DYNAMICS IN DISTRIBUTION OF ADULT POPULATION BY HEALTH GROUP IN 2013-2021
Authors:   Russian Research Institute of Health, Ministry of Health of the Russian Federation, Moscow, Russia, Senenko A.Sh. ,   A.I Yevdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the Russian Federation, Savchenko E.D. ,   Russian Research Institute of Health, Ministry of Health of the Russian Federation, Moscow, Russia
Published: March 2023

Significance. The “health group” indicator represents an integral assessment of health. The established health group determines the entire subsequent plan of work with the patient. Assessment of dynamics in health groups is also important from the point of view of changes: with the previously established health group I – does it still remain; if health group II was established – was the correction of risk factors successful; if the health group IIIa or IIIb was established – was condition stabilized and the target values of the parameters characterizing the course of the disease achieved? This approach will allow to evaluate performance, both at the level of a medical organization and the entire system of medical prevention. The purpose of the study was to analyze dynamics in distribution of adult population of the Russian Federation by health group based on the results of preventive medical examinations and regular check-ups in 2013-2021. Material and methods. Orders of the Ministry of Health of the Russian Federation on organizing preventive medical examinations and regular check-ups in 2012-2021, industry statistical reporting form No.31/o, data of the information and analytical review “Results of regular check-ups of certain groups of the adult population of the Russian Federation” in 2013-2018. Methods: content analysis, descriptive statistics. Results. The share of population with the established health group I decreased in all age groups in 2013-2020. In the age group of 39-60 years, the share of people with the established health group IIIa is almost three times higher than in the age group of 21-36 years, and its increase is mainly due to the decreased health group I. The share of people with health group II remained almost unchanged. The share of people with health group IIIb increased about 1.5 times. In the age group over 60, the share of people with the established health group IIIa is about 80%, while the share of people with health group I and health group II falls dramatically. A list of subjects with the dynamics in distribution of health groups corresponding to the theoretical model proposed by the authors has been developed. Conclusions. The distribution of population by health group is an indicator that determines the entire further program of preventive activities, and its dynamics is an indicator of effectiveness of medical prevention. Subjects with positive dynamics in the shares of health groups I and IIIa and negative dynamics in the share of health group II are of the greatest interest in terms of analyzing effectiveness of preventive activities and identifying best practices. It is advisable to assess dynamics in distribution by health group with due regard to gender and age. Scope of application. The integrated assessment of preventive activities at the regional level, primary care facility, and site of therapeutic and general medical practice.