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Age dynamics of the need in outpatient medical care for malignant neoplasms

https://doi.org/10.25587/SVFU.2019.1(14).27480

Abstract

Currently, the need of taking into account the age and gender characteristics when planning the volume of medical care is only declared. In reality, planning is carried out without taking into account not only the age structure, but also the characteristics of the level and structure of the incidence in a particular area. Another problem with planning is that it is based on the need in certain medical specialties. The purpose of this study was to analyze the age dynamics of the need in outpatient medical care for malignant neoplasms in men. We used the data on the visits of 78,000 male patients within one year to medical organizations providing outpatient medical care regardless of the organizational form and departmental affiliation. The probability of circulation and the frequency of visits and referrals were studied depending on the age in six five-year age groups: 30-35 years, 36-40 years, 41-45 years, 46-50 years, 51-55 years, and 56-60 years. On the basis of intensive indicators of the frequency of visits and referrals, as well as the number of days of outpatient treatment, a demand schedule was drawn up, which was described by one of the mathematical functions that most qualitatively described the process dynamics. The need in outpatient medical care in men with malignant neoplasms, who have the highest growth rate of needs and determine the need for outpatient medical care for malignant tumors, has almost the same age dynamics. It is characterized by two phases: the first - the phase of intensive growth in demand for younger age groups (30-45 years) and the second (age over 45) - the phase of slowing demand growth, but maintaining high levels of demand achieved. A longer first phase is observed in relation to malignant neoplasms of the respiratory and chest organs and urinary tract.

About the Authors

S. N. Cherkasov
N.A. Semashko National Research Institute of Public Health
Russian Federation


A. V. Fediaeva
N.A. Semashko National Research Institute of Public Health
Russian Federation


References

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Review

For citations:


Cherkasov S.N., Fediaeva A.V. Age dynamics of the need in outpatient medical care for malignant neoplasms. Vestnik of North-Eastern Federal University. Medical Sciences. 2019;(1):67-71. (In Russ.) https://doi.org/10.25587/SVFU.2019.1(14).27480

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ISSN 2587-5590 (Online)