. Seriya: Meditsina]. 2009;(4):339—341 (in Russian).][Molov B.A. Morbidity analysis and assessment of hypertension prevention in people of working age abroad, in Russia and in St. Petersburg. Proceedings of the Russian Military Medical Academy. [Izvestiya Rossiyskoy voenno-meditsinskoy akademii]. 2019;(2):82—89 (in Russian).][Bessonova T.I., Shkatova E.Y. Morbidity of dental health workers. Social aspects of public health. [Sotsial'nye aspekty zdorov'ya naseleniya]. 2016;(3):1—7 (in Russian).][Kalininskaya A.A., Vasiliev M.D., Lazarev A.V., Kizeev M.V., Smirnov A.A. Analysis of morbidity of the population over working age in the Russian Federation and its regional features. Health care manager. [Menedzher zdravookhraneniya]. 2023;(2):59—64 (in Russian).][Ermolina T.A., Martynova N.A., Kalinin A.G., Krasilnikov S.V. The state of health of medical workers. Literature review. VNMT. [VNMT]. 2012;(3):1—8 (in Russian).][Doctors' burnout syndrome is best treated with a salary increase. Health care manager. [Menedzher zdravookhraneniya]. 2011;(7):64—67 (in Russian).][Sokolov V.M., Stovba A.V. Assessment of behavioral risk factors of medical workers in conditions of epidemics and extreme situations. SSP. [SISP]. 2020;(2):68—72 (in Russian).][Rudkovskaya A.V. Patterns of health behavior of medical workers. Bulletin of the Moscow University. Series 18. Sociology and Political Science. [Vestnik Moskovskogo universiteta. Seriya 18. Sotsiologiya i politologiya]. 2021;(4):63—70 (in Russian).][Madyanova V.V. Mortality of persons over the working age from neoplasms. Problems of standardization in healthcare. [Problemy standartizatsii v zdravookhranenii]. 2020;(3—4):63—71 (in Russian).][Madyanova V.V., Kakorina E.P., Klokova T.A. Features of morbidity of people over working age in the Russian Federation in 2012—2018. Problems of social hygiene, health care and the history of medicine. [Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny]. 2020;(2):207—214 (in Russian).][Sychev M.A. Socio-economic and psychosocial characteristics of doctors of senior working age. Ros. med.-biol. Bulletin named after academician I.P.Pavlov. [Ros. med.-biol. vestn. im. akad. I.P.Pavlova]. 2008;(1):1—5 (in Russian).][Piontovsky I.N. Factors determining the labor activity of older people. Creative economy. [Kreativnaya ekonomika]. 2011;(1):56—60 (in Russian).][Barsukov V.N., Chekmareva E.A. The consequences of demographic aging and the resource potential of the population of the «third» age. Problems of territory development. [Problemy razvitiya territorii]. 2017;(1):92—108.][Maksimov I.L. The state of health of doctors of a multidisciplinary hospital. Healthcare of the Russian Federation. [Zdravookhranenie RF]. 2003;(3):38—39 (in Russian).][Choibekova K.M., Dzhumalieva G.A. Morbidity of medical workers of dental healthcare organizations of the Kyrgyz Republic. Scientific review. Medical sciences. [Nauchnoe obozrenie. Meditsinskie nauki]. 2022;(2):74—78 (in Russian).][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.][Vasilieva T.P., Larionov A.V., Russkikh S.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][Vasilieva 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—5238/2022-30-11-7-15]