Analysis of the incidence of the population older than working age in the Russian Federation and its regional features
Authors:   National Research Institute of Public Health named after N. A. Semashko, Kalininskaya A. A. ,   State budgetary institution of the city of Moscow “Scientific Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow”, Vasiliev M. D. ,   National Research Institute of Public Health named after N. A. Semashko,   State budgetary institution of the city of Moscow “Scientific Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow”, Lazarev A. V. ,   National Research Institute of Public Health named after N. A. Semashko, Kizeev M. V. ,   National Research Institute of Public Health named after N. A. Semashko, Smirnov A. A. ,   National Research Institute of Public Health named after N. A. Semashko
Published: October 2023

Objective assessment of the health status and medical care of the elderly in the context of progressive aging of the population is one of the leading health problems. Purpose of the study. Based on the analysis of the medical and demographic situation and the incidence of the population, as well as the results of our own research, to give recommendations on the health protection of the population older than working age. Research methods: statistical, sociological, expert assessments, direct observation. The forms of federal and sectoral statistical observation for 2018–2021 were analyzed. Results of sociological surveys of patients older than working age. Results. Over the 10 years of analysis (2012–2021), the overall incidence rate of the entire population in Russia increased by 4,5%, the adult population – by 8,2% and the working-age population – by 1.3%, in children and adolescents the indicators decreased by 8,8 and 4,7%. The overall incidence of the population older than working age in 2021 in the Russian Federation was 209164‰00, which is 1.2 times higher than the total population (167714‰00). The difference in the general morbidity rates of the population older than working age in the federal districts of the Russian Federation was 1.3 times, in the constituent entities of the Russian Federation 2.3 times. 2020, there is a significant decline in the overall incidence rate in all age groups, which is associated with the COVID‑19 pandemic. The first detected incidence of the population older than working age (in 2021) amounted to 66183,5 per 100 thousand of the corresponding population, which is lower than the total population by 22,6% (85531,6‰00). The population older than working age has significantly higher rates of newly diagnosed morbidity than the entire population in the classes: diseases of the circulatory system by 103%, the indicators were 6191,7‰00, 3048,3‰00, respectively; neoplasms (by 66%), musculoskeletal and connective tissue (by 16%) and diseases of the endocrine system, eating disorders and metabolic disorders (by 15,6%). The results of the study should be taken into account for planning the volume of preventive and dispensary work for people of older age groups. The article gives recommendations on the health protection of the population of pre-retirement and older working age using hospital-replacing technologies.