THE IMPACT OF USING THE RIGHT TO TEMPORARY DISABILITY AND TREATMENT IN A DAY HOSPITAL ON DISABILITY AMONG WORKING-AGE PATIENTS WITH DISEASES OF THE CIRCULATORY SYSTEM
Authors:   St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, St. Petersburg, Russia, Karailanov Mikhail ,   Military Medical Academy named after S.M. Kirov, St. Petersburg, Russia, Moiseeva Karina ,   St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, St. Petersburg, Russia, Yuryev Vadim ,   St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, St. Petersburg, Russia, Porechensky Valeriy ,   St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, St. Petersburg, Russia, Alekseeva Anna ,   St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, St. Petersburg, Russia, Baksheeva Lidiya ,   St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, St. Petersburg, Russia
Published: August 2024

Significance. For many years, diseases of the circulatory system have been dominating in incidence, primary disability and mortality among working-age population, causing enormous economic damage to the country. Timely treatment of exacerbations of these diseases and their prevention with a temporary disability leave contributes to a favorable course, low disease recurrence and increased life expectancy. The purpose of the study was to assess the impact of using the right to temporary disability and treatment in a day hospital on disability among working-age patients with diseases of the circulatory system. Material and methods. Based on medical documentation data using a selection method with a group balancing according to several criteria, a retrospective analysis of the results of temporary disability examination in 436 working-age patients with diseases of the circulatory system under medical follow-up in medical organizations with various disease outcomes, was carried out in the period from 2018 to 2022. Statistical data processing was carried out using the MS Office-2016 and StatSoft-Statistica 10.0 software packages. Results. There were no cases of temporal disability registration among 87.2±2.1 patients with the established disability and 7.7±2.3 patients without disability during the first five years of the disease. 5 years after the onset of the disease, almost all patients without disability and 60.0% of patients with disability were treated with a temporary disability leave. The study shows that a formal refusal of a sick leave was more often identified in medical records of patients with disability compared to patient without disability (36.0±3.4 versus 2.0±1.0) and its extension without normalization of well-being (33.3±3.7 versus 16.7±2.7). Both among patients with and without disability, males more often underwent treatment without obtaining a temporary disability leave compared to females. Patients with disability were significantly less likely to be admitted to day hospitals than patients without disability (4.7±2.2 versus 86.5±2.2). In the medical records of 47.6% of patients with disability, a refusal of treatment in a day hospital was recorded. Conclusion. The key factor that has a significant impact on further course of diseases of the circulatory system is an adequate and timely treatment with the provision of a temporary disability leave. Regular admission in day hospitals has a significant impact on the course and progression of a chronic disease.